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Care Quality Commission inspection

We are registered with the Care Quality Commission (CQC) under the Health and Social Care Act 2008. The CQC is the independent health and adult social care regulator. Its role is to make sure health and social care services provide people with safe, effective, compassionate, high-quality care. It does this by monitoring, inspecting and regulating services to make sure they meet fundamental standards of quality and safety.


Conditions to registration and special reviews

We currently have no conditions attached to registration and we have not been required to take part in any special reviews or investigations under section 48 of the Health and Social Care Act 2008. 


CQC Inspection - January 2014

We were the subject of an in-depth CQC inspection in January 2014 with a formal report published in March 2014. The report highlighted areas where improvements could be made and we produced action plans to address these. There were eight specific areas where we were required to take more rapid action by 30 June 2014. All of these actions were taken ahead of the deadline and following a revisit in September 2014, the CQC acknowledged the amount of work undertaken since their inspection and were satisfied with the actions taken.


Some of the changes and improvements made following the CQC inspections and as a result of our action plans are:


  • A risk assessment is completed for all patient moves 
  • A patient leaflet was developed advising patients they may be moved
  • Clinical safety huddles are well attended with potential delays to patients being identified. 
  • Medications are no longer sent to a patients home by taxi
  • Rates of mandatory training, appraisals and role specific training have all increased
  • Introduction of a dedicated paediatric emergency area with the emergency department with a selection of toys in the play area
  • Paperwork for “Do not attempt cardio pulmonary resuscitation” was withdrawn with a redesigned version being produced and implemented
  • Raised awareness of record keeping standards and the importance of tracking patient records 
  • Robust governance arrangements to ensure we identify and mitigate risks to patients and learn from experience 
  • Plan to expedite the timescales for review and service of medical equipment
  • Implement the new personalised care of the dying person and their family care plan
  • A robust urgent care programme 




To read the inspection report, click here to visit the CQC website.

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