Last updated: 10 February 2026
"Staff feel well supported with enough staff and useful training, but safety issues with medicines and risks, plus limited activities, hold it back."
We identified breaches of legal regulations relating to safe care and treatment... Staff did not always ensure safe care and treatment... Some improvements were needed with medicines management.
Staff felt well supported. There were robust systems for staff recruitment, training and support. Staff worked well with each other and managers.
There were enough staff to keep people safe and meet their needs. Staff told us they felt there were enough of them. Staffing levels were calculated using a system which considered people’s individual dependency needs.
Staff undertook a range of training to help them understand about best practice and evidence-based care. They told us this training was useful and had included information about caring for people living with dementia.
The provider’s systems for monitoring and improving quality, and mitigating risks had not always been operated effectively. This meant, managers and the provider had not identified all areas which needed to be improved.
People told us they enjoyed the social and leisure activities. However, these were limited and most people spent time without anything to do.
Risk assessments are not personalised enough, and there are issues with medication records like where patches are applied and guidance for hidden medicines.
Risks to people’s safety had not always been assessed or planned for in a personalised way... Staff recorded the administration of medicines via topical patches. But they did not record where on the person’s body these were applied... the provider had not obtained written guidance or agreement from the pharmacist about the administration of 1 person’s medicines covertly.
Activities are limited and short, so most of the day there is nothing organised and people have little to do.
these were limited and most people spent time without anything to do... staff organised a music quiz. This was enjoyed by people but lasted only 16 minutes. Only a small number of people took part... Before and after this event, there were no other organised activities.
The monitoring systems do not always spot where improvements are needed in care and risks.
The provider’s systems for monitoring and improving quality, and mitigating risks had not always been operated effectively. This meant, managers and the provider had not identified all areas which needed to be improved.
AI Generated
Last inspected: July 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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