Enstone House

Social Care Org · South East

Overall Rating
Requires Improvement Last inspected 12 June 2023
Domain Ratings
Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Good
Well-led
Requires Improvement

View Full CQC Report

6 must-do actions

Must-Do Actions (6)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Safe
Systems had not been established to assess, monitor and mitigate risks to the health, safety and welfare of people using the service
Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
Systems had not been established to assess, monitor and mitigate risks to the health, safety and welfare of people using the service
Must Do
Safe
Systems had not been established to ensure proper and safe management of medicines.
Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
Systems had not been established to ensure proper and safe management of medicines.
Must Do
Safe
Systems had not been established to ensure safe infection control practices were maintained.
Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
Systems had not been established to ensure safe infection control practices were maintained.
Must Do
Well-led
People's records contained conflicting information. There were gaps on cleaning records.
Regulation 17 HSCA RA Regulations 2014 Good governance
People's records contained conflicting information. There were gaps on cleaning records.
Must Do
Well-led
The provider's quality assurance systems were not always effective and not used to drive improvement.
Regulation 17 HSCA RA Regulations 2014 Good governance
The provider's quality assurance systems were not always effective and not used to drive improvement.
Must Do
Well-led
There was no clear provider oversight of the service.
Regulation 17 HSCA RA Regulations 2014 Good governance
There was no clear provider oversight of the service.
Location Details
CQC ID: 1-111214851
Local Authority: Oxfordshire
Region: South East
Inspection Report
Type: Focused inspection
Date: 12 June 2023
Rating: Requires Improvement
Actions: 6 must-do
AI-extracted 17 Feb 2026