St Luke’s Hospice is delighted to receive a
Care Quality Commission upgrade
On 20 April 2022, St Luke’s Hospice had a repeat unannounced inspection by the Care Quality Commission (CQC) to follow up on its findings in the areas of being Safe, Effective and Well Led from their previous inspection in October 2021.
The Hospice was delighted to receive a subsequent inspection report, resulting in a significant improvement to its overall rating of ‘Good’. Since then, the Hospice has continued its improvement journey, focusing on the following key areas through a supporting action plan and targeted improvement activities.
Shared Direction and Culture
- Strengthening organisational leadership and governance through alignment of executive responsibilities with strategic priorities and proactive succession planning.
- Enhancing staff engagement through staff surveys, improved communication, and ongoing development of staff benefits.
- Embedding a culture of continuous improvement by ensuring regular discussion of CQC updates, quality, and regulatory requirements at team meetings across the Hospice.
Capable, Compassionate and Inclusive Leadership
- Introducing monthly staff listening forums to encourage open dialogue and engagement.
- Strengthening risk ownership and accountability across teams.
- Launching initiatives to recognise and celebrate staff contributions.
Freedom to Speak Up
- Establishing a strengthened Freedom to Speak Up structure, including enhanced awareness, communication and policy implementation.
- Embedding speaking up and psychological safety within regular team discussions.
Equality, Diversity and Inclusion
- Developing a dedicated Equality, Diversity and Inclusion (EDI) action plan to drive continuous improvement and support an inclusive workplace culture.
Governance, Management and Sustainability
- Reviewing training standards and learning provision to ensure high-quality, accessible development opportunities for staff.
- Strengthening business continuity arrangements to support organisational resilience.
Partnerships and Communities
- Maintaining strong collaborative relationships with the Integrated Care Board and wider health and care partners.
Learning, Improvement and Innovation
- Expanding research and learning opportunities for staff.
- Embedding the Patient Safety Incident Response Framework (PSIRF) and sharing learning across clinical services to support continuous improvement.
Environmental Sustainability
- Demonstrating a commitment to environmental responsibility through the development of a unified Hospice Green Plan.
