Source · CQC inspection
Barnet Office
Type Social Care Org
Region London
Last inspected 24 Aug 2021
Overall rating: Requires Improvement View full CQC report
Domain ratings
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Good
Responsive
Requires Improvement
Well-led
Requires Improvement
Earlier inspection findings
Must-do actions (3)
Must-do action 1 of 3
Must do
Safe
The provider did not always ensure risks relating to people's health and welfare were properly assessed and documented. Clear guidance was not always available for staff to support people safely. The provider did not always ensure people's medicines were safely managed.
Must-do action 2 of 3
Must do
Safe
The provider did not ensure staff were deployed effectively to meet people's needs as expected. Training and induction records were not clear.
Must-do action 3 of 3
Must do
Well-led
Systems and processes were not in place or operated effectively to ensure: quality and safety of services provided were assessed and monitored; risks relating to the health, safety and welfare of people were properly assessed, monitored and recorded; records in relation to people's care, treatment and medicines were clear and accurate; recruitment procedures were fully complied with; staffing arrangements were effective to meet people's needs. This placed people at an increased risk of harm.
Should-do actions (7)
Should-do action 1 of 7
Should do
Safe
Improve their recruitment practices and ensure all checks are performed as per requirements.
Should-do action 2 of 7
Should do
Responsive
Reviews its procedures for managing complaints.
Should-do action 3 of 7
Should do
Responsive
Ensuring care plans are person centred and reflective of people's assessed care needs.
Should-do action 4 of 7
Should do
Safe
Consider current guidance on following effective recruitment procedures to ensure persons employed meet the required conditions.
Should-do action 5 of 7
Should do
Effective
Ensures people's needs and changes identified during reviews are clearly reflected in their care plans.
Should-do action 6 of 7
Should do
Responsive
Seeks guidance and advice from a reputable source, in relation to person-centred care planning.
Should-do action 7 of 7
Should do
Responsive
Reviews its procedures for recording and acting on complaints.