Head Office and Training Facility

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

We reviewed the providers policies and processes in relation to complaints, investigations and freedom to speak up processes.

This service scored 11 (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.

The provider took steps to ensure staff were heard and had held regular engagements events to enable staff to share concerns openly without blame. Newsletters produced by the provider also reinforced ‘speaking up’ processes. All staff we spoke with as part of this assessment told us they enjoyed working for the organisation and several described the service as one of the ‘best places’ they had worked.

We reviewed the provider's policies and processes in relation to complaints, investigations and freedom to speak up. The provider had clear processes to investigate complaints and concerns and we saw evidence of thorough investigations with clear outcomes and findings. We saw the provider thoroughly investigated any concerns and ensured their findings were shared with appropriate stakeholders. We reviewed five staff risk assessments and saw four were completed appropriately. However, in one file we saw staff supervision arrangements were not adhered to in line with the risk assessment requirements. We brought this to the immediate attention of the provider who took steps to strengthen risk management processes. The provider had a risk register in place, which outlined the current risks for the service. However, the provider acknowledged a recent risk of a loss of several staff, due to contractual changes had not been added to the risk register.

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.