What we look for

Safe

Learning culture

• Are incidents of harm understood and defined by staff?
• Are equality characteristics recorded for all incidents?
• What stops staff reporting incidents?
• Do staff feel there is a culture of improvement and change that is supportive of them?
• Are women offered a conversation and an apology?
• Does the service always follow an incident investigation procedure and policy?
• Do you consistently get feedback from incidents?
• Can you describe any changes or actions as a result of findings from an incident in the service?
• How is clinical data including socio-demographic characteristics such as ethnicity routinely recorded, analysed and used to improve the quality of services?

Well-led

Governance management and sustainability

• How often are serious incidents review meetings?
  • Are the correct staff involved?
  • How are these review meetings recorded and was there appropriate monitoring of action?