Last updated: 10 February 2026
"Staff feel supported with good training, but unsafe medicines practices and weak governance hold it back."
Medicines were not always managed safely... some medicines were administered too close together, increasing the risk of overdose.
Staff told us they were supported in their roles and felt the management team were approachable.
On day one we raised concerns... about staffing levels. We observed people waiting extended periods of time due to a lack of staff... On day 2, staffing levels had been reviewed and some changes to shifts had been made.
Staff had all completed an induction and shadow shifts at the start of their employment. They were provided with ongoing training and supervision... Staff were positive about the training and support at the home.
Governance processes were not always effective at ensuring timely improvements were made. This is a breach of Regulation 17.
People were given opportunities to take part in activities that met their needs and were meaningful and stimulating.
Medicines were not always given safely, with some painkillers dosed too close together risking overdose.
Some people had been given paracetamol without observing the four-hour gap required between doses. There is a risk of overdose if given too close together.
Risk plans were often missing details or not up to date to guide staff on supporting people safely.
Risk assessments were either not completed, not accurate or reflective of people's current needs, or detailed enough to guide staff on safely supporting people.
Management oversight missed safety issues like medicines problems and poor risk records.
Concerns with medicines found at this inspection had not been identified by the providers audits.
AI Generated
Last inspected: January 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

Scan the QR code or tap the button to chat with us on WhatsApp. Your identity stays completely anonymous.
Chat on WhatsApp