Devon Partnership NHS Trust

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-centered care; supported learning and innovation; and promoted an open, fair culture. At this assessment, we saw that the service had improved, and the rating has changed to requires improvement.

We reviewed one quality statement for the well-led key question.

This service scored 43 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

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.

We reviewed governance process at the service, and saw that senior staff were compiling reports in areas such as incidents, use of seclusion and debriefs. Staff then produced action plans that identified what staff needed to do to improve. The action plans identified who should complete the actions. Staff updated the reports monthly and recorded progress on the actions within the reports. Staff told us that roles and responsibilities were clearly defined. Staff also told us that any learning identified by them was shared during the safety huddles so they could update the risk assessment immediately. We observed a safety huddle and saw that staff reviewed and updated risk assessments in line with the policy. Staff told us that debriefs were embedded in practice and that senior staff audited the paperwork to ensure the debriefs took place following every incident. We reviewed two PBS plans and saw they had sections instructing staff how they could offer people a debrief after they had been distressed. We saw staff used augmented communication systems with people when providing debriefs to assist people to communicate their feelings.

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.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.