The organisation were using innovative ways to develop its existing staff and to attract new staff. The organisation had appointed two Freedom to Speak Up Guardians (although there is no requirement for a CIC to do so). There was also a strong emphasis on listening to staff and providing opportunities for staff at all levels to develop and a strong emphasis on Quality Improvement.There was a strong emphasis, from both leaders and staff across the organisation for putting patients at the centre of everything they did. The organisation was financially stable and there was relevant financial expertise among the executives and NEDs. Non-executive directors (NEDs) chaired committees and were confident to raise any concerns or challenge to the executive team. There was an appropriate sub board committee structure and escalation to board through the structure. Livewell Southwest had effective systems and processes in place to support delivery of the services it delivered.Its contribution to the wider health economy was highly valued by partner organisation and it was now seen as equal partner. The organisation had worked hard to ensure it forged strong strategic alliances with partner organisation. The organisation had recently refreshed and published its new strategy which had been coproduced with staff and stakeholders.both leaders and staff across the organisation put patients at the centre of everything they did. Staff at all levels of the organisation were proud to work at the organisation and morale among staff was very good. There was a positive, open and honest culture throughout the organisation.Executives used these visits to engage with staff and also listen to their views on the services. There was a rolling programme of visits scheduled to services by the executives. Staff felt they were visible and approachable. Livewell Southwest had strong leadership who had the appropriate range of skills, knowledge and experience to deliver community health and mental health services.Community end of life care and child and adolescent mental health wards had both improved. Two services that were previously rated as requires improvement at the last inspection were now rated as good. Staff in the organisation had worked hard to address concerns we had raised in the last inspection.Our rating for the organisation took into account the previous ratings of services not inspection this time. We rated all five of the key questions ‘are services safe, effective, caring, responsive and well-led’ as good.Our rating of the organisation stayed the same.
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