• Hospice service

Saint Francis Hospice

Overall: Outstanding read more about inspection ratings

The Hall, Broxhill Road, Havering-atte-Bower, Essex, RM4 1QH (01708) 753319

Provided and run by:
Saint Francis Hospice

Report from 18 January 2024 assessment

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Well-led

Outstanding

Updated 2 December 2024

Leaders were visible and staff felt respected and valued, describing a positive and supportive culture. Managers encouraged an open culture with feedback and lessons from incidents being shared through regular team meetings and debriefs. A comprehensive quality assurance framework ensured compliance with policies while regular audits identified areas of improvement. Leadership prioritised future planning with robust continuity plans and initiatives to ensure sustainability.

This service scored 96 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Shared direction and culture

Score: 4

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

Score: 4

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

Score: 4

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

Score: 4

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

Score: 3

Staff explained how they felt supported, respected, and valued by their team and management. They described having a positive and supportive culture where the hospice encouraged further development and continuous learning. Staff described leaders as being visible and having a presence across the organisation.

Managers emphasised a collaborative and open culture which sought to be inclusive across all staff levels. Regular team meetings and debriefs after incidents ensured learning was shared with staff and there was opportunity to improve patient care. Staff received annual training on information governance and staff we spoke with were aware of their responsibilities to comply with good information governance and management. The hospice ensured staff were kept up to date with current guidance. Leaders demonstrated a commitment to continuous learning and innovation with active participation in conferences and workshops. Leaders maintained this commitment by networking with local partners to share best practise and learning. The hospice ensured compliance with policies through regular audits and a comprehensive quality assurance framework which allowed the hospice to identify gaps and improve on its service. Leaders had developed extensive business continuity plans to cover events that could impact the running of services. Regular reviews of these plans and clear protocols in place ensures the hospice was prepared to deal with emergencies. Leaders stressed on future planning with comprehensive five year plans and initiatives in place to ensure the visions of the hospice were sustained. The hospice maintained a proactive approach in recognising and improving upon feedback with this being a key topic in governance committee meetings.

Partnerships and communities

Score: 4

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

Score: 4

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.