Timeline

The Bliss Baby Charter audit and assessment programme is outlined below. There are several stages within the programme leading to Bliss Baby Charter accreditation and the staff at Bliss are available to support you through your Baby Charter journey. At the bottom of this page you will also find some useful hints and tips for RAG rating, what to include as evidence in your audit and establishing an action plan.

1. Self-audit

The Bliss Baby Charter is a tool for you to analyse your unit’s progress and identify areas for improvement. The Baby Charter audit tool is freely available for every unit to use for self-assessment. Bliss are unable to provide feedback or recommendations for your audit at this stage.

2. First audit

The first audit will provide you with your unit’s baseline. It is an opportunity for you to examine the procedures, practices and environment of the unit, and identify gaps to address.

Complete this first audit honestly so that we can support you to make changes and improvements throughout the process. Use the information below to accurately RAG rate each standard, provide evidence for each standard and develop an action plan for standards that need some work. If, on review, Bliss staff disagree with your choice of RAG rating we may highlight this in your feedback and select the rating we think is most appropriate based on your evidence.

Submission

After submitting your first audit, we will provide feedback and suggestions to support the implementation of your unit’s action plan.

Every unit also receives a Pledge of Improvement certificate following completion of the first audit. This is to display on your unit and share your staff’s commitment to working through the Bliss Baby Charter, the foundations of Family Integrated Care.

3. Re-audit

When the action plans have been implemented successfully please re-audit. This audit should include additional information that was missed and any changes and improvements that have been implemented since your last audit.

Once you have submitted your second audit, we will provide further feedback and confirm whether the unit is ready for assessment. Your unit will also receive a Bronze Award certificate to recognise your hard work and the changes that have been made on your unit.

4. Re-audit and Silver Award

It may be necessary to repeat the audit update and re-submit a number of times before your unit reaches 75% in each Principle. This is the case for most units, so don’t be disheartened by this.

Your neonatal unit will be interviewed by us when your audit is marked by the Baby Charter Team as a RAG rating of 75% in each principle, you have no Red RAG ratings and the mandatory standard 1.1B is rated Green. We will organise a Silver interview with your unit, where we will discuss areas of progression for each Principle and draw up an action plan to work towards full accreditation. Following this interview, your unit will receive a Silver Award certificate.

5. Assessment and accreditation

After receiving your Silver Award, the Bliss Baby Charter team will work with your unit to implement the action plan. When your unit is close to being assessed, you’ll be asked to submit another audit, and if the RAG rate reaches 90% for each Principle with the Mandatory standard 2.3A rated Green, your unit will start preparing for assessment. You will receive support from us regarding how to prepare for your assessment day and what to expect once a date has been confirmed.

Following the assessment, your unit will be informed if you will be awarded Bliss Baby Charter Gold Accreditation. A neonatal unit is accredited if it has demonstrated (through the audit and assessment day) that there are sufficient procedures, practices, and facilities in place to empower parents and carers to be partners in care through joint decision-making and hands on care. It also acknowledges how the unit tailors their approach to understand each family’s needs and availability in order to provide truly individualised care. This facilitates a solid foundation for Family Integrated Care.  A unit may receive accreditation straight away, require some small changes before accreditation, or require re-assessment.
 

Once accreditation has been achieved, the award is valid for three years. However, the audit tool will remain available for you to review. We recommend that units refer to the audit tool regularly to ensure that changes are sustained and processes are maintained. Once a unit is accredited, we will make recommendations regarding any further changes to be implemented during the three-year accreditation period, and ask units to update us on progress annually.

Re-assessment

If you wish to progress to Platinum accreditation, two and a half years after accreditation, we will provide your unit with a new audit to complete, with access to your original for reference. You can then update this audit with any changes or further information before the re-assessment takes place. Upon successful re-assessment, your unit will receive Bliss Baby Charter Platinum Accreditation, valid for a further three years.

Self-assessment ratings

The self-assessment method is a simple ‘RAG’ (Red, Amber, Green) approach. Depending on your current systems and processes you will either rate your unit as green, amber or red against each of the standards.

GREEN - Fully delivering against all aspects of the criteria. 

AMBER - Delivering some or most of the aspects required, but not all. 

RED - Delivering none or very few of the aspects required to fulfil that criterion. 

If a standard is self-assessed as green, you will need to provide evidence to support this in the relevant section on the Bliss Baby Charter audit spreadsheet.

If self-assessed as amber or red, we recommend you explain why and make a note of what action(s) you plan to take to improve your rating to green.

Evidence

To help, within each standard we have provided suggestions of what you could include as evidence. Please note that the evidence examples listed do not exist as an exhaustive list, but only as a starting point, feel free to include anything you think may be helpful. Additionally, we do not expect each unit to have every suggestion mentioned in place.

Action plan

We recommend that you develop an action plan to address the standards that have been rated as red or amber. The team working on the audit should set realistic and time bound goals to improve this rating. This plan should outline the improvements you would like to make on your unit in those particular areas.