Stepping Out

Social Care Org · East

Overall Rating
Inadequate Last inspected 10 January 2020
Domain Ratings
Safe
Inadequate
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Requires Improvement
Well-led
Inadequate

View Full CQC Report

5 must-do actions
1 should-do action

Must-Do Actions (5)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Well-led
The registered manager had not notified us of incidents relating to police involvement.
Regulation 18 Registration Regulations 2009 Notifications of other incidents
The registered manager had not notified us of incidents relating to police involvement.
Must Do
Responsive
Support plans did not contain accurate and detailed guidance for staff to deliver effective care.
Regulation 9 HSCA RA Regulations 2014 Person-centred care
Support plans did not contain accurate and detailed guidance for staff to deliver effective care.
Must Do
Safe
Risks to people and the environment were not being assessed or managed effectively.
Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
Risks to people and the environment were not being assessed or managed effectively.
Must Do
Well-led
Governance systems were not sufficiently robust to identify where quality and safety was being compromised.
Regulation 17 HSCA RA Regulations 2014 Good governance
Governance systems were not sufficiently robust to identify where quality and safety was being compromised.
Must Do
Safe
Staffing levels were not sufficient to ensure the safety of staff and service users.
Regulation 18 HSCA RA Regulations 2014 Staffing
Staffing levels were not sufficient to ensure the safety of staff and service users.

Should-Do Actions (1)

Recommended improvements to enhance service quality.

Should Do
Responsive
We recommend that the provider reviews the current provision of group and individual activities, to ensure they are meeting people's individual needs.

Previous Inspection (31 August 2017)

Rating: Good Type: Comprehensive inspection Actions: None
Location Details
CQC ID: 1-1047798942
Local Authority: Norfolk
Region: East
Inspection Report
Type: Planned inspection
Date: 10 January 2020
Rating: Inadequate
Actions: 5 must-do , 1 should-do
AI-extracted 17 Feb 2026