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Burrswood Health and Wellbeing

Type Social Care Org Region South East Last inspected 14 Aug 2018

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 registered provider must consistently reduce risks to people's wellbeing by providing safe care and treatment.
Regulation: Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
⚠ The registered provider had not established robust systems and processes to assess, monitor and manage risks to people's safety so they were enabled to stay safe while their freedom was respected. Records showed that suitable steps had not been taken to quickly arrange for a person to receive medical assistance …
Must-do action 2 of 4
Must do
Safe
The registered provider must establish reliable procedures to ensure that only trustworthy people are employed to provide care.
Regulation: Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
⚠ We examined records of the background checks that had been completed when three members of staff had been appointed. In each case a suitably detailed statement of their employment history had not been obtained. This oversight had reduced the registered provider's ability to determine what assurances they needed to seek …
Must-do action 3 of 4
Must do
Well-led
The registered provider must establish robust arrangements to ensure that a statutory notification is promptly submitted to the Care Quality Commission.
Regulation: Regulation 18 of the Care Quality Commission (Registration) Regulations 2009
⚠ The registered provider had not established suitably robust arrangements to ensure that we were promptly told about significant incidents that occurred in the service. As a result of this shortfall we had not been quickly informed about the incident described earlier in this report when a person had not been …
Must-do action 4 of 4
Must do
Well-led
The registered provider must establish and operate suitable systems and processes to assess, monitor and improve the quality and safety of the service provided.
Regulation: Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
⚠ Some of these arrangements had not been sufficiently robust to enable the service to learn, innovate and ensure its sustainability. This was because quality checks had not quickly identified and resolved the shortfalls we identified. These concerned failures in the provision of safe care and treatment, recruitment of staff, delivery …

Should-do actions (1)

Recommended improvements to enhance service quality.

Should-do action 1 of 1
Should do
Effective
We recommend that when doing this the registered provider seeks advice and guidance from a reputable source about how to establish and operate robust systems and processes to provide professional staff with suitable guidance and support.

Location details

CQC ID: 1-108552349
Local authority: Kent
Region: South East

Inspection report

Type: Comprehensive inspection
Date: 14 August 2018
Rating: Requires Improvement
Actions: 4 must-do 1 should-do
AI-extracted 17 Feb 2026