• Organisation
  • SERVICE PROVIDER

Cheshire and Wirral Partnership NHS Foundation Trust

This is an organisation that runs the health and social care services we inspect

Important: Services have been transferred to this provider from another provider

Report from 14 January 2025 assessment

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Well-led

Good

Updated 18 December 2024

We assessed a total of 3 quality statements from this key question. We have combined the scores for these areas with scores based on the rating from the last inspection, which was good. Our rating for this key question is Good. Staff felt well supported by managers and felt confident approaching them. Appropriate systems were in place to support freedom to speak up. Governance and management accountability was clear.

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.

Shared direction and culture

Score: 3

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: 3

Staff felt well supported by managers and felt confident approaching them. Managers reported being well supported and found senior colleagues accessible. Both staff and managers received support and opportunity to further develop and upskill.

There were appropriate systems in place for the recruitment of staff. Staff received supervision but both management and clinical supervision compliance was variable and ranged between 25% and 94%.

Freedom to speak up

Score: 3

All staff were aware of the speak up process and felt that they could raise concerns without fear of detriment. However, some staff felt that their concerns had not been acted upon on all occasions, leading staff to raise concerns externally.

Appropriate systems were in place to support staff freedom to speak up. These included a Freedom to Speak Up trust policy, two guardians and freedom to speak up champions.

Workforce equality, diversity and inclusion

Score: 3

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 had a good understanding of their roles and responsibilities. Managers on the wards had audit frameworks and scheduled audits for each month. Managers received KPI compliance reports to review their compliance against other wards.

Governance and management accountability was clear and there was evidence of implementation of some quality frameworks. Services regularly undertook audits of case notes as well as processes. Business and governance meetings and team meetings were held regularly to share information, review the use of resources and monitor performance within services.

Partnerships and communities

Score: 3

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: 3

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.