Last updated: 9 February 2026
"Staff feel well supported with good training and activities, but unsafe medicines management and poor staff recruitment need fixing."
Medicines were not always managed safely... We found staff had recorded they had placed 2 people’s skin patches on the same area every 2 weeks
Staff told us they were supported well, both in their work and personally, by the registered manager... ‘I am very well supported. (The registered manager) is the best manager ever’
The provider had not made improvements to staff recruitment since our last inspection. New staff were not recruited safely. We looked at 3 staff recruitment records and there were gaps in employment in 2 of the records
The provider had an in house trainer who was able to undertake some training face to face with staff, such as induction training, and refreshers
there continued to be shortfalls in... the oversight of the quality of the service and driving improvements
An activities co-ordinator had been recruited who positively encouraged people to get involved... Residents meetings were held where people were asked what else they might like to do
Staff sometimes put pain patches back on the same skin spots too soon, which can irritate skin and stop medicine working properly
staff had recorded they had placed 2 people’s skin patches on the same area every 2 weeks
New staff recruitment has gaps like missing work history and fake addresses or references, so you can't be fully sure they're safe
there were gaps in employment in 2 of the records. Previous employment references given did not match the information given by 3 applicants
Managers keep missing big problems like missing risk checks and bad recruitment until inspectors find them
Some shortfalls had not been identified... The concerns we found around safe recruitment and medicines had not been previously identified
AI Generated
Last inspected: October 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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