Last updated: 9 February 2026
"Staff feel valued with strong leadership and varied activities, but serious medicines safety issues and weak oversight need fixing."
Per 2019 comprehensive inspection: Breaches of Regulation 12 - unsafe medicines (no balances recorded, no patch sites, temperature not monitored, creams misused/not recorded); missing risk assessments for seizures, falls, pressure sores. 2020 targeted: Assured good infection control.
Per 2019 comprehensive inspection: 'Staff were extremely positive about the skills and leadership... "Management always happy to help... [Registered Manager] is very helpful. New matron is very positive. Has new ideas and is open to our ideas". "You can say what you want."
Per 2019 comprehensive inspection: 'We observed, and staffing rotas confirmed, there were sufficient staff to meet people's needs. One person said "Definitely enough staff. Use the call bell and people come quickly".'
Per 2019 comprehensive inspection: 'People were supported by trained staff. Staff completed an induction programme when they first started work. Staff told us that they felt well supported. They received regular supervision and appraisals.'
Per 2019 comprehensive inspection: 'The systems in place to monitor the quality of service were not always effective. For example, the concerns that we found in relation to medicines management, care records and MCA had not been identified by the registered manager or provider.'
Per 2019 comprehensive inspection: 'People had access to a wide range of activities... "We have activities most of the day... two alpacas come in"... "I went to the cinema in Oxford. I go to concerts and the theatre". Recreational therapist spoken with.'
Big problems with medication safety like no stock checks, no records of where pain patches went, wrong creams used and no temperature checks in storage.
There was an absence of a recording system to ensure that medicine balances were recorded... MAR and care records did not give guidance... on where patches had been applied... creams... not recorded on the persons MAR... using a cream which had been prescribed for another person.
Manager missed major issues with risks, care records and mental capacity until the inspection, so oversight felt weak.
The systems in place to monitor the quality of service were not always effective. For example, the concerns that we found in relation to medicines management, care records and MCA had not been identified by the registered manager or provider.
Staffing is adequate but nothing special, with enough people on shift but no info on keeping staff long-term or using agency workers.
We observed, and staffing rotas confirmed, there were sufficient staff to meet people's needs.
AI Generated
Last inspected: September 2020
Management Quality
Well-led: Good
Direct feedback from current and former employees

Scan the QR code or tap the button to chat with us on WhatsApp. Your identity stays completely anonymous.
Chat on WhatsApp