Head Office

Social Care Org · South West

Overall Rating
Requires Improvement Last inspected 11 November 2022
Domain Ratings
Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Good
Well-led
Requires Improvement

View Full CQC Report

2 must-do actions
5 should-do actions

Must-Do Actions (2)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Well-led
The provider did not have effective systems in place to assess, monitor and improve the safety and quality of the service.
Regulation 17 HSCA RA Regulations 2014 Good governance
The provider did not have effective systems in place to assess, monitor and improve the safety and quality of the service.
Must Do
Safe
The provider had failed to ensure that recruitment procedures are established and operated effectively.
Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
The provider had failed to ensure that recruitment procedures are established and operated effectively.

Should-Do Actions (5)

Recommended improvements to enhance service quality.

Should Do
Safe
Whilst we did not find people had been placed at risk, we recommend the service reviews all records relating to the management of risk to ensure these are sufficiently detailed.
Should Do
Safe
We recommend that the provider reviews their medicine administration auditing processes to ensure safe administration of medicines at all times.
Should Do
Effective
We recommend the provider undertake a review of the effectiveness of their training programme to ensure it provides staff with the necessary skills to enable them to carry out their duties.
Should Do
Responsive
We recommend the provider reviews the systems in place to ensure people's support plans are fully reflective of people's individual needs and wishes including their end of life wishes and preferences.
Should Do
Responsive
We recommend the provider seeks advice from a reputable source on how they should implement guidance regarding the Accessible Information Standard and incorporate this into relevant documents within the service.
Location Details
CQC ID: 1-10431201592
Local Authority: Plymouth
Region: South West
Inspection Report
Type: Comprehensive inspection
Date: 11 November 2022
Rating: Requires Improvement
Actions: 2 must-do , 5 should-do
AI-extracted 17 Feb 2026