Last updated: 10 February 2026
"A positive staff culture with approachable managers and enough staff for safe support, but poor infection control, medication records and ineffective audits hold it back."
Infection prevention and control procedures were not effectively managed; unclean areas observed; medication administration records did not always evidence that people received their medicines as prescribed.
Staff told us that managers were approachable and there was a positive staff culture.
There were enough staff to support people safely; the registered manager had ensured safe staffing levels by using agency staff when needed.
Staff were mostly up to date with training the provider considered mandatory for the role; supervisions not fully up to date.
Governance processes were not always effective at improving the quality and safety of the service; auditing tools did not identify all concerns.
An activities programme was in place and there were dedicated staff to provide social activities for people.
Risk assessments not always done on time and medication records miss when meds were given, so safety monitoring was not reliable.
Risk assessments were not always completed in a timely manner; medication administration records did not always evidence that people received their medicines as prescribed.
Managers' audits and oversight missed issues with risks and care plans, so problems built up.
Auditing tools were in place. However, they did not identify all concerns found during the inspection in relation to risk assessments and care plans.
Enough staff to get by but relies on agency workers to fill gaps, with some past issues checking their skills.
The registered manager had ensured safe staffing levels by using agency staff when needed. However, the provider did not always have effective oversight of agency staff to ensure they were competent.
AI Generated
Last inspected: December 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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