Last updated: 10 February 2026
"Mixed staff wellbeing and activities, but poor leadership, unsafe staffing levels, and unaddressed safeguarding risks create major concerns."
A review of 3 months of records on 1 floor involving 2 people revealed 10 serious incidents which should have been referred to the safeguarding team... Medicine records were not always completed safely.
Staff wellbeing and enablement were mixed, with some staff feeling unsupported.
While some areas of the home were adequately staffed, we raised concerns about low staffing levels on certain floors... on 2 other floors staff said, 'There is just not enough staff on duty to support people safely.'
Staff knowledge of behaviour management and risk reduction varied, with some staff lacking confidence due to gaps in training and staffing levels.
The provider did not demonstrate effective leadership or robust quality assurance in monitoring the delivery of care. Failures in oral health support, equipment safety, skin integrity management, moving and handling practices, incident reporting, safeguarding referrals, and emergency evacuation planning were not identified or addressed
People faced unequal access to activities, especially those with mobility or behavioural needs. The environment lacked dementia-friendly features and emotional stimulation.
Not enough staff on some floors, so care workers are too stretched to give unhurried care.
on 2 other floors staff said, 'There is just not enough staff on duty to support people safely.'
Safeguarding concerns and medication errors not handled properly, creating risks during shifts.
10 serious incidents which should have been referred to the safeguarding team and followed up with other professionals... staff did not consistently record whether the medication had been effective.
Managers missing major care and safety problems, so issues drag on without fixes.
Failures in oversight, staffing, care planning, and incident management placed people at risk
AI Generated
Last inspected: July 2023
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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