• Hospice service

Archived: Marie Curie Nursing Service North West Region

Overall: Good read more about inspection ratings

Maudsley Street, Bradford, West Yorkshire, BD3 9LE (01274) 337000

Provided and run by:
Marie Curie

Latest inspection summary

On this page

Background to this inspection

Updated 12 May 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection started on 7 March 2017 and was announced at short notice. The inspection was announced because we needed to make sure there would be someone available at the office. On 8 March 2017 we visited the regional office again and we visited four people at home by prior arrangement accompanied by a senior nurse from the service. On 23 March 2017 we carried out telephone interviews with relatives of 12 people who used the service. The inspection was carried out by one adult social care inspector with the support of a bank inspector on 8 March 2017.

During the inspection we spoke with the registered manager, regional manager and five clinical nurse managers. We looked at a range of records relating to the operation and management of the service which included people’s care records, staff records, meeting notes and audit reports.

Before the inspection we reviewed the information we hold about the service which included notifications submitted by the registered manager. We contacted ten commissioners (Clinical Commissioning Groups) to ask for their views of the service. The provider completed a Provider Information Return (PIR); this is a form which gives the provider the opportunity to tell us about their service and any planned improvements. We took account of all this information when reaching our judgements.

Overall inspection

Good

Updated 12 May 2017

The inspection of Marie Curie Nursing and Domiciliary Care Services was announced and was carried out between 7 and 23 March 2017. This was the first inspection of this location following changes to the provider’s registration. However, the service had been operating for several years and had previously been registered at a national level.

The service specialises in providing nursing and personal care to people living with terminal illnesses and life limiting conditions in their own homes. At the time of our inspection services were being provided to approximately 80 people across the North West region.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Everyone we spoke with told us they felt the service was safe. Relatives told us they had confidence in the service and felt their relatives were safe and secure with Marie Curie staff. Staff were trained to recognise and report any concerns about people’s safety and welfare. All the required checks were done before new staff started work which helped to protect people from the risk of receiving care and support from staff unsuitable to work in a care setting. Newly appointed staff undertook a full programme of induction training and worked with more experienced colleagues until they were assessed as competent to work alone.

Risks to people’s health, safety and welfare were identified and managed. The majority of the services provided were delivered overnight and there were clear procedures for staff to follow in the event of an incident, accident or emergency.

Where appropriate, people were supported safely with medicines.

People’s consent was always obtained before any care or treatment was delivered. People were involved in decisions about their care and treatment and staff supported them in the least restrictive way possible. The policies and procedures in the service supported this practice.

People were supported by a team of staff who were trained and supported to understand and meet their needs. People were very complimentary about the staff and in addition to expressing confidence in their ability to provide safe and appropriate care, they described them as always being caring and compassionate. Relatives told us the service had been invaluable to them by providing the support they needed to fulfil people’s wish to spend their last days of life in the comfort of their own home. People’s privacy and dignity was respected.

People’s needs were assessed and information about their needs and preferences was recorded. Relatives told us staff were always attentive to people’s individual needs and preferences.

People were given information about the service which explained how the service worked, what they should expect and what they should do if they had any concerns. We found people did not have any complaints or concerns about the service. There were systems in place for dealing with concerns and complaints and concerns. All concerns and complaints were dealt with and were seen as an opportunity to improve the service.

The services provided by Marie Curie in the North West were delivered as part of a package of care and therefore working with other agencies and professionals was an integral part of how the service was delivered. For example, in the case of the planned overnight packages of care the service worked with district nursing teams and the rapid response teams worked in conjunction with a local hospice and NHS hospital.

Staff had limited involvement in supporting people with eating and drinking. However, there was evidence staff were attentive to supporting people with drinks and to ensuring their comfort by carrying out mouth care.

The culture of the service was open and transparent. Everyone involved with the service was encouraged to share their views and have a say in how the service developed and improved. The management team were continuously focussed on improving the experiences of people who used the service.

There were effective systems in place to monitor and assess the quality and safety of the services provided.