Last updated: 10 February 2026
"Staff feel valued in a family-like culture with good training and enough skilled staff, but unsafe medicines practices risk choking and poor governance misses key issues."
Medicines optimisation Score:1 The service did not always make sure the management of medicines was safe ... concerns around the administration of thickener to drinks increasing the risk of choking; When people had their medicines via a feeding tube, there was not always information ... This was a breach of Regulation 12, medicines.
The provider supported staff wellbeing and staff felt supported to give feedback and were treated equally, free from bullying or harassment. Staff spoke very highly of the registered manager and other staff; they spoke of a family feel to the home.
Safe and effective staffing Score:3 The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development opportunities. They worked well together to provide safe care meeting people’s individual needs.
Staff had received training in mental capacity and consent. Staff received training, in health and safety, fire, first aid and moving and handling, and fire evacuations.
Governance, management and sustainability Score:1 The provider did not have sufficient systems to assess, monitor and improve the quality and safety within the service. We found audits were completed by leaders but failed to identify gaps we found during our assessment. This was a breach of Regulation 17, Good Governance.
Providing Information ... planned activities. ... my loved one enjoys the trips out and enjoys music tribute bands.”
Medication isn't always given safely, like adding thickener to drinks risking choking and missing instructions for giving meds through tubes.
we found concerns around the administration of thickener to drinks increasing the risk of choking; When people had their medicines via a feeding tube, there was not always information from a suitably qualified healthcare professional to inform staff how to administer the medicines safely
Leaders' checks and audits missed problems with meds and out of date care records.
audits were completed by leaders but failed to identify gaps we found during our assessment. For example, shortfalls identified with medicines and up to date care records. This was a breach of Regulation 17, Good Governance.
Only basic activities like trips out and music events, no special programmes or coordinator to make the job varied.
planned activities ... enjoys the trips out and enjoys music tribute bands
AI Generated
Last inspected: June 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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