255 Lichfield Road

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 changed to Requires Improvement.

Requires improvement: This meant the service management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.

Leaders had the skills, knowledge and experience to perform their roles and staff knew and understood the provider’s vision and values and how they applied to the work of their team. Performance and risk were managed well. Staff collected and analysed data about outcomes and performance. They used this to identify improvements.

However,

The service was in breach of regulation for good governance. Staff were not always clear about their roles and responsibilities, and governance processes did not always operate effectively. Leaders had not notified CQC of a change in manager. They did not ensure appropriate levels of regular supervision of staff. They did not have effective communication systems and processes, that staff understood, to enable escalation of requests for additional staff.