Source · CQC inspection

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Type Social Care Org Region West Midlands Last inspected 18 Aug 2016

Overall rating: Requires Improvement  View full CQC report

Domain ratings

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

Earlier inspection findings

pre-2024 framework · 2 must-do

Must-do actions (2)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 2
Must do
Well-led
The provider must ensure effective governance processes are in place to assess, monitor and improve the quality of the service, ensure risks are assessed, monitored and mitigated, and that records are accurate, complete and contemporaneous in respect of each service user.
Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance
⚠ There were insufficient processes in place to assess, monitor and improve the quality of the service. There were insufficient processes in place to ensure risks were assessed, monitored and mitigated. Records were not always accurate, complete and contemporaneous in respect of each service user.
Must-do action 2 of 2
Must do
Well-led
We have asked the provider to register their service under their new legal status without delay.
⚠ The provider had not re-registered their service with CQC when their legal status changed. This meant the provider was operating under an out of date registration with us.

Location details

CQC ID: 1-111033174
Local authority: Staffordshire
Region: West Midlands

Inspection report

Type: Inspection report
Date: 18 August 2016
Rating: Requires Improvement
Actions: 2 must-do
AI-extracted 17 Feb 2026