Last updated: 10 February 2026
"Varied activities and music sessions engage residents, but no permanent manager, medication errors and weekend staffing shortages undermine safety and support."
The systems in place to assess and mitigate risk were not always robust enough to keep people safe from abuse and avoidable harm. People were not always receiving their medicines as prescribed. We found bed linen was not always clean and hygienic.
We received mixed comments from staff regarding if they felt supported and if the service was well-led. Some staff told us they had reported concerns to senior colleagues, but these had not always been acted on.
We received mixed views from staff and relatives relating to the staffing numbers in the service. Several staff did raise that at weekends there were sometimes less staff than on weekdays.
We saw records which showed staff had received training in subjects which were referred to as mandatory. This included safeguarding and moving and handling. We were not provided with records which showed other training was delivered to staff to meet people's specific needs, such as dementia and diabetes.
The registered manager had retired 11 days before our inspection visit. The provider had advertised for a new manager and the service was being managed by the provider's operations manager and other members of the provider's operations management team.
Per 2019 comprehensive inspection: The activities team at the service ensured people had a variety of things to do during the day if they so wished. We observed the activities staff holding music sessions with people and making cards... day trips out.
No permanent manager on site, instead run by operations team from head office who do not always act on concerns.
The registered manager had retired 11 days before our inspection visit. The provider had advertised for a new manager and the service was being managed by the provider's operations manager and other members of the provider's operations management team. Some staff told us they had reported concerns to senior colleagues, but these had not always been acted on.
Medication errors where people do not get their medicines as prescribed, and some safeguarding concerns not reported.
We were not assured people were receiving their medicines as prescribed. We noted an incident in a person's daily records, which had not been reported to the local authority safeguarding team.
Staffing often too low especially at weekends, putting pressure on workers and using agency to cover.
We received mixed views from staff and relatives relating to the staffing numbers in the service. Several staff did raise that at weekends there were sometimes less staff than on weekdays. Records showed, on some days the calculated number of staff was below the planned numbers. However, the operations manager told us where there was short notice absence of staff, these were filled by existing staff or agency.
AI Generated
Last inspected: June 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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