SENSE - 25 Horsegate

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.

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.

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 systems in place to monitor quality and safety, including a new electronic care system. Records showed care was documented, although some inconsistencies were noted as the system was being embedded. Environmental risks been shared with the registered manager during our visit. Some had been actioned by the registered manager others had works booked in. Risk assessments had been updated to manage the risks in the interim. The concerns raised had not impacted on people’s safety or care.

The registered manager completed regular service audits which reviewed the day-to-day running of the service and helped to maintain oversight of quality and safety. The provider also carried out internal compliance audits to further assess the effectiveness of systems and processes. Findings from these audits were clearly documented and any recommendations were incorporated into a structured action plan. However, improvements were needed as not all risks had been picked up, as mentioned above.

Relatives gave very positive feedback about leadership. One commented, “Management is brilliant, always available,” and another said, “It is just the best thing. Everything is dealt with,” reflecting an accessible and responsive management team. This showed a strong and supportive leadership culture focused on continuous improvement.

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.

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.