Last updated: 9 February 2026
"Staff feel valued in a family-like atmosphere with enough staff for unhurried care, but weak oversight missed serious safety issues like medication errors and missing risk assessments."
Risks to people were not always assessed nor their safety monitored. Proper and safe use of medicines was not established.
Comments from staff included, "It doesn't feel like a job", "I like it here, I enjoy my job", and, "Atmosphere is lovely, it's like a big family".
There were enough staff employed. We observed staff providing care which was patient and unhurried, and staffing rotas supported this.
Not covered in focused 2023 inspection; 2019 report too dated (>2 years old).
Governance systems used to monitor the quality and safety of the service were in place and completed regularly. However, these were not effective in identifying the concerns found during this inspection.
Not covered in focused 2023 inspection; 2019 report too dated (>2 years old).
Medication errors like no records for skin creams and a person missing a pain patch for over a week make it unsafe.
people who were prescribed topical medicines did not have administration records in place... one person had been without a pain relief patch for over a week.
Risk assessments missing for some residents even after a month and health advice not always noted down.
two people who had been living at the home for over a month had not had all risks about their care assessed or recorded. Information from health professionals was not always recorded.
Leadership oversight is weak because audits and checks missed the medication and risk problems.
Medicines audits had not identified any of the concerns found during our inspection. The governance framework had not identified the safety concerns found during inspection.
AI Generated
Last inspected: August 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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