Last updated: 10 February 2026
"A consistent staff team and good training create a positive culture, but poor safety in care plans and medicines management needs urgent improvement."
Care plans and risk assessments not always accurate or consistent; medicines not always managed safely including missing allergies on MAR and uncalibrated syringe driver; breach of Regulation 12.
Staff spoke positively about management, positive atmosphere and good morale, but concerns about night-time care and culture prompted inspection though not substantiated.
The provider had worked hard to recruit to vacancies at the service and had not required the use of agency staff for 12 months; consistent staff team.
Per 2019 comprehensive inspection: comprehensive training programme with specialist workshops including Dementia Care, Every Connection Counts, regular supervisions.
The provider had systems in place to monitor the quality of the service, but these were not used effectively to identify shortfalls and make improvements; breach of Regulation 17.
Per 2019 comprehensive inspection: basic activities such as board games, indoor games, gardening, wine and cheese evenings.
Risks to people are not managed well because care records and plans have errors, gaps and inconsistencies, weight loss ignored, and meds charts miss allergy details with faulty equipment.
1 person had been assessed to have lost significant weight... no evidence of any action... MAR did not all contain information about people's allergies... syringe driver which had not been calibrated.
Quality checks by bosses are in place but miss big problems and do not lead to quick fixes.
Systems to monitor quality were not used effectively... some issues... had been picked up by quality audits, others were missed.
No activities coordinator or special programmes so the job is mostly routine personal care with only basic games and gardening in older report.
Per 2019 comprehensive inspection: People had opportunities to take part in organised group activities... board and indoor games, gardening.
AI Generated
Last inspected: September 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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