04 May 2022
During a routine inspection
We rated it as good because:
- The service provided mandatory training in key skills to all staff and made sure everyone completed it.
- The service had enough staff with the right qualifications, skills, training and experience.
- Although the service was not patient facing, they collected and reviewed patient feedback to make improvements as needed.
- Leaders had the skills and abilities to run the service. They understood and managed the priorities and issues the service faced. They were visible and approachable in the service.
- Staff felt respected, supported and valued. The service had an open culture where patients, and staff could raise concerns without fear.
- Leaders and teams used systems to manage performance effectively. They identified and escalated relevant risks and issues and identified actions to reduce their impact.
However:
- Although the service had taken steps to strengthen their governance processes, more time was needed to embed the revised governance structures further to the company’s growth. This included completing the introduction of a quality management system.
Victoria Vallance
Director of Secondary and Specialist Healthcare