Last updated: 9 February 2026
"A stable staff team provided consistent care, but weak leadership oversight, unreported abuse incidents and unsafe medicines management held it back."
People were not always safeguarded from abuse and avoidable harm. We found 2 incidents which resulted in harm to residents had not been reported to the local authority safeguarding team. People's medicines were not always managed safely.
Feedback from people and relatives in relation to staff was positive. There was no evidence of staff being encouraged to give feedback about the service.
There was an established staff team at the service which meant the service did not need to use agency. This helped people to receive consistent care from staff that were familiar to them.
Staff training was up to date. However, there was a lack of evidence to demonstrate application of training in practice. Staff received regular supervisions and appraisals. However, supervision records for staff contained similar information and some answers had been duplicated.
At the time of our inspection there was a newly appointed manager in post who was going through the process of registering with the Care Quality Commission. The provider had not ensured effective systems were in place to oversee the service and ensure compliance with the fundamental standards.
No permanent manager in post and leaders failed to report abuse allegations or provide proper oversight.
At the time of our inspection there was a newly appointed manager in post who was going through the process of registering with the Care Quality Commission. The provider failed to notify the CQC of allegations of abuse.
Abuse incidents not always investigated or reported to authorities, and medications handled unsafely with doses too close together and unlocked storage.
We found 2 incidents which resulted in harm to residents had not been reported to the local authority safeguarding team. PRN paracetamol times recorded on people's MARs for morning doses were 9am and 12pm, 3 hours apart.
Only standard training with no clear evidence staff apply it well, and supervisions not tailored to individual staff needs.
Staff training was up to date. However, there was a lack of evidence to demonstrate application of training in practice. supervision records for staff contained similar information and some answers had been duplicated.
AI Generated
Last inspected: April 2024
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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