Last updated: 9 February 2026
"Good training and varied activities, but medicines management issues and short staffing need attention."
The service was in breach of legal regulation in relation to safe care and treatment, we found concerns regarding the management of environmental risks and how medicines were managed.
staff told us they did not feel confident in raising concerns outside of the manager and there had previously been a poor culture at the home which some staff were still worried about.
we received mixed feedback from people about the number of staff on duty. A person we spoke with told us, “Staff do struggle sometimes, they could do with more.”
Staff completed training and had their competencies assessed. The manager had reviewed staff training to ensure they could support people safely.
provider oversight was not effective. This meant areas for improvement had not been highlighted or acted upon in a timely manner. There was no formal service improvement plan in place
Per 2020 comprehensive inspection: People were provided with a variety of activities that were designed to reduce the risk of social isolation... The activities coordinator said, "Not everyone takes part in things, so I spend time with them."
Medication records miss key details like maximum doses and cream opening dates, so staff might give unsafe doses.
we found where people needed medicines as and when, staff did not always have clear guidance when these could be given safely. We found a person who required a sedative medicine had no maximum dose recorded. We also found not all prescribed topical creams had opening dates on them.
Staff numbers are sometimes too low, so people have to wait for showers or help in the lounge.
A person we spoke with told us, “Staff do struggle sometimes, they could do with more. Staff are very good though.” Another person we spoke with told us, they sometimes did not have a shower at their preferred time due staff availability.
The bosses above the manager do not check things well, so issues like fire safety get missed until outsiders notice.
provider oversight was not effective in identifying issues. We found external organisations such as the local authority, infection control team and fire service identified concerns rather than the providers internal processes.
AI Generated
Last inspected: June 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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