Quadrant

Updated 25 May 2023

Quadrant provides health visiting and school nursing services to children and young people from 0-19 years old across North Tyneside. The service delivers elements of the national Healthy Child Programme, and prioritises children, young people and their families’ health and wellbeing. This includes promoting the Best Start in Life for Children, improving access to health services, ensuring children are safeguarded and supporting children, young people and their families to live healthier lives and achieve their potential.

The framework that underpins the Public Health Nursing Service provision is the Healthy Child Programme 0-5 years and 5-19 years. This focuses on collaborative working in partnership with parents, carers and other agencies to improve health and wellbeing, support parenting in early life stages, undertake health and development reviews at key mandated stages of a child’s development, promote the uptake of health screening and immunisations and provide evidence-based education and advise to help parents and young people make informed choices. This includes early identification of children and families in need of additional support to ensure they receive early help and intervention before problems develop further.

There were 4 health visiting teams split into 4 localities and 1 school nursing team overall for the borough. The health visiting service 4 locality teams were as follows:

Coastal team – Whitley Bay customer services centre

Central Team – Riverside children’s centre in North Shields

North West Team – Shiremoor children’s centre

South West Team – Howden children’s centre

Quadrant has been registered since March 2017 for the regulated activity of treatment of disease, disorder and injury. The registered manager is the Director of Public Health for North Tyneside. Health visiting and school nursing in North Tyneside was previously provided by Northumbria Healthcare NHS Foundation Trust.

The first inspection of the service was in March 2018, when the service was unrated in line with other community health services. However, for this current inspection the service has been rated.

Updated 25 May 2023

Our rating of this service is good because:

• The service had enough staff to care for children and young people and keep them safe. Service users were at the centre of safeguarding and staff had a proactive approach to anticipating and managing risk. Staff had training in key skills, and understood how to protect children, young people and their families from abuse and neglect. Staff controlled infection risks well. The provider had a sustained track record of safety supported by accurate performance information. All staff were encouraged to participate in learning from internal and external incidents to improve safety.
• Staff provided good care and treatment to families, children and young people. Outcomes were consistently better when compared with other similar services, and there was a truly holistic approach to assessing, planning and delivering care. Managers monitored the effectiveness of the service and made sure staff competence was recognised as being integral to ensuring high quality care. Staff teams worked collaboratively and found innovative ways to deliver seamless care. Staff were consistent in supporting people to live healthier lives. They had a proactive approach to health promotion and the prevention of ill health. Staff made sure people had access to high quality health information and advice.
• Staff treated children, young people and their families with compassion and kindness. Feedback from service users was consistently positive and people thought the support they received exceeded their expectations. Staff were highly motivated to offer care that promoted peoples’ rights and upheld their dignity. Staff recognised that the social and emotional needs of families, children and young people were just as important as their physical needs.
• The service planned care thoroughly to meet the needs of local people. There were innovative approaches to providing person-centred, integrated care, particularly for people with multiple and complex needs. People could access services flexibly and there was a proactive approach to understanding the needs and preferences of different groups of people. Technology was used innovatively to ensure people had access to timely treatment and care.
• Leaders at all levels of the service were compassionate, inclusive and effective. They demonstrated the high levels of experience and capability required to deliver excellent and sustainable care. Strategies and plans were fully aligned with plans in the wider health economy and leaders demonstrated commitment to system-wide collaboration and improvement. Leaders were highly visible, and staff felt respected, supported and proud to work for the service. There were high levels of satisfaction across most staff teams. Staff demonstrated a clear commitment to best practice performance and continual improvement for the benefit of the children, young people and families in the locality.

Updated 25 May 2023