Last updated: 10 February 2026
"Staff feel supported like home from home with good staffing and activities, but weak medicines safety and poor governance are major concerns."
The provider did not always ensure that people's medicines were managed safely. This placed people at risk of harm. This was a breach of Regulation 12 (safe care and treatment)
The staff we spoke with were very complimentary of the management of the service and the support they received. One staff member told us they see working at the service as "home from home"
The service told us that they had enough staff to meet people's needs safely. People told us they did not have to wait too long for staff when they required support. People's relatives told us they felt the staffing levels were satisfactory
The registered manager was aware of training needs for staff and told us they kept records in individual files; however, there was no formal system to monitor this. Staff confirmed they were receiving the mandatory training they needed
The provider did not operate effective systems to monitor and improve the safety and quality of the service. This was a breach of Regulation 17 (Good Governance)
Per 2018 comprehensive inspection: People had access to a wide variety of activities, both in the home and within the local community. Staff knew people well and worked flexibly to help them follow their interests and hobbies
Risk plans are missing or weak for things like moving people, night checks, and infections, leaving gaps in safety.
People who required support from staff with their moving and handling, including repositioning, did not have risk management plans in place. The service had not considered the risks of legionella bacteria through risk management plan
Medicine handling has problems like handwritten doses not double-checked and no regular audits to catch errors.
Handwritten medicines administration records (MARs) were not always signed and countersigned by staff in line with national guidance. There was no system of auditing medicines
No overall system to track everyone's training levels, just notes in personal files.
The registered manager was aware of training needs for staff and told us they kept records in individual files; however, there was no formal system to monitor this
AI Generated
Last inspected: December 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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