Last updated: 10 February 2026
"Staff feel well supported by the new manager with good training and activities, but unsafe medicines management and dirty equipment are major concerns."
Repeat breach of Regulation 12 for unsafe medicines management including late Parkinson's doses, no guidance for variable doses, staff disposing of medicines; dirty hoists and wheelchairs observed risking infection.
Staff we spoke with said they were well supported... Staff told us 'Things are much better since the new manager... much happier home under the new manager'.
Mixed feedback on staffing levels from people and relatives, vacant shifts covered by agency staff and permanent staff extra hours, observed staff task-oriented not maximising interactions.
Staff had completed their on-line mandatory training. Face to face training had been provided... For example, dementia care, nutrition and maintaining skin integrity.
New registered manager in post and staff said 'The manager is approachable... Things are much better since the new manager', but continued breach of Regulation 17 as governance systems failed to identify shortfalls in medicines, risks and complaints.
People had access to a wide range of activities with designated staff employed to facilitate this provision. The service provided a dementia cafe... ‘My wish scheme’ with trips out such as air shows and picnics.
Staff made mistakes giving medicines like late doses for Parkinson's or throwing them away, and equipment like hoists was dirty risking infections.
People did not always receive their medicines as prescribed... Recent incidents... 3 senior staff had disposed of medicines in bins... wheelchairs and hoists that were dirty and in need of cleaning.
Not enough staff at times according to some people and relatives, with agency covering vacant shifts.
Feedback from staff and relatives regarding staffing levels was mixed, some people felt there were enough staff and others disagreed... vacant shifts were covered by agency staff.
Managers' checks missed problems like medicine errors, dirty equipment and complaints not followed up properly.
Governance processes were in place however improvement was needed to ensure a robust audit trail... systems in place failed to identify the shortfalls we found at this inspection.
AI Generated
Last inspected: January 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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