Last updated: 10 February 2026
"Good teamwork and enough staff to meet needs, but training gaps and unsafe medicine storage held it back."
Medicines were not stored safely. Records of temperatures where medicines were stored showed they were regularly above the pharmaceutical manufacturers' instructions... breach of Regulation 12.
Staff told us they were a good team and worked together well which led to people receiving good care. Staff meetings were held regularly.
There were enough staff on duty to meet people's needs... There used to be a lot of agency staff but this is not an issue now. Staff know my relative now.
Not all staff had received the required training before starting their roles... Refresher training had not always been done when required including rescue medication.
The provider's quality checks were not always effective in ensuring effective risk management was in place... systems were not effective to assess, monitor and mitigate risks (breach of regulation 17).
People took part in a range of activities including crafts, sandbox, trampolining and spa days... went bowling, had meals out, went shopping, visited the cinema.
Staff had gaps in training before starting work and missed refreshers like for rescue medication.
Not all staff had received the required training before starting their roles. For example, a member of bank staff had not received their required training... Refresher training had not always been done when required including rescue medication.
Managers did not spot or fix risks like unsafe medicine storage temperatures or scalding hot water in time.
Records of temperatures where medicines were stored showed they were regularly above the pharmaceutical manufacturers' instructions... water temperatures in bedrooms and bathrooms had been consistently recorded as higher than recommended however no remedial action was taken.
Safety checks missed issues like unclean mattresses and poor food storage temperatures with no quick fixes.
Two mattresses were identified as requiring cleaning however there was no record of cleaning having been done... Kitchen fridge and freezer temperatures were recorded daily however we found regular recordings where the temperature had exceeded the legal limit and no action had been taken.
AI Generated
Last inspected: June 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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