Courtlands 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.

Leaders promoted a positive and open culture and staff spoke positively about the support they received. Whilst some opportunities were identified to strengthen aspects of record keeping and oversight, leaders were receptive to feedback, demonstrated a commitment to improvement and continued to promote person-centred care.

This service scored 68 (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.

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 governance arrangements in place; however, these were not always effective in identifying and addressing areas for improvement. Care plans and associated records did not always provide enough detail to guide staff practice. Management oversight of records, daily notes and incidents was not always robust enough to consistently demonstrate analysis and learning. Whilst leaders responded positively to feedback and made changes during the assessment, further improvements were needed to strengthen governance and oversight arrangements.

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 demonstrated a commitment to continuous learning, improvement and service development. Leaders welcomed feedback and undertook reviews where areas for improvement were identified, fostering a culture where staff felt able to raise concerns and share ideas. However, quality assurance processes had not always been effective in identifying and addressing issues at the earliest opportunity, and greater oversight was needed in some areas to ensure improvements were embedded and sustained.