Source · CQC inspection
Reside at Southwood
Type Social Care Org
Region South West
Last inspected 11 May 2018
Overall rating: Inadequate View full CQC report
Domain ratings
Safe
Inadequate
Effective
Inadequate
Caring
Inadequate
Responsive
Inadequate
Well-led
Inadequate
Earlier inspection findings
Must-do actions (12)
Must-do action 1 of 12
Must do
Responsive
Proper steps had not been taken to ensure that people receive appropriate person-centred care and treatment that is based on an assessment of their needs and preferences.
Must-do action 2 of 12
Must do
Caring
People's dignity was not promoted and protected and people's choices and decisions were not respected.
Must-do action 3 of 12
Must do
Effective
Suitable arrangements were not in place for acting in accordance with the Mental Capacity Act 2005.
Must-do action 4 of 12
Must do
Effective
The service had not acted in accordance with the requirements of the Deprivation of Liberty Safeguards.
Must-do action 5 of 12
Must do
Safe
People were not protected against the risks associated with the unsafe recruitment of staff.
Must-do action 6 of 12
Must do
Safe
The provider must ensure that risks to the health and safety of people are assessed and steps to mitigate the risks are taken, that the premises and equipment is safe to use and is used in a safe way, that suitable equipment to meet people's needs is provided and steps are taken to assess the risk of, prevent, detect and control the spread of infections.
Must-do action 7 of 12
Must do
Safe
The provider must ensure that there are suitable numbers of staff on duty to meet people's needs.
Must-do action 8 of 12
Must do
Safe
The provider must ensure that people are protected against the risks associated with the unsafe management and use of medicines.
Must-do action 9 of 12
Must do
Effective
The provider must ensure that staff are supported with regular training and supervision.
Must-do action 10 of 12
Must do
Effective
The provider must ensure that people's nutrition and hydration needs are met.
Must-do action 11 of 12
Must do
Well-led
The provider must ensure that effective systems and processes are established to assess, monitor and drive improvement in the quality and safety of services provided and that accurate records are maintained.
Must-do action 12 of 12
Must do
Well-led
The registered persons must notify CQC of all incidents.
Should-do actions (2)
Should-do action 1 of 2
Should do
Effective
We recommend that action is taken to review the accommodation with regard to best practice guidance about creating dementia friendly environments.
Should-do action 2 of 2
Should do
Responsive
We recommend the provider ensures a full audit trail is followed in accordance with the provider's complaint policy.
Previous inspection
| Rating | Inadequate |
| Type | Comprehensive inspection |
| Actions | 10 must-do 2 should-do |
12 repeated