Last updated: 9 February 2026
"Staff feel supported with stable staffing and good training, but serious medicines safety issues and poor oversight create big risks."
Medicines were not managed safely. One person had been receiving medicines covertly unnecessarily for approximately one month, and leaders had not identified this error.
Staff worked well together, and we observed staff treated each other with kindness and respect. Staff told us 'They are supportive'.
People and relatives told us they felt there were generally enough staff, although one person felt there were less staff available at weekends. Staff said 'We are overstaffed... we never use agency'.
Staff had received an appropriate level of training to meet people’s needs... Staff told us they received regular supervision and support.
Governance systems were not effective in ensuring medicines were administered safely and there was a lack of oversight in relation to medicines.
We have the Veteran Friendly Framework... celebrate events like VE day. Trips were arranged to local markets, a pub... International food day.
Big problems with medication safety like giving hidden meds without permission, wrong allergy records, and bad storage make the job stressful and risky for staff.
One person had been receiving medicines covertly unnecessarily for approximately one month... allergies were not accurately recorded... medicine fridge temperatures were not within range.
Leaders missed serious medication errors because their checks and audits on meds were not working properly.
Governance systems, such as audits, had not been effective in relation to the oversight of medicines... quality assurance systems had not identified that a person was receiving medicines covertly.
Staffing is adequate most days with no agency use but weekends can feel short according to residents.
People and relatives told us they felt there were generally enough staff, although one person felt there were less staff available at weekends.
AI Generated
Last inspected: November 2024
Management Quality
Well-led: Good
Direct feedback from current and former employees

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