Source · CQC inspection

LCS Portsmouth

Type Social Care Org Region South East Last inspected 13 Sep 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 13 September 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.

Date: 13 September 2022
Rating extracted from this report: Requires Improvement
Actions indexed: 4 must-do 2 should-do

Read this inspection PDF

AI-extracted 17 Feb 2026

Earlier inspection findings

pre-2024 framework · 4 must-do 2 should-do

Must-do actions (4)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 4
Must do
Effective
Regulation 11 HSCA RA Regulations 2014 Need for consent
Regulation: Regulation 11 (3)
⚠ The registered person has failed to ensure people's rights under the MCA were fully protected.
Must-do action 2 of 4
Must do
Safe
Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
Regulation: Regulation 12 (2)(a)(b)(g)
⚠ The registered person has failed to ensure that risks were formally assessed and clear mitigation plans in place to guide staff. Safe management and administration of medicines procedures had not been fully followed.
Must-do action 3 of 4
Must do
Well-led
Regulation 17 HSCA RA Regulations 2014 Good governance
Regulation: Regulation 17 (1)(2)(a)(b)
⚠ The registered person has failed to ensure systems and processes to assess, monitor and improve the quality and safety of the service were in place.
Must-do action 4 of 4
Must do
Safe
Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
Regulation: Regulation 19 (1)(a)(2)(a)(3)(a)
⚠ The registered person has failed to ensure that all necessary pre employment checks were completed.

Should-do actions (2)

Recommended improvements to enhance service quality.

Should-do action 1 of 2
Should do
Responsive
The provider review their procedures to ensure care plans are regularly reviewed to ensure they accurately reflect people's needs.
Should-do action 2 of 2
Should do
Effective
The provider ensures their supervision policy is followed and staff receive a mixture of observed competency and formal supervision meetings on a regular basis.