Last updated: 9 February 2026
"A positive culture where staff feel supported and sufficient staffing, but major training gaps and unsafe medicine handling hold it back."
Medicine administration was not carried out safely... risk assessments were not always sufficient to mitigate identified risks... breach of regulation 12.
The registered manager promoted a positive culture where they supported and empowered the staff team. Staff felt able to raise concerns with the registered manager without fear.
There were sufficient staff on duty to meet people's individual needs... The registered manager also made use of agency staff when needed; recruitment records not always retained.
The provider's training matrix showed 48% of staff had not completed safeguarding training... and no staff had completed training in understanding the requirement of the Mental Capacity Act 2005.
The provider and registered manager did not have sufficient oversight of service delivery; audits of the service delivery were not effective or robust.
A volunteer visited the home to spend time with people undertaking activities of interest to them such as bingo.
Staff training has big gaps in basics like safeguarding and mental capacity with nearly half untrained in safeguarding.
48% of staff had not completed safeguarding training, only 1 staff member had received equality training and no staff had completed training in understanding the requirement of the Mental Capacity Act 2005.
Medication handling is unsafe at times and risk assessments miss key dangers putting people at risk.
Medicines administration was not carried out safely... People's risk assessments were not sufficient to mitigate identified risks to them which placed people at risk of harm.
Managers lack proper oversight as audits failed to spot major issues like poor medication and training gaps.
The provider and registered manager did not have sufficient oversight of service delivery; audits of the service delivery were not effective or robust.
AI Generated
Last inspected: October 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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