Clinical governance, safety and quality

In the ever-evolving world of healthcare, we’re constantly seeking ways to enhance quality of care, improve safety and streamline operational processes.

Our clinical governance framework ensures we provide the highest standards of care for the people we support and continuously improve our services.

It involves monitoring systems and processes to provide assurance of safety and quality of care.

Our Quality account 2024 provides an annual overview of key performance indicators (KPIs) and achievements focused on improving service user care and quality. It highlights progress made over the past year, including key initiatives and outcomes to enhance the health, wellbeing and quality of life of those we support.

Download the quality account

Headshot of Steve Melton, CEO

"Once again, I’m pleased to present to the public we serve and to our stakeholders the quality account for Exemplar Health Care. Last year was another year of strong progression for our organisation.

"The most important people in Exemplar Health Care are our service users. Last year was exceptional for service user engagement.

"Six years ago, when our Service User Council was first established, it had just nine ambassadors. Today it has a membership of 61 and meets three times a year. This group is instrumental in shaping our organisation.

"Our headline quality ratings, based on CQC inspections, showed 83% of our homes were rated ‘Good’ or ‘Outstanding’ at the year end. This compares well against the 78% average across the sector especially given our level of acuity.

"We’re now in year four of a digital transformation which started with management information dashboards for all levels of our operations, medicines management, then rostering, incident reporting, and now sees us rolling out electronic care plans.

"The torrent of real-time information now coming from this integrated suite of digital technology enables us to learn and improve our care at a pace that was previously inconceivable."

Integrated governance structure

Our integrated governance structure ensures accountability and continuous improvement in the quality of our care systems.

It provides a coordinated framework that combines multiple governance functions - such as clinical, legal and operations - into a unified system.

This ensures comprehensive oversight and alignment with our overall goals, promoting quality, safety and compliance across all operations.

In the home

  • Daily unit huddles

  • Daily home huddles

  • Period heads of departments meeting

  • Monthly clinical governance meeting

  • Quarterly team meetings

  • Quarterly listening sessions

  • Quarterly health and safety meetings

Clinical

  • Quarterly clinical governance meetings

  • Bi-annual clinical nurse manager forums

  • Period clinical heads of departments meetings

Service users, families and friends

  • Monthly service user meetings

  • Bi-monthly families and friends meetings

  • Bi-monthly service user council meetings

  • Quarterly service user voice working group meetings

Operations

  • Period regional director reviews

  • Quarterly regional clinical governance meetings

Executive Team

  • Weekly Executive Team meetings

  • Quarterly business reviews

Legal

  • Raising concerns committee reviews

  • Bi-monthly information governance committee meetings

Service user sat using a laptop

Quality assurance strategy

Exemplar Quality Assurance (EQA) framework

The Exemplar Quality Assurance (EQA) framework ensures we maintain the highest standards of care and continuously improve.

It defines how we assess, monitor and enhance the quality and safety of our care, focusing on the experience of those we support.

The framework is built on seven pillars:

  • service user experience

  • clinical effectiveness

  • effective staffing

  • risk management

  • data and information governance

  • the Exemplar Health Care Academy

  • continuous improvement.

Each pillar includes systems and processes for assessing and monitoring quality and safety.

Group of colleagues stood holding the carehome.co.uk award certificate

Accreditations, certifications and endorsements

We’re proud of the accreditations, certifications and endorsements we’ve received from health and social care professionals, charities and support organisations. 

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