Source · CQC inspection

Haversham House Limited

Type Social Care Org Region West Midlands Last inspected 3 Mar 2021

Overall rating: Inadequate View full CQC report

Domain ratings

Five CQC key questions

Safe

Inadequate

Effective

Requires Improvement

Caring

Good

Responsive

Good

Well-led

Inadequate

Earlier inspection findings

pre-2024 framework · 4 must-do

Must-do actions (4)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 4

Must do

Safe

The provider must ensure systems are in place and robust enough to ensure people's documentation reflects their needs and prescribed medicines and enables them to receive consistently safe care.

Regulation: Regulation 12 (Safe care and treatment)

⚠ Systems were not in place or robust enough to ensure people's documentation reflected their needs and prescribed medicines and enabled them to receive consistently safe care. This placed people at risk of harm.

Must-do action 2 of 4

Must do

Safe

The provider must ensure systems are in place for effective infection prevention and control measures within the home in line with government guidance on COVID-19, and that the home is clean and maintained to enable effective cleaning.

Regulation: Regulation 15 (premises and equipment)

⚠ Systems were not in place to ensure there were effective infection prevention and control measures within the home in line with government guidance on COVID-19. The home was unclean and required maintenance to enable effective cleaning. This placed people at risk of harm.

Must-do action 3 of 4

Must do

Safe

The provider must ensure systems are in place to ensure there are sufficient staff to maintain the cleanliness and maintenance of the home.

Regulation: Regulation 18 (staffing)

⚠ Systems were not in place to ensure there were sufficient staff to maintain the cleanliness and maintenance of the home. This placed people at risk of harm.

Must-do action 4 of 4

Must do

Well-led

The provider must ensure effective quality assurance tools are in place to identify where improvements are required at the service and that change is implemented effectively.

Regulation: Regulation 17 (Good Governance)

⚠ The provider had failed to ensure effective quality assurance tools were in place to identify where areas of improvement were required and where improvements were identified, to action these in a timely way. For example, as discussed within the domain of 'Safe' we found the home was unclean and areas …

Previous inspection

27 January 2021

Rating	Requires Improvement
Type	Focused inspection
Actions	1 must-do

1 repeated

Location details

CQC ID: 1-111615548

Local authority: Stoke-on-Trent

Region: West Midlands

Inspection report

Type: Focused inspection

Date: 3 March 2021

Rating: Inadequate

Actions: 4 must-do

AI-extracted 17 Feb 2026