694 Pinner Road

What inspectors found

From the Care Quality Commission's assessment published 5 August 2025 (assessment visit 8 April 2025). Quoted under the Open Government Licence.

1. Safe

   –No rating No rating

   Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question requires improvement. At this assessment the rating remains requires improvement. This meant the service was not always safe and there was an increased risk that people could be harmed.

   This was because we found concerns with the learning culture in the service, the provider’s safeguarding arrangements, the management of risks and the provider’s ability to safely meet the needs of people who reside in the service. These failures placed people at risk of harm. We found breaches of 2 regulations. These were in relation to safe care and treatment and safeguarding people from the risk of abuse and improper treatment.

2. Effective

   –No rating No rating

   Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. We looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life. At our last assessment we rated this key question good. At this assessment the rating has changed to requires improvement. This meant people’s outcomes were not always consistently good.

   The service was in breach of legal regulation in relation to consent to care and treatment.

3. Caring

   –No rating No rating

   Caring – this means we looked for evidence that the service involved people and treated them with compassion, kindness, dignity and respect. At our last assessment we rated this key question was unrated. At this assessment the rating is requires improvement. This meant the service did not always treat people with dignity and respect.

4. Responsive

   GGood Good

   Responsive – this means we looked for evidence that the service met people’s needs. At this assessment, we looked at 1 quality statement. For the quality statements not inspected, we used the scores awarded at the last inspection to calculate the key questions rating. The rating remains good.

5. Well-led

   –No rating No rating

   Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

   At our last inspection we rated this key question good. At this inspection the rating has changed to requires improvement. This meant we identified shortfalls with the governance of the service. The model of care was not always in line with current best practice guidance right support, right care, right culture. There was a lack of effective auditing processes which has resulted in a breach of legal regulation in relation to good governance.