Source · CQC inspection

Walfinch West Suffolk

Type Social Care Org Region East Last inspected 19 Apr 2022

Location rating: Requires Improvement  View location on CQC

Location ratings by domain

Five CQC key questions

Ratings held for this CQC location, last inspected 19 April 2022. Ratings extracted from individual reports are shown separately below.

Safe
Requires Improvement
Effective
Requires Improvement
Caring
Good
Responsive
Requires Improvement
Well-led
Requires Improvement

Most recent report indexed for actions

The date and rating here are from an individual report, not necessarily the location's latest assessment. Report ratings are extracted with AI; verify the original PDF.

Type: Comprehensive inspection
Date: 19 April 2022
Rating extracted from this report: Requires Improvement
Actions indexed: 4 must-do 1 should-do

Read this inspection PDF

AI-extracted 17 Feb 2026

Earlier inspection findings

pre-2024 framework · 4 must-do 1 should-do

Must-do actions (4)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 4
Must do
Effective
The provider must ensure care and risk management planning includes an assessment of people's mental capacity and that staff have an understanding of how the Mental Capacity Act (MCA) should be implemented in practice.
Regulation: Regulation 11 HSCA RA Regulations 2014 Need for consent
⚠ Care and risk management planning did not include an assessment of people's mental capacity. There was a lack of understanding of how MCA should be implemented in practice.
Must-do action 2 of 4
Must do
Safe
The provider must ensure their systems are in place and robust enough to demonstrate risks to people's safety, including the review of care and risk management planning, are effectively managed.
Regulation: Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
⚠ the provider's systems were either not in place or robust enough to demonstrate risks to people's safety including the review of care and risk management planning was effectively managed. This placed people at risk of harm.
Must-do action 3 of 4
Must do
Well-led
The provider must ensure systems are in place and robust enough to demonstrate safety is effectively managed.
Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance
⚠ Systems were either not in place or robust enough to demonstrate safety was effectively managed.
Must-do action 4 of 4
Must do
Safe
The provider must ensure recruitment checks are completed on all new staff to check their suitability or competence to work with vulnerable people prior to commencing employment.
Regulation: Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
⚠ Recruitment checks had not been completed on all new staff to check their suitability or competence to work with vulnerable people prior to commencing employment.

Should-do actions (1)

Recommended improvements to enhance service quality.

Should-do action 1 of 1
Should do
Responsive
Communication plans are developed to support people to express their views and provide more detailed information as to their health care needs.