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Bourne House

Type Social Care Org Region North West Last inspected 2 Feb 2022

Archived This service was archived (deregistered) by CQC on 4 Oct 2022. The ratings below are historical and do not reflect a current service.

Location rating: Inadequate  View location on CQC

Location ratings by domain

Five CQC key questions

Ratings held for this CQC location, last inspected 2 February 2022. Ratings extracted from individual reports are shown separately below.

Safe
Inadequate
Effective
Inadequate
Caring
Good
Responsive
Good
Well-led
Inadequate

Most recent report indexed for actions

The date and rating here are from an individual report, not necessarily the location's latest assessment. Report ratings are extracted with AI; verify the original PDF.

Type: Focused inspection
Date: 2 February 2022
Rating extracted from this report: Inadequate
Actions indexed: 9 must-do

Read this inspection PDF

AI-extracted 17 Feb 2026

Earlier inspection findings

pre-2024 framework · 9 must-do

Must-do actions (9)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 9
Must do
Effective
Systems for ensuring people's care and treatment was appropriate, met their needs and reflected their preference was not being used effectively.
Regulation: Regulation 9 HSCA RA Regulations 2014 Person-centred care (1) (3)
⚠ Systems for ensuring people's care and treatment was appropriate, met their needs and reflected their preference was not being used effectively.
Must-do action 2 of 9
Must do
Effective
Care and treatment of people was not being consistently provided with the consent of appropriate people and in accordance of the Mental Capacity Act 2005.
Regulation: Regulation 11 HSCA RA Regulations 2014 Need for consent (1) (3)
⚠ Care and treatment of people was not being consistently provided with the consent of appropriate people and in accordance of the Mental Capacity Act 2005.
Must-do action 3 of 9
Must do
Safe
Risks to people were not being assessed and mitigated as much as reasonably practicable. People's medicine was not being properly and safely used. The prevention, detection and control of the spread of infections was not icompleted effectively.
Regulation: Regulation 12 HSCA RA Regulations 2014 Safe care and treatment (1) (2) (a, b, g, h)
⚠ Risks to people were not being assessed and mitigated as much as reasonably practicable. People's medicine was not being properly and safely used. The prevention, detection and control of the spread of infections was not icompleted effectively.
Must-do action 4 of 9
Must do
Safe
systems and processes were not established and operated effectively to prevent the risk of abuse or ensure effective investigation of allegation of abuse.
Regulation: Regulation 13 HSCA RA Regulations 2014 Safeguarding service users from abuse and improper treatment (1) (2)
⚠ systems and processes were not established and operated effectively to prevent the risk of abuse or ensure effective investigation of allegation of abuse.
Must-do action 5 of 9
Must do
Effective
People's nutritional and hydration needs were not always being met with the provision of a suitable healthy and balanced meals in line with people's assessed needs and preferences.
Regulation: Regulation 14 HSCA RA Regulations 2014 Meeting nutritional and hydration needs (1)
⚠ People's nutritional and hydration needs were not always being met with the provision of a suitable healthy and balanced meals in line with people's assessed needs and preferences.
Must-do action 6 of 9
Must do
Safe
The premise and equipment was not always suitable for the purposes it was being used and properly used and maintained.
Regulation: Regulation 15 HSCA RA Regulations 2014 Premises and equipment (1) (c, d, e)
⚠ The premise and equipment was not always suitable for the purposes it was being used and properly used and maintained.
Must-do action 7 of 9
Must do
Well-led
We were not assured that the provider is able to identify, address and sustain improvement within the service through sufficient oversight and suitable governance arrangements.
Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance (1) (2) (a, b, c, d, e) (3)
⚠ We were not assured that the provider is able to identify, address and sustain improvement within the service through sufficient oversight and suitable governance arrangements.
Must-do action 8 of 9
Must do
Safe
Records did not demonstrate robust systems of recruitment were being completed prior to a new employee beginning to work at the home.
Regulation: Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed (2) (a)
⚠ Records did not demonstrate robust systems of recruitment were being completed prior to a new employee beginning to work at the home.
Must-do action 9 of 9
Must do
Safe
There was not sufficient numbers of suitable qualified, competent, skilled and experienced persons deployed to meet the needs of people living at the service. Staff were not consistently receiving appropriate support, training, professional development, supervision and appraisals as necessary to enable them to carry out their duties.
Regulation: Regulation 18 HSCA RA Regulations 2014 Staffing (1) (2) (a)
⚠ There was not sufficient numbers of suitable qualified, competent, skilled and experienced persons deployed to meet the needs of people living at the service. Staff were not consistently receiving appropriate support, training, professional development, supervision and appraisals as necessary to enable them to carry out their duties.

Previous inspection

9 November 2021
Rating extracted from this reportInspected but not rated
TypeTargeted inspection
Actions 1 must-do

Read previous inspection PDF

1 repeated