This report presents a reflective workshop on managing quality within Health and Social Care (HSC) organizations, using Royal United Hospital as a case study. It examines different stakeholder perspectives on quality, the impact of poor service, and the role of external agencies like the Care Quality Commission (CQC) and NICE. The report details strategies for achieving quality, including CQC standards, implementation approaches, and potential barriers. It further analyzes the effectiveness of systems, policies, and procedures, recommending improvements for service quality. The report also covers methodologies for evaluating service quality, both internally and externally, and the impact of service users in the evaluation process. The conclusion summarizes the key findings and emphasizes the importance of continuous quality improvement in the HSC sector.