Last updated: 10 February 2026
"Caring and knowledgeable regular staff foster a positive culture, but no permanent manager, high agency use, and unsafe medicines management are major concerns."
Medicines were not managed safely. This placed people at risk of harm. This was a breach of regulation 12(1)... Risks were not always managed safely. This placed people at risk of harm.
The home's regular staff were praised as being knowledgeable and caring... Staff told us they had enough training and skills to know how to support people effectively.
There were a high number of agency staff working in the home, including nurses... Some staff felt they did not have enough time to support people properly.
There were some gaps in the training matrix which the provider was following up with staff... some agency staff did not know enough about their family member to support them effectively.
At the time of our inspection there was not a registered manager in post. There was a manager in post who had applied to register. However they were off at the time of inspection and therefore, there was an interim manager in post.
No permanent manager, just an interim one after recent changes, so oversight of care is weak.
Recent changes to the management structure in the home had impacted on this. Oversight of medicine records had not been safely maintained by managers.
Lots of agency staff including nurses, and care workers say they do not have enough time to meet all needs.
There were a high number of agency staff working in the home, including nurses... staff were not able to meet all of people's needs.
Medication errors like wrong insulin doses and missing stock, plus risks like missed repositioning not followed up.
Some people had not received their medicines as prescribed. Some medicines were not always in stock... One person's insulin regime was incorrect... staff had recorded repositioning for several people who had not been repositioned.
AI Generated
Last inspected: March 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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