Kirkstall Lodge

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 as good. At this assessment the rating has remained as 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 75 (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 service had a positive and inclusive culture that was driven by a clear set of values and a shared vision. The registered manager promoted a strong sense of purpose across the staff team, ensuring everyone understood their role in supporting people to achieve the best possible outcomes.

Staff told us they felt proud of the culture and teamwork within the home. People and relatives also reported positive experiences.

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 had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They acted on the best information about risk, performance and outcomes, and shared this securely with others when appropriate.

The provider demonstrated a strong commitment to continuous improvement through an effective quality assurance framework. The registered manager carried out regular audits, checks and record reviews to identify areas for learning and strengthen practice across the service. They acted on findings in a timely way, making improvements to people’s safety, health, wellbeing and overall experience .

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.

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. They actively contributed to safe, effective practice and research.

The provider-maintained systems to support continuous learning and improvement. They carried out audits to review practice and identify ways to enhance people’s experience and outcomes. The management team responded proactively to issues and put improvement.

The provider used effective systems to learn from incidents, safeguarding concerns and complaints and shared lessons with staff. This approach helped build a culture of reflection and ongoing improvement.