Last updated: 10 February 2026
"Staff feel supported with good relationships and some activities, but poor safeguarding, unsafe medicines and low overnight staffing hold it back."
Safe Inadequate; provider did not consistently protect people from abuse... risks not always assessed... medicines not safely managed.
Staff told us they felt confident to speak up and felt supported by the leadership team; staff felt the home was well-run and had built good relationships with leaders.
Safe and effective staffing Score:3; provider could not demonstrate overnight staffing levels were sufficient... 6 people required support from two staff to safely meet their needs.
Staff had not received all training relevant to their role... no training for staff on choking and dysphagia... Parkinson's disease and Epilepsy... medicine training and competencies out of date.
Governance, management and sustainability Score:1; leadership roles were ineffective to consistently monitor, identify and drive improvement.
People had some opportunities to access in-house activities which included staff led such as games, bingo and planned sessions with tribute singers and keep fit.
Safeguarding does not work properly and leaders do not always report concerns, plus medication errors and poor risk management like for diabetes.
The provider did not consistently protect people from abuse and did not always share safeguarding information... People’s medicines were not safely managed... provider failed to ensure people's diabetes was safely managed.
Overnight staffing is too low with only two staff for people who all need two carers, leading to more falls at night.
The provider could not demonstrate overnight staffing levels were sufficient to meet people's needs. We expressed concern that... 6 people using the service required support from two staff to safely meet their needs... people experienced a higher proportion of falls during the overnight period.
Lots of training gaps including no courses on epilepsy, Parkinson's, choking risks, fire safety or up-to-date medicines training.
There was no training for staff... on choking and dysphagia... Parkinson's disease and Epilepsy... Staff had not received appropriate training in fire... Medicine training and competencies for staff were either out of date or not in place.
AI Generated
Last inspected: August 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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