Last updated: 10 February 2026
"Staff praised training and felt part of a happy, diverse team, but major safety risks from poor cleaning, unsafe medicines and weak oversight hold it back."
We identified continued shortfalls with medicines, clinical care, infection prevention and control and the environment. ... This placed people at increased risk of harm. This was a continued breach of regulation 12(1).
Staff told us they were treated equally and were happy to work as a team. A member of staff told us, “Our staff team is diverse, very diverse. I think the team is working quite good.”
We saw there were enough staff to meet people’s needs and to keep premises clean, however, staff were not always deployed effectively.
Staff shared positive feedback on their training and felt it had provided them with the necessary skills to carry out their roles. They told us they had opportunities to develop their skills and knowledge should they wish to.
The provider’s oversight and governance failed to ensure systems and processes identified the improvements needed in the quality and safety of care being provided. This was a breach of Regulation 17.
There were flower beds and a gardening group which people accessed as part of an activities programme. We observed staff supporting people to prepare for a themed event the following day.
Big safety risks from unclean rooms with faeces stains, broken waste bins, unlocked chemicals, and medication errors not spotted by checks.
In some bedrooms, we found dried faeces stains on bedding, doors, and in one room on a sealed catheter bag. ... Most clinical and disposal waste bins were not in working order ... COSHH products had not been safely locked away.
Managers missed major issues like poor cleaning and unsafe meds storage because oversight and audits weren't working well.
The providers internal audits did not always identify the risks we found during our inspection ... systems for governance and oversight had not always been effective in identifying the service’s shortfalls.
Staff numbers are adequate but poor deployment means residents sometimes wait too long for help when they need it.
Other people said “Short staffed, can see it ... waited half an hour ... Sometimes can’t find staff, usually late afternoon ... it took ten minutes" ... staff were not always deployed effectively.
AI Generated
Last inspected: December 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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