Last updated: 10 February 2026
"Staff get good training and feel supported, but weak management, unsafe medicines and low staffing hold it back."
Medicines were not always managed safely. The provider was in breach of the legal regulations relating to medicines and involving people to manage risks.
Staff told us they had support and supervision relevant to their roles and no issues were raised by staff about how they were supported by the provider.
The local authority shared concerns with the provider over the staffing numbers. Information provided by the provider showed a lack of understanding in how to accurately complete their staffing dependency tool which is used to identify what staffing is required.
Staff had training in safeguarding and told us they understood their responsibilities to keep people safe. Staff had received training in mental capacity and consent.
Governance processes were ineffective. Actions taken to address concerns raised were not always prioritised effectively. The registered manager told us they carried out daily walkarounds, but these had failed to identify what we found on inspection.
People did not receive person centred care and staff did not spend time with people outside of care tasks. People were ‘bored’ and ‘fed up’.
Bosses and manager miss big safety risks and fail to act on concerns from experts.
The registered manager told us they carried out daily walkarounds, but these had failed to identify what we found on inspection. Where concerns over the care being provided had been raised by visiting professionals the provider had failed to identify the actions needed.
Staff numbers too low according to local authority and not planned right for residents needs.
The local authority shared concerns with the provider over the staffing numbers. Information provided by the provider showed a lack of understanding in how to accurately complete their staffing dependency tool.
Medication handled unsafely with drugs on the floor and wrong use of as needed medicines.
We found a medicine on the floor of a person’s room... This medication had been given outside of the prescribed instruction and was not being used appropriately.
AI Generated
Last inspected: November 2025
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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