It is clear from the CQC’s own ratings data that in adult social care services there is a strong correlation between the ratings figures for ‘Well-led’ and the overall rating figures. In other words, services that have positive ratings for ‘Well-led’ tend to have positive ratings for the other four domains (‘Safe’, ‘Effective’, ‘Caring’ and ‘Responsive’). And, needless to say, the reverse is also true: those services with a negative rating for ‘Well-led’ tend to do badly across the other domains as well. Furthermore, the CQC’s latest State of Care report highlights the fact that strong and effective leadership, coupled with robust systems of governance, are key to the overall performance and quality of any service.
With this is mind, Therapeia can provide a thorough review of the leadership, governance and culture within your service, and how this impacts on its ability to deliver and constantly improve upon high-quality, person-centred care. The review process is based on an initial gathering evidence for the five CQC ‘Well-led’ key lines of enquiry (KLOEs), but can extend beyond this if the evidence suggests there might be more underlying issues that need exploring. The aim is to give you a comprehensive evaluation of the quality of leadership, governance and culture within your service. This is in turn will provide you with a better understanding of the overall quality of your service, and the opportunity to address any outstanding issues before the next CQC inspection.
Each service review follows broadly the same pattern:
- An initial, pre-visit collection and collation of relevant background information regarding the service. This is similar to the pre-inspection work carried out by the CQC.
- An onsite visit to the service for at least one full day, depending on its size and complexity. This is in order to meet and talk with key stakeholders, including service users, relatives, staff, management and visiting professionals to get their perspectives on the leadership, governance and culture of the service.
- Collation of all key documentation relating to leadership and governance, for example, quality assurance reports, management strategies, stakeholder feedback information, supervision records, etc. As far as possible, this part of the review will be conducted off-site using document uploads, emailing, etc.
- A thorough analysis and evaluation of the gathered evidence, which is then used to write a detailed report with recommendations for the provider and manager.