Last updated: 10 February 2026
"Good safeguarding training and activities for residents, but frequent management changes, staffing shortages, and poor safety hold it back."
People did not always receive safe care. Risks to people's care were not always managed well or had not been properly identified and acted upon. People's medication was not always managed safely.
Staff told us they felt mostly well supported by the management team with aspects related with their work life balance, however they also commented on the several changes in managements.
Feedback received from people, relatives, and staff indicated concerns about staffing. People told us, “They never have enough staff. When there’s a few staff on they are rushed off their feet” and “No [not enough staff] I see them run ragged.”
Staff had received training in safeguarding adults; and staff and managers told us they knew who to contact if there were safeguarding concerns.
We continued to find serious issues with the lack of effective management and oversight at the service.
There were activities happening at the service and an additional care coordinator had been employed since our last assessment. We observed activities happening in communal areas... People shared mixed feedback about activities.
Managers keep changing so there's no steady leadership or oversight of care.
People and relatives commented on the inconsistency of management team, “Managers have come and gone, and consistency has gone with them.”
Not enough staff on shifts, so call bells go unanswered for 20 to 30 minutes and staff are run ragged.
One person told us, “I press the alarm [buzzer] and 10 minutes goes by, 20 minutes, 30 minutes goes by and they [staff] don’t come.” Staff commented, “Sometimes there is [too] much work [for the number of staff on shift]”
Risks like falls, bruises, and skin damage are not managed well, and medication is not always handled safely.
We continued to find issues with a high number of falls, skin tears and bruises... People’s medication was not always managed safely.
AI Generated
Last inspected: July 2025
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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