Besi Care Ltd

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 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 requires improvement. At this assessment the rating has changed to 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 provider had clear aims and values which promoted safe, high-quality and person-centred care. These emphasised treating people with dignity and respect, protecting their rights and privacy, and supporting choice, independence and individual decision-making. There were arrangements to support a positive organisational culture. Members of staff had access to relevant policies and procedures, including those relating to wellbeing and the prevention of closed cultures, and regular staff meetings provided opportunities for communication and engagement. Feedback from members of staff reflected the provider’s values and was positive about the service’s intentions and its role in supporting people. Feedback highlighted the importance of listening to people, maintaining effective communication and supporting older people within the local community.

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. Regular management team meetings took place to review the ongoing development of the service and provide oversight of the quality of care and support. The leadership team had made improvements to systems and processes which strengthened the management of the service and supported the consistent delivery of safe and effective care.

The provider fostered a positive culture where people felt they could speak up and their voice would be heard. The provider had policies and procedures in place which supported both people and members of staff to speak up and raise concerns. Regular staff meetings provided opportunities for staff to share their views and discuss any concerns. Members of staff told us the registered manager was approachable, which helped promote an open culture where everyone felt able to speak up and have their concerns heard.

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. Members of staff received regular supervision with their manager, providing opportunities to discuss their wellbeing, development and any individual support needs. The provider valued diversity within its workforce and promoted a supportive and inclusive working environment where the staff team felt supported by their managers.

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 had made significant improvements to its governance and oversight arrangements. A comprehensive range of policies, procedures and quality assurance processes were in place to support the effective management of the service. The management team completed regular reviews and audits to monitor the quality and safety of care, identify areas for improvement and maintain effective oversight of the service.

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 provider worked proactively with a range of partner organisations, including health and social care commissioners and healthcare professionals, to ensure people's needs were met in a coordinated and effective way.

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 and the management team reflected on the outcomes from the previous CQC inspection of the service and made improvements to the policies, systems and processes throughout the organisation. These improvements enabled the provider to build a sound foundation which supported continuous service improvement.