Accreditation for Care Excellence programme

The Accreditation for Care Excellence programme was introduced across adult inpatient wards in September 2019.

The programme focuses on measuring and supporting improvements in the quality of care delivered in clinical areas. Each ward/department undergoes an annual assessment against the following 15 standards:

• Discharge and Management of Clinical Area
• The Patient Experience
• Safeguarding
• End of Life Care
• Nutrition and Hydration
• Elimination
• Pain Management
• Culture of Safety and Improvement
• Deteriorating Patient
• Medicine Management
• Pressure Ulcer Prevention
• Fall Prevention
• Infection, Prevention and Control
• Shaping Future Workforce
• Assurance Standard

The programme was introduced in line with Care Quality Commission (CQC) Key Lines of Enquiry and Essential Standards Outcome.

Once the assessment is completed, the Ward Manager, Modern Matron and Group Director of Nursing and Allied Health Professionals receive the result of the assessment of their area.

These results will outline the standards that have been met or not met and identifies areas for improvement to ensure we’re continuing to enhance experiences for patients. In rare circumstances where a ward fails to meet any standards, a reassessment is conducted six months later.