Source · CQC inspection

Rawreth Court

Provider Essex Partnership University NHS Foundation Trust Type NHS Healthcare Organisation Region East Last inspected 10 Nov 2023

Overall rating: Requires Improvement  View full CQC report

Domain ratings

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

Earlier inspection findings

pre-2024 framework · 6 must-do 1 should-do

Must-do actions (6)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 6
Must do
Responsive
Care plans were not in place for all people using the service and people did not always receive person-centred care that met their needs.
Regulation: Regulation 9 HSCA RA Regulations 2014 Person-centred care
⚠ Care plans were not in place for all people using the service and people did not always receive person-centred care that met their needs.
Must-do action 2 of 6
Must do
Caring
People were not always treated with dignity and respect.
Regulation: Regulation 10 HSCA RA Regulations 2014 Dignity and respect
⚠ People were not always treated with dignity and respect.
Must-do action 3 of 6
Must do
Effective
Suitable arrangements were not in place to gain consent from people using the service or those acting on their behalf or to act in accordance with the requirements of the Mental Capacity Act 2005.
Regulation: Regulation 11 HSCA RA Regulations 2014 Need for consent
⚠ Suitable arrangements were not in place to gain consent from people using the service or those acting on their behalf or to act in accordance with the requirements of the Mental Capacity Act 2005.
Must-do action 4 of 6
Must do
Effective
Improvements were needed to ensure the dining experience was positive and people's nutritional and hydration needs were met and monitored.
Regulation: Regulation 14 HSCA RA Regulations 2014 Meeting nutritional and hydration needs
⚠ Improvements were needed to ensure the dining experience was positive and people's nutritional and hydration needs were met and monitored.
Must-do action 5 of 6
Must do
Safe
Significant improvements were required to the management of medicines as the current arrangements were not safe. Arrangements were not robust to manage and mitigate risks for people using the service.
Regulation: Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
⚠ Significant improvements were required to the management of medicines as the current arrangements were not safe. Arrangements were not robust to manage and mitigate risks for people using the service.
Must-do action 6 of 6
Must do
Well-led
Arrangements were not in place to make sure effective systems and processes were in place to assess and monitor the service to ensure compliance with regulatory requirements.
Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance
⚠ Arrangements were not in place to make sure effective systems and processes were in place to assess and monitor the service to ensure compliance with regulatory requirements.

Should-do actions (1)

Recommended improvements to enhance service quality.

Should-do action 1 of 1
Should do
Effective
The provider should seek national guidance to ensure training is embedded in staffs day-to-day practice, interventions and interactions with people using the service.

Location details

CQC ID: R1LJ2
Local authority: Essex
Region: East

Inspection report

Type: Location
Date: 10 November 2023
Rating: Requires Improvement
Actions: 6 must-do 1 should-do
AI-extracted 3 Jun 2026