Jervaulx Road

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

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities. The provider and the management had a clear vision for the home and the culture they wanted to create. This was communicated well to people and staff through staff supervisions, meetings and in service user guides. People, staff and relatives spoke positively about the home and the culture they experienced.

The provider had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience and credibility to lead effectively. They did so with integrity, openness and honesty. There was a dedicated, stable management team in place supported by the provider. Relatives and staff told us they had a high level of confidence in the registered manager. A relative said, “Any concerns we would have faith in [Registered Manager].” Staff told us the registered manager was compassionate and involved them in the service. A staff member told us, “I feel as though [Registered Manager] manages Jervaulx Road very well, I feel she has a strong leadership and a deep compassionate passion for resident care. Very approachable and professional."

The provider fostered a positive culture where people felt they could speak up and their voice would be heard. Policies supported staff to speak up, providing routes for anonymous concerns as well as signposting them to external agencies. Staff told us they felt confident to speak up. A staff member said, “I feel confident to raise issues."

The provider valued diversity in their workforce. They worked towards an inclusive and fair culture by improving equality and equity for people who worked for them. Recruitment processes, training and policy and procedures were in place to support equality, diversity and inclusion. Staff told us they felt they were treated fairly.

The provider did not always have clear responsibilities, roles, systems of accountability or good governance. They did not always act on the best information about risk, performance and outcomes.

Governance and auditing processes were in place which fed into action plans. While most areas of governance were effective, processes failed to identify the issues with environmental safety found at this inspection. The provider was not always working in-line with relevant guidance to ensure safety and best practice. When we raised these issues with the registered manager and provider, they offered assurances on the action they would take to embed and sustain improvements.

The provider understood their duty to collaborate and work in partnership, so services worked seamlessly for people. They shared information and learning with partners and collaborated for improvement. The home had a network of partnerships and had built relationships with other services in the local community. For example, the home worked with housing providers and community care agencies to help people move into their own properties.

The provider focused on continuous learning, innovation and improvement across the organisation and local system. They encouraged creative ways of delivering equality of experience, outcome and quality of life for people. Managers learnt from feedback from other agencies, people, staff and relatives. Learning was shared within the home.