Last updated: 10 February 2026
"Stable staffing with low turnover and staff feeling valued and supported, but serious safety lapses like missed blood tests and poor safeguarding knowledge need fixing."
Staff did not always organise people's blood tests in a timely manner... For 1 person who was prescribed an anti-coagulant, staff had failed to arrange a blood test for 7 months. This was a breach of regulation 12.
Staff felt respected, supported and valued by senior staff which supported a positive and improvement-driven culture. Staff turnover was low, which supported people to receive consistent care from staff who knew them well.
The service had enough staff, including for one-to-one support for people to take part in activities and visits how and when they wanted. The numbers and skills of staff matched the needs of people using the service. Staff turnover was low.
Staff had received training in all aspects of their roles and were booked for further training. They had experienced immersive training in dementia awareness and were booked to attend the Oliver McGowan training.
Management were visible in the service, approachable and took a genuine interest in what people, staff, relatives and external professionals had to say. The registered manager worked directly with people and led by example. However, audits had failed to identify issues in medicines and safeguarding knowledge.
People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives.
Medication checks missed things like blood tests for months on blood thinning drugs and stock counts not matching up.
Staff did not always organise people's blood tests in a timely manner, which impacted on safe medication monitoring practices. For 1 person who was prescribed an anti-coagulant, staff had failed to arrange a blood test for 7 months.
Not all care staff knew what different types of abuse look like or who to report to outside the home.
non-senior staff were not able to describe what most forms of abuse looked like and did not know who they could report abuse to external to the organisation.
No activities coordinator or specialist programmes named, so the role relies on basic interests and trips rather than structured variety.
People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives.
AI Generated
Last inspected: June 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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