Exodus Health Care Services

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 good. At this assessment the rating has remained 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 71 (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.

The provider had governance systems in place to review the quality and safety of care delivery. This included regular review of the quality of care delivered, through regular spot checks and care reviews. One person said, “They did one review on the phone with me, asked how it was going and they are going to do a three-monthly review.” There was also a programme to obtain people’s feedback and views on the quality of care through regular phone calls. However, we found the oversight of these processes was through a manual process, and this was not always kept up to date. Through their governance systems the provider had identified a number of areas of practice that required improvement, including the completeness of daily care notes. The management team had provided staff with additional training on documentation and improvements were being made. The daily notes we viewed showed care staff were attending people’s calls at roughly the correct time and staying the required length of time. However, we found the new electronic system for logging call times was not always being used appropriately, and on occasion staff were manually logging their call times and there was not accurate data recorded. The management team had introduced a new initiative which gave an immediate alert to timeliness concerns so the management team could take prompt action. The management team told us they were in the process of moving towards a fully electronic care records and management system and felt this, together with staff training, would further improve the quality and completeness of care records and the oversight of governance systems. We will review the effectiveness of this system at our next assessment.

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.