Source · CQC inspection
No. 3
Type Independent Healthcare Org
Region South East
Last inspected 12 May 2022
Overall rating: Requires Improvement View full CQC report
Domain ratings
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Good
Responsive
Good
Well-led
Requires Improvement
Earlier inspection findings
Must-do actions (3)
Must-do action 1 of 3
Must do
Safe
The provider must ensure staff have training on detoxification and supporting clients through recovery.
Must-do action 2 of 3
Must do
Well-led
The provider must ensure there is an effective governance processes and oversight to effectively monitor the quality of care being delivered. The provider must have a risk register to demonstrate and review knowledge of their biggest risks. The provider must have effective processes for reviewing and updating guidance in out of date policies.
Must-do action 3 of 3
Must do
Well-led
The provider must ensure all relevant information regarding the employment of staff must be completed.
Should-do actions (6)
Should-do action 1 of 6
Should do
Effective
The provider should have processes to oversee staff’s understanding and application of the Mental Capacity Act.
Should-do action 2 of 6
Should do
Well-led
The provider should consider more formal mechanisms to enable staff to give feedback about the service.
Should-do action 3 of 6
Should do
Well-led
The provider should develop their vision and strategy for the service and share with the staff.
Should-do action 4 of 6
Should do
Well-led
The provider should set staff productivity measures related to recovery or well-being. The service should consider setting staff objectives to improve their skills or develop the service.
Should-do action 5 of 6
Should do
Effective
The provider should undertake staff supervision and appraisals in line with provider policies.
Should-do action 6 of 6
Should do
Effective
The provider should provide staff with a comprehensive induction which includes both environment and client focus.