Haversham House Limited

Social Care Org · West Midlands

Overall Rating
Inadequate Last inspected 3 March 2021
Domain Ratings
Safe
Inadequate
Effective
Requires Improvement
Caring
Good
Responsive
Good
Well-led
Inadequate

View Full CQC Report

4 must-do actions

Must-Do Actions (4)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Safe
The provider must ensure systems are in place and robust enough to ensure people's documentation reflects their needs and prescribed medicines and enables them to receive consistently safe care.
Regulation 12 (Safe care and treatment)
Systems were not in place or robust enough to ensure people's documentation reflected their needs and prescribed medicines and enabled them to receive consistently safe care. This placed people at risk of harm.
Must Do
Safe
The provider must ensure systems are in place for effective infection prevention and control measures within the home in line with government guidance on COVID-19, and that the home is clean and maintained to enable effective cleaning.
Regulation 15 (premises and equipment)
Systems were not in place to ensure there were effective infection prevention and control measures within the home in line with government guidance on COVID-19. The home was unclean and required maintenance to enable effective cleaning. This placed people at risk of harm.
Must Do
Safe
The provider must ensure systems are in place to ensure there are sufficient staff to maintain the cleanliness and maintenance of the home.
Regulation 18 (staffing)
Systems were not in place to ensure there were sufficient staff to maintain the cleanliness and maintenance of the home. This placed people at risk of harm.
Must Do
Well-led
The provider must ensure effective quality assurance tools are in place to identify where improvements are required at the service and that change is implemented effectively.
Regulation 17 (Good Governance)
The provider had failed to ensure effective quality assurance tools were in place to identify where areas of improvement were required and where improvements were identified, to action these in a timely way. For example, as discussed within the domain of 'Safe' we found the home was unclean and areas …

Previous Inspection (27 January 2021)

Rating: Requires Improvement Type: Focused inspection Actions: 1 must-do
1 repeated
Location Details
CQC ID: 1-111615548
Local Authority: Stoke-on-Trent
Region: West Midlands
Inspection Report
Type: Focused inspection
Date: 3 March 2021
Rating: Inadequate
Actions: 4 must-do
AI-extracted 17 Feb 2026