Source · CQC inspection

Universal Care - Beaconsfield

Type Social Care Org Region South East Last inspected 27 Nov 2020

Overall rating: Inadequate  View full CQC report

Domain ratings

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

Earlier inspection findings

pre-2024 framework · 7 must-do 1 should-do

Must-do actions (7)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 7
Must do
Well-led
The provider failed to ensure they notified us when changes occurred.
Regulation: Regulation 15 Registration Regulations 2009 Notifications – notices of change
⚠ The provider failed to ensure they notified us when changes occurred.
Must-do action 2 of 7
Must do
Well-led
The provider failed to ensure it notified us of events it was legally responsible to inform us.
Regulation: Regulation 18 Registration Regulations 2009 Notifications of other incidents
⚠ The provider failed to ensure it notified us of events it was legally responsible to inform us.
Must-do action 3 of 7
Must do
Caring
The provider failed to ensure people's privacy was routinely upheld.
Regulation: Regulation 10 HSCA RA Regulations 2014 Dignity and respect
⚠ The provider failed to ensure people's privacy was routinely upheld.
Must-do action 4 of 7
Must do
Effective
The provider failed to ensure it compiled with the Mental Capacity Act 2005.
Regulation: Regulation 11 HSCA RA Regulations 2014 Need for consent
⚠ The provider failed to ensure it compiled with the Mental Capacity Act 2005.
Must-do action 5 of 7
Must do
Safe
The provider failed to ensure it compiled with the Mental Capacity Act 2005.
Regulation: Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
⚠ The provider failed to ensure it compiled with the Mental Capacity Act 2005.
Must-do action 6 of 7
Must do
Well-led
The provider failed to 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). The provider failed to evaluate and improve their practice in respect of the monitoring they had completed to drive forward improvements.
Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance
⚠ The provider failed to 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). The provider failed to evaluate and improve their practice in respect of the …
Must-do action 7 of 7
Must do
Effective
The provider had failed to provide such appropriate support, training, professional development, supervision and appraisal as is necessary to enable staff to carry out the duties they are employed to perform.
Regulation: Regulation 18 HSCA RA Regulations 2014 Staffing
⚠ The provider had failed to provide such appropriate support, training, professional development, supervision and appraisal as is necessary to enable staff to carry out the duties they are employed to perform.

Should-do actions (1)

Recommended improvements to enhance service quality.

Should-do action 1 of 1
Should do
Well-led
We recommend the provider seek guidance from a reputable source to ensure the duty of candour requirements are fully understood by all staff.

Previous inspection

27 November 2020
RatingInadequate
TypeFocused inspection
Actions 2 should-do
2 repeated

Location details

CQC ID: 1-110463994
Local authority: Buckinghamshire
Region: South East

Inspection report

Type: Inspection report
Date: 23 January 2021
Rating: Inadequate
Actions: 7 must-do 1 should-do
AI-extracted 17 Feb 2026