Heathrow IRC Cluster

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing

We found improved clinical supervision, appraisal systems and processes developed and practiced at Harmondsworth IRC.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Learning culture is based on the latest evidence we assessed for the Safe key question.

The judgement for Safe systems, pathways and transitions is based on the latest evidence we assessed for the Safe key question.

The judgement for Safeguarding is based on the latest evidence we assessed for the Safe key question.

The judgement for Involving people to manage risks is based on the latest evidence we assessed for the Safe key question.

The judgement for Safe environments is based on the latest evidence we assessed for the Safe key question.

At our previous inspection in July 2024, we identified several concerns around clinical supervision and appraisals for staff. At this inspection we found health, social and other care professionals had much improved access to clinical or professional supervision and appraisal.

Supervision and appraisal for staff had improved significantly. There had been a concerted effort to improve the culture and commitment for all staff to access both appraisal and clinical/managerial supervision. The supervision policy had been reviewed to reflect current needs and strategy to improve uptake.

The use of external training, the introduction of a supervision passport and improved in house clinical supervision all helped develop and engage staff. Staff we spoke with corroborated the developments in supervision and appraisal. Staff were encouraged by the changes and spoke positively about the quality of clinical supervision.

The digital appraisal system had been updated and reviewed, removing system issues that caused many appraisals to be marked as incomplete.

Additional support from the senior management team supported local heads of healthcare to ensure both appraisal and supervision were on track. Current figures showed staff were now up to 87% complete. A narrative was recorded for those incomplete and regular reviews of data were undertaken to pick up those staff who were overdue.

Supervision and appraisal were now a standing agenda item at senior management meetings which was communicated across staff groups and local leadership.

Supervision and appraisal were now a standing agenda item which was communicated across local and senior leadership.