Nottingham Brain Injury Rehabilitation and Neurological Care Centre

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 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.

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.

Staff fulfilled their roles and responsibilities to ensure the service was well-led. The registered manager had reviewed staff roles and responsibilities since our last assessment, staff felt this was positive and they felt well supported. These changes ensured staff were able to focus on their strengths to improve the quality and safety of care on offer. We found staff were open and honest throughout the assessment and demonstrated a committed attitude to quality improvement. The registered manager told us, they had made lots of changes since our last assessment and were committed to improving the quality of the service. They knew people and their needs well. We found people and staff to be relaxed in the registered manager’s presence. Staff told us where there were issues the registered manager acted to address them. We found all the issues found at the previous assessment had been addressed, this included building works and a full refurbishment of a bathroom.

Processes in place meant governance systems were effective in ensuring the service was well-led. Systems were utilised to ensure the quality of the service improved. Medicines and environmental audits were effective in driving service improvement. We found where issues were highlighted action was taken and staff informed via lessons learned bulletins. Infection control audits were effective in identifying areas for improvement. Timely action was taken to address any issues. Quality walk arounds evidenced all of the issues we highlighted at our previous assessment had been addressed. Systems to monitor accidents and incidents were effective in identifying themes and trends, this allowed for risk reduction measures to be implemented. This reduced the risk of recurrence of incidents. Records were held securely. This protected people’s right to privacy.

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.