BYS Care & Training Services 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 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. 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 promoted an open and inclusive culture where people’s differences were respected. People, relatives, staff and health and social care professionals spoke positively about the service and its management. Staff described managers as supportive and approachable. One staff member told us, “My manager is very supportive. [They] understand the carers and their feelings while also understanding the needs of the people we support.”

Leaders demonstrated a clear focus on people’s individual needs, including their health, wellbeing, choices and social needs. Staff understood the provider’s values and were encouraged to deliver personalised and meaningful care.

The registered manager promoted an open and approachable culture where staff felt able to raise concerns and discuss issues. They told us, “If you thinkyou want totalk, come andhave a chatwith me.”

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 clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver high-quality, sustainable care, treatment and support. They always acted on the best information about risk, performance and outcomes, and shared this securely with others when appropriate.

The provider used audits, feedback and reviews to monitor people’s experience and the quality of care. The registered manager told us, “We audit our service user satisfaction forms.” The registered manager demonstrated a good knowledge of people’s individual needs, risks, preferences and changing circumstances and gave specific examples of how these were managed.

The registered manager also recognised the potential impact of service growth on quality and sustainability, telling us, “Having too many clients would be a risk of quality to the service.”

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 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 demonstrated a commitment to learning, innovation and improvement by working with a multidisciplinary team to support people whose care package had previously been declined or returned by other providers. The provider developed a coordinated approach to meet their individual needs and support positive outcomes.

The provider sought feedback from people, relatives and staff through surveys, discussions and other opportunities. Managers used feedback, audits and external information to support learning and improvement. The registered manager told us, “We have our auditor” and “We are registered to CQC updates as well as local authority updates.”

Staff were supported to develop their knowledge and skills through training and forums. The registered manager told us, “Sometimes we will send staff to [external] training and forums.” A staff member said, “There is always room for improvement. I discuss my development with my manager and we make plans at the end of the month.”

The registered manager demonstrated a positive approach to continuous improvement and identified opportunities to further develop consistency in practice.