- Hospice service
St Richard's Hospice
Report from 19 February 2024 assessment
Contents
On this page
- Overview
- Shared direction and culture
- Capable, compassionate and inclusive leaders
- Freedom to speak up
- Workforce equality, diversity and inclusion
- Governance, management and sustainability
- Partnerships and communities
- Learning, improvement and innovation
Well-led
The service demonstrated a strong governance processes which was focused on quality and sustainability.
This service scored 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.
Capable, compassionate and inclusive leaders
We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.
Freedom to speak up
We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.
Workforce equality, diversity and inclusion
We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.
Governance, management and sustainability
Staff that we spoke with understood their roles and systems were in place to monitor patient outcomes, staff performance and relevant changes to best practice guidance.
Leaders used effective governance processes to monitor risks and outcomes, and to drive improvement. Leaders undertook a range of standard reviews and audits to monitor performance. The results of these were discussed at governance meetings. Leaders shared updates and learning with staff through a range of communications. Policies and procedures reflected this and organisational performance was benchmarked against other services to measure outcomes of care and treatment. We saw examples of deep dive investigations when themes and trends had been identified such as falls so that the service could learn lessons. A risk register for the service set out key risks as well as actions and mitigations and environments, workforce and financial strategies and key reports kept leader informed of challenges faced and short, medium and long term plans. Examples of supporting reflective practice were provided by the service and leaders told us how softer language was used to support a culture of learning and not blame. Service level agreements with 3rd party providers were regularly monitored and reviewed. We saw an example of a community consultant agreement.
Partnerships and communities
We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.
Learning, improvement and innovation
We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.