Spire Harpenden Hospital

We looked for evidence that there was an inclusive and positive culture of continuous learning and improvement that was based on meeting the needs of people who used services and wider communities. We checked that leaders proactively supported staff and collaborated with partners to deliver care that was safe, integrated, person-centred and sustainable, and to reduce inequalities.

At our last assessment we rated this key question as outstanding overall. At this assessment the rating has changed to good.

Across medical care and surgical services, leaders demonstrated the skills, knowledge and experience required to manage services effectively and support the delivery of high-quality care. Staff spoke positively about leaders and told us they were visible, approachable and supportive. Leaders promoted a culture that encouraged openness, learning and continuous improvement.

There were effective governance, risk management and quality assurance processes in place to monitor service performance, identify areas for improvement and support the delivery of safe, effective and responsive care. Leaders used a range of information, including audits, incidents, complaints and patient feedback, to oversee quality and drive improvement across the hospital.

Staff felt respected, valued and supported in their roles. Leaders were committed to staff development and wellbeing and encouraged opportunities for learning and professional growth. Teams worked collaboratively within and across services to deliver coordinated, person-centred care and to achieve positive outcomes for patients.

The hospital demonstrated a commitment to innovation and continuous improvement. Leaders supported initiatives to improve services and patient outcomes and worked with partners to ensure care was sustainable and responsive to the needs of the population they served. Equality, diversity and inclusion were considered within service planning and delivery, helping to reduce barriers to care and improve patient experiences.