St Mungo's Broadway - 2 Hilldrop Road

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

The service had a manager in place. They told us they were in the process of registering with the CQC to become a registered manager. The service had a system in place to audit all aspects of the service at regular intervals. These included a range of checks on the staff, managerial, and provider levels. These systems were not always used effectively, as when issues were identified, they were not always addressed promptly. The manager was aware of this gap in the service delivery and was working on making changes.

This service scored 75 (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.

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.

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.

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.

Staff told us they felt the overall team worked well, and they could express ideas and provide feedback about the service, which was listened to. One staff member told us about completing a staff survey and receiving communications about the outcomes. Staff spoke positively about the managers at the service. Overall, they felt listened to by the managers. Some staff felt they would like to be more involved in managing the staff rota. For example, they would like to have shift patterns which they would prefer. They also said they would like the managers to be more proactive in helping to address issues between staff when they arose. External professionals thought the service was well managed.

At the time of our visit, the service did not have a registered manager. The service manager informed us that they were in the process of applying for their registration with CQC. The service had policies and procedures to manage and monitor all areas of the service delivery. These included audits on the services and the provider level. However, we noted that some audits were not used effectively. This was related to the management of medicines, and we reflected detailed information about this in the safe section of this report. The service had systems to ensure managers involved staff in managing the service delivery. These included staff meetings, handovers, formal staff supervision, and day-to-day conversations with staff.

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.

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.