Source · CQC inspection

Stepping Out

Type Social Care Org Region East Last inspected 10 Jan 2020

Overall rating: Inadequate  View full CQC report

Domain ratings

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

Earlier inspection findings

pre-2024 framework · 5 must-do 1 should-do

Must-do actions (5)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 5
Must do
Well-led
The registered manager had not notified us of incidents relating to police involvement.
Regulation: Regulation 18 Registration Regulations 2009 Notifications of other incidents
⚠ The registered manager had not notified us of incidents relating to police involvement.
Must-do action 2 of 5
Must do
Responsive
Support plans did not contain accurate and detailed guidance for staff to deliver effective care.
Regulation: Regulation 9 HSCA RA Regulations 2014 Person-centred care
⚠ Support plans did not contain accurate and detailed guidance for staff to deliver effective care.
Must-do action 3 of 5
Must do
Safe
Risks to people and the environment were not being assessed or managed effectively.
Regulation: Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
⚠ Risks to people and the environment were not being assessed or managed effectively.
Must-do action 4 of 5
Must do
Well-led
Governance systems were not sufficiently robust to identify where quality and safety was being compromised.
Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance
⚠ Governance systems were not sufficiently robust to identify where quality and safety was being compromised.
Must-do action 5 of 5
Must do
Safe
Staffing levels were not sufficient to ensure the safety of staff and service users.
Regulation: Regulation 18 HSCA RA Regulations 2014 Staffing
⚠ Staffing levels were not sufficient to ensure the safety of staff and service users.

Should-do actions (1)

Recommended improvements to enhance service quality.

Should-do action 1 of 1
Should do
Responsive
We recommend that the provider reviews the current provision of group and individual activities, to ensure they are meeting people's individual needs.

Previous inspection

31 August 2017
RatingGood
TypeComprehensive inspection
Actions None

Location details

CQC ID: 1-1047798942
Local authority: Norfolk
Region: East

Inspection report

Type: Planned inspection
Date: 10 January 2020
Rating: Inadequate
Actions: 5 must-do 1 should-do
AI-extracted 17 Feb 2026