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LCS Portsmouth

Type Social Care Org Region South East Last inspected 13 Sep 2022

Overall rating: Requires Improvement  View full CQC report

Domain ratings

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

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.

Location details

CQC ID: 1-10496974585
Local authority: Portsmouth
Region: South East

Inspection report

Date: 13 September 2022
Rating: Requires Improvement
Actions: 4 must-do 2 should-do
AI-extracted 17 Feb 2026