Source · CQC inspection
Smyth House
Type Social Care Org
Region East
Last inspected 11 Feb 2020
Overall rating: Requires Improvement View full CQC report
Domain ratings
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Good
Responsive
Good
Well-led
Requires Improvement
Earlier inspection findings
Must-do actions (3)
Must-do action 1 of 3
Must do
Effective
1.Care and treatment of service users must only be provided with the consent of the relevant person. 2.Paragraph (1) is subject to paragraphs (3) and (4). 3.If the service user is 16 or over and is unable to give such consent because they lack capacity to do so, the registered person must act in accordance with the 2005 Act*.
Must-do action 2 of 3
Must do
Safe
1.Care and treatment must be provided in a safe way for service users. 2.Without limiting paragraph (1), the things which a registered person must do to comply with that paragraph include— a.assessing the risks to the health and safety of service users of receiving the care or treatment; b.doing all that is reasonably practicable to mitigate any such risks;
Must-do action 3 of 3
Must do
Well-led
1.Systems or processes must be established and operated effectively to ensure compliance with the requirements in this Part. 2.Without limiting paragraph (1), such systems or processes must enable the registered person, in particular, to— a.assess, monitor and improve the quality and safety of the services provided in the carrying on of the regulated activity (including the quality of the experience of service users in receiving those services); b.assess, monitor and mitigate the risks relating to the health, safety and welfare of service users and others who may be at risk which arise from the carrying on of the regulated activity;
Should-do actions (1)
Should-do action 1 of 1
Should do
Responsive
Improvements were required to end of life care planning to ensure it reflected people's preferences in sufficient detail, in line with best practice guidance such as the Gold Standards Framework.