Smyth House

Social Care Org · East

Overall Rating
Requires Improvement Last inspected 11 February 2020
Domain Ratings
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Good
Responsive
Good
Well-led
Requires Improvement

View Full CQC Report

3 must-do actions
1 should-do action

Must-Do Actions (3)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Effective
1.Care and treatment of service users must only be provided with the consent of the relevant person. 2.Paragraph (1) is subject to paragraphs (3) and (4). 3.If the service user is 16 or over and is unable to give such consent because they lack capacity to do so, the registered person must act in accordance with the 2005 Act*.
Regulation 11 (Need for Consent)
Assessments of people's capacity had not been carried out. One person had been refusing to sleep in their bed for an extended period of time, despite there being risks to their health associated with them sleeping in their chair. Whilst records confirmed the person's GP had explained the risks to …
Must Do
Safe
1.Care and treatment must be provided in a safe way for service users. 2.Without limiting paragraph (1), the things which a registered person must do to comply with that paragraph include— a.assessing the risks to the health and safety of service users of receiving the care or treatment; b.doing all that is reasonably practicable to mitigate any such risks;
Regulation 12 (Safe care and treatment)
Risks in the environment had not been identified. Smyth House is a three-storey building and we found that there were no window restrictors in place on the second and third floors. This meant people were not protected from the risk of falling from windows. The providers had not made themselves …
Must Do
Well-led
1.Systems or processes must be established and operated effectively to ensure compliance with the requirements in this Part. 2.Without limiting paragraph (1), such systems or processes must enable the registered person, in particular, to— a.assess, monitor and improve the quality and safety of the services provided in the carrying on of the regulated activity (including the quality of the experience of service users in receiving those services); b.assess, monitor and mitigate the risks relating to the health, safety and welfare of service users and others who may be at risk which arise from the carrying on of the regulated activity;
Regulation 17 (Good governance)
Both providers had failed to identify risks in the environment which put people at the risk of potential harm. For example, they failed to identify there were no window restrictors in place. They also failed to ensure appropriate checks were carried out on water systems to ensure the risk of …

Should-Do Actions (1)

Recommended improvements to enhance service quality.

Should Do
Responsive
Improvements were required to end of life care planning to ensure it reflected people's preferences in sufficient detail, in line with best practice guidance such as the Gold Standards Framework.
Location Details
CQC ID: 1-109550295
Local Authority: Suffolk
Region: East
Inspection Report
Type: Inspection report
Date: 11 February 2020
Rating: Requires Improvement
Actions: 3 must-do , 1 should-do
AI-extracted 17 Feb 2026