Source · CQC inspection

Enstone House

Type Social Care Org Region South East Last inspected 12 Jun 2023

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 · 6 must-do

Must-do actions (6)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 6
Must do
Safe
Systems had not been established to assess, monitor and mitigate risks to the health, safety and welfare of people using the service
Regulation: Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
⚠ Systems had not been established to assess, monitor and mitigate risks to the health, safety and welfare of people using the service
Must-do action 2 of 6
Must do
Safe
Systems had not been established to ensure proper and safe management of medicines.
Regulation: Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
⚠ Systems had not been established to ensure proper and safe management of medicines.
Must-do action 3 of 6
Must do
Safe
Systems had not been established to ensure safe infection control practices were maintained.
Regulation: Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
⚠ Systems had not been established to ensure safe infection control practices were maintained.
Must-do action 4 of 6
Must do
Well-led
People's records contained conflicting information. There were gaps on cleaning records.
Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance
⚠ People's records contained conflicting information. There were gaps on cleaning records.
Must-do action 5 of 6
Must do
Well-led
The provider's quality assurance systems were not always effective and not used to drive improvement.
Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance
⚠ The provider's quality assurance systems were not always effective and not used to drive improvement.
Must-do action 6 of 6
Must do
Well-led
There was no clear provider oversight of the service.
Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance
⚠ There was no clear provider oversight of the service.

Location details

CQC ID: 1-111214851
Local authority: Oxfordshire
Region: South East

Inspection report

Type: Focused inspection
Date: 12 June 2023
Rating: Requires Improvement
Actions: 6 must-do
AI-extracted 17 Feb 2026