Quadrant provides health visiting and school nursing services for children, young people, and families who live in North Tyneside.

We regulate independent healthcare services but we do not currently have a legal duty to rate them.

We found the following areas of good practice:

• Staff protected children and young people from avoidable harm and abuse, and they followed appropriate processes and procedures to keep them safe. The lead safeguarding nurse advisor had good oversight of the concerns raised by staff and actively shared information and learning across the service.
• The vision, strategy, leadership, governance, and culture promoted the delivery of high quality person-centred care. A dynamic team of directors, supported by a proactive senior manager professional lead, area leads and lead safeguarding nurse advisor had good oversight of risks, which they monitored and reviewed regularly.
• Managers and staff managed caseloads well, and there were effective handovers between health visitors and school nurses to keep children safe at all times. On a day-to-day basis, staff assessed, monitored, and managed risks to children and young people. This included risks to children who were subject to a child protection plan or who had complex health needs.
• Children, young people, and families felt staff communicated with them effectively, kept them involved and informed about care and treatment, promoted the values of dignity and respect, and were kind and compassionate.
• Services were organised to meet the needs of children and young people. Managers and practitioners worked collaboratively with partner organisations and other agencies to ensure services provided choice, flexibility, and continuity of care.