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Taplow Manor

Type Independent Healthcare Org Region South East Last inspected 14 Dec 2022

Overall rating: Inadequate  View full CQC report

Domain ratings

Five CQC key questions
Safe
Inadequate
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Good
Well-led
Inadequate

Earlier inspection findings

pre-2024 framework · 8 must-do 6 should-do

Must-do actions (8)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 8
Must do
Safe
The provider must ensure all areas of the hospital premises, including clinic rooms are kept clean
Regulation: Regulation 15: Premises and equipment (1)(a)
⚠ Tamar ward was unclean. Floors and carpets were heavily stained and there was dirt throughout the ward. Bathroom areas and the clinic room were unclean.
Must-do action 2 of 8
Must do
Safe
The provider must ensure that all ward environments are fit for purpose and properly maintained.
Regulation: Regulation 15: Premises and equipment (1)(c) and (e)
⚠ Tamar ward remained unfit for purpose. This had been a concern in the last 3 inspections. Not all of the wards at the hospital were well maintained. Ward furniture was in a state of disrepair, there was graffiti on the walls and peeling paint.
Must-do action 3 of 8
Must do
Safe
The provider must ensure that staff have completed immediate life support training
Regulation: Regulation 12
⚠ Staff training compliance with immediate life support training was still low.
Must-do action 4 of 8
Must do
Safe
The provider must ensure young people receive physical health observations following the use of rapid tranquilisation in accordance with national guidance and the providers policy.
Regulation: Regulation 12
⚠ Physical health observations after the use of rapid tranquilisation were not always being undertaken.
Must-do action 5 of 8
Must do
Caring
The provider must ensure that young people are involved in care and treatment planning.
Regulation: Regulation 9
⚠ Care plans did not demonstrate that children and young people had been involved in their development and represented their voice and views. There was little evidence that young people had been offered a copy of their care plans.
Must-do action 6 of 8
Must do
Well-led
The provider must ensure that they continue to complete the actions of the site wide improvement plan following the issue of the letter of intent and continue to progress in embedding improvements to the hospital.
Regulation: Regulation 17
⚠ Some of the improvements were still in their infancy and further work was required to embed and sustain changes.
Must-do action 7 of 8
Must do
Safe
The provider must ensure the documentation of nasogastric feeding is recorded in line with national guidance.
Regulation: Regulation 17
⚠ The recording of nasogastric tube insertion and administration of feed lacked detail and was not in line with guidance.
Must-do action 8 of 8
Must do
Well-led
The provider must ensure governance processes in place assess, monitor and improve the quality and safety of the service provided and assess monitor and mitigate the risks relating to the health safety and welfare of service users and others whom may be at risk.
Regulation: Regulation 17
⚠ There were also concerns found during the inspection which the hospital’s governance processes had not identified or mitigated against.

Should-do actions (6)

Recommended improvements to enhance service quality.

Should-do action 1 of 6
Should do
Well-led
The provider should ensure all staff receive regular supervision.
Should-do action 2 of 6
Should do
Caring
The provider should ensure all young peoples’ personal preferences are identified and followed.
Should-do action 3 of 6
Should do
Effective
The provider should ensure that they fully embed ongoing work around young people having access to meaningful activities and recommended therapies as outlined in best practice guidance
Should-do action 4 of 6
Should do
Responsive
The provider should ensure all patients have discharge planning detailed in their care records.
Should-do action 5 of 6
Should do
Responsive
The provider should ensure young people have access to independent interpreters as required.
Should-do action 6 of 6
Should do
Responsive
The service should review the shared bedroom arrangements in Kennett ward.

Previous inspection

25 August 2022
RatingRequires Improvement
TypeInspection report
Actions 8 must-do 1 should-do
1 resolved 5 repeated 3 partial

Location details

CQC ID: 1-10206536544
Local authority: Buckinghamshire
Region: South East

Inspection report

Type: Comprehensive inspection
Date: 14 December 2022
Rating: Inadequate
Actions: 8 must-do 6 should-do
AI-extracted 17 Feb 2026