Is the service well-led?

The following excerpts are taken from our Care Quality Commission Inspection Report 2015.

Patients and their relatives were positive about the care, treatment and support they received at the hospice.
Patients did not make any suggestions on potential improvements to the service provided. Staff said they were well supported, and they worked well as a team locally. The hospice does not require having a registered manager as this is part of the trust. There was a matron and a clinical lead who were responsible for the day to day management of the service.

There was a clear governance structure from unit level to the board. Staff were clear about incident and statistic reporting through their electronic reporting system, and how this was used to inform practice improvements across the trust. Staff said there was also good medical leadership, with a consultant palliative clinical lead, who led the hospice team.
Staff reported they were “proud of an open and no blame culture”, and learning from incidents. The visions and values included “putting patients first and pulling together”.
A staff member said “our main focus is patient’s care”. Comments from staff included “loves working for the organisation” and “never enjoyed a job so much”. This was evident throughout the inspection and the positive comments from relatives and staff. Comments included” the staff are marvellous and look after you very well”.

The patient-led assessments of the care environment (PLACE) for the hospice in 2013 showed they achieved a 100% for cleanliness; food and hydration scored 93.42%; and privacy and dignity received 97.22%, which was higher than the national average in all areas. We observed the service was clean and hygienic, choices were available, and patients were supported appropriately. All these contributed to good outcomes for patients, receiving care in a person centred manner.

The hospice provided a care home education service, supporting staff within care homes to assist and improve palliative and end of life care in care and nursing homes.
This was initially established to support nursing homes in the area, and now also include care homes. The CNS team had developed a ‘six steps to end of life care’ programme, with links to 75 care and nursing homes. The group met bi-monthly, building relationships, providing support, and sharing knowledge.

This works has a positive impact in the care people receive in the wider community such as care and nursing homes.

Read the full report here: CQC inspection

Comments are closed