Walfinch West Suffolk

Social Care Org · East

Overall Rating
Requires Improvement Last inspected 19 April 2022
Domain Ratings
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Good
Responsive
Requires Improvement
Well-led
Requires Improvement

View Full CQC Report

4 must-do actions
1 should-do action

Must-Do Actions (4)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Effective
The provider must ensure care and risk management planning includes an assessment of people's mental capacity and that staff have an understanding of how the Mental Capacity Act (MCA) should be implemented in practice.
Regulation 11 HSCA RA Regulations 2014 Need for consent
Care and risk management planning did not include an assessment of people's mental capacity. There was a lack of understanding of how MCA should be implemented in practice.
Must Do
Safe
The provider must ensure their systems are in place and robust enough to demonstrate risks to people's safety, including the review of care and risk management planning, are effectively managed.
Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
the provider's systems were either not in place or robust enough to demonstrate risks to people's safety including the review of care and risk management planning was effectively managed. This placed people at risk of harm.
Must Do
Well-led
The provider must ensure systems are in place and robust enough to demonstrate safety is effectively managed.
Regulation 17 HSCA RA Regulations 2014 Good governance
Systems were either not in place or robust enough to demonstrate safety was effectively managed.
Must Do
Safe
The provider must ensure recruitment checks are completed on all new staff to check their suitability or competence to work with vulnerable people prior to commencing employment.
Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
Recruitment checks had not been completed on all new staff to check their suitability or competence to work with vulnerable people prior to commencing employment.

Should-Do Actions (1)

Recommended improvements to enhance service quality.

Should Do
Responsive
Communication plans are developed to support people to express their views and provide more detailed information as to their health care needs.
Location Details
CQC ID: 1-10476285035
Local Authority: Suffolk
Region: East
Inspection Report
Type: Comprehensive inspection
Date: 19 April 2022
Rating: Requires Improvement
Actions: 4 must-do , 1 should-do
AI-extracted 17 Feb 2026