Last updated: 10 February 2026
"Good training and a supportive culture, but safety lapses with medicines and safeguarding plus frequent understaffing hold it back."
Safeguarding referrals were not always completed... significant medicines errors... not referred to the local authority... breach of regulation 13... People did not always receive their medicines safely... four incidents where people had been entrapped in bedrails.
Staff and people told us they felt comfortable approaching the registered manager... The registered manager told us they had an open-door policy. Staff were recognised... rewarded staff with bonuses.
Staff told us of staffing level concerns. A member of staff raised concerns they frequently found shifts were understaffed. Other staff told us... being short of staff happens, 'Often enough.' Most of the relatives we spoke with felt there wasn't always enough staff.
Staff received supervision in line with the provider's policy of carrying these out twice per year. Staff told us they had received training... The provider supported staff's continued professional development... nurse associate qualifications and CHAPS.
The registered manager had been splitting their time between two services. They told us this had impacted their ability to oversee the service effectively.
We observed people taking part in activities such as making a bird table and singing. People had an opportunity to contribute to activities planning... participated in Jubilee celebrations.
Shifts are often short-staffed according to staff and relatives, so workloads feel stretched even with some agency cover.
Staff told us of staffing level concerns... frequently found shifts were understaffed... 'Often enough.' Most of the relatives we spoke with felt there wasn't always enough staff.
Safeguarding concerns and medication errors weren't always reported or fixed properly, plus repeated bed entrapment incidents.
Safeguarding referrals were not always completed... significant medicines errors... not referred... People did not always receive their medicines safely... four incidents where people had been entrapped in bedrails.
Manager split time between two homes until recently, so oversight of risks and quality was weak.
The registered manager had been splitting their time between two services. They told us this had impacted their ability to oversee the service effectively.
AI Generated
Last inspected: April 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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