• Community
  • Community healthcare service

Quadrant

Overall: Good read more about inspection ratings

16 The Silverlink North, Newcastle Upon Tyne, Tyne And Wear, NE27 0BY (0191) 643 2104

Provided and run by:
North Tyneside Metropolitan Borough Council

All Inspections

29 November to 1 December 2022

During a routine inspection

Our rating of this service is good because:

  • The service had enough staff to care for children and young people and keep them safe. Service users were at the centre of safeguarding and staff had a proactive approach to anticipating and managing risk. Staff had training in key skills, and understood how to protect children, young people and their families from abuse and neglect. Staff controlled infection risks well. The provider had a sustained track record of safety supported by accurate performance information. All staff were encouraged to participate in learning from internal and external incidents to improve safety.
  • Staff provided good care and treatment to families, children and young people. Outcomes were consistently better when compared with other similar services, and there was a truly holistic approach to assessing, planning and delivering care. Managers monitored the effectiveness of the service and made sure staff competence was recognised as being integral to ensuring high quality care. Staff teams worked collaboratively and found innovative ways to deliver seamless care. Staff were consistent in supporting people to live healthier lives. They had a proactive approach to health promotion and the prevention of ill health. Staff made sure people had access to high quality health information and advice.
  • Staff treated children, young people and their families with compassion and kindness. Feedback from service users was consistently positive and people thought the support they received exceeded their expectations. Staff were highly motivated to offer care that promoted peoples’ rights and upheld their dignity. Staff recognised that the social and emotional needs of families, children and young people were just as important as their physical needs.
  • The service planned care thoroughly to meet the needs of local people. There were innovative approaches to providing person-centred, integrated care, particularly for people with multiple and complex needs. People could access services flexibly and there was a proactive approach to understanding the needs and preferences of different groups of people. Technology was used innovatively to ensure people had access to timely treatment and care.
  • Leaders at all levels of the service were compassionate, inclusive and effective. They demonstrated the high levels of experience and capability required to deliver excellent and sustainable care. Strategies and plans were fully aligned with plans in the wider health economy and leaders demonstrated commitment to system-wide collaboration and improvement. Leaders were highly visible, and staff felt respected, supported and proud to work for the service. There were high levels of satisfaction across most staff teams. Staff demonstrated a clear commitment to best practice performance and continual improvement for the benefit of the children, young people and families in the locality.

06 to 07 March 2018

During an inspection looking at part of the service

Quadrant provides health visiting and school nursing services for children, young people, and families who live in North Tyneside.

We regulate independent healthcare services but we do not currently have a legal duty to rate them.

We found the following areas of good practice:

  • Staff protected children and young people from avoidable harm and abuse, and they followed appropriate processes and procedures to keep them safe. The lead safeguarding nurse advisor had good oversight of the concerns raised by staff and actively shared information and learning across the service.
  • The vision, strategy, leadership, governance, and culture promoted the delivery of high quality person-centred care. A dynamic team of directors, supported by a proactive senior manager professional lead, area leads and lead safeguarding nurse advisor had good oversight of risks, which they monitored and reviewed regularly.
  • Managers and staff managed caseloads well, and there were effective handovers between health visitors and school nurses to keep children safe at all times. On a day-to-day basis, staff assessed, monitored, and managed risks to children and young people. This included risks to children who were subject to a child protection plan or who had complex health needs.
  • Children, young people, and families felt staff communicated with them effectively, kept them involved and informed about care and treatment, promoted the values of dignity and respect, and were kind and compassionate.
  • Services were organised to meet the needs of children and young people. Managers and practitioners worked collaboratively with partner organisations and other agencies to ensure services provided choice, flexibility, and continuity of care.