Source · CQC inspection

Suite 4, Jason House

Type Social Care Org Region Yorkshire & Humberside Last inspected 23 Nov 2021

Overall rating: Requires Improvement View full CQC report

Domain ratings

Five CQC key questions

Safe

Requires Improvement

Effective

Requires Improvement

Caring

Good

Responsive

Good

Well-led

Requires Improvement

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

Safe

The provider must ensure proper and safe management of medicines.

Regulation: Regulation 12 HSCA RA Regulations 2014 Safe care and treatment

⚠ There was a failure to ensure proper and safe management of medicines.

Must-do action 2 of 4

Must do

Well-led

The provider must ensure secure records are maintained.

Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance

⚠ There was a failure to maintain secure records.

Must-do action 3 of 4

Must do

Well-led

The provider must ensure audits carried out are effective.

Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance

⚠ Audits carried out by the provider were not always effective.

Must-do action 4 of 4

Must do

Well-led

The provider must ensure there is effective oversight of staff training.

Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance

⚠ There was a lack of oversight of staff training.

Should-do actions (1)

Recommended improvements to enhance service quality.

Should-do action 1 of 1

Should do

Safe

We recommend the provider reviews their systems and processes for the deployment of staff to meet people's needs and updates their practices accordingly.

Location details

CQC ID: 1-10530429293

Local authority: Leeds

Region: Yorkshire & Humberside

Inspection report

Type: Focused inspection

Date: 23 November 2021

Rating: Inspected but not rated

Actions: 4 must-do 1 should-do

AI-extracted 17 Feb 2026