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Inspection Summary


Overall summary & rating

Good

Updated 31 August 2016

Barnsley Hospice is an independent registered charity. It provides a 10 bedded in patient unit,day care and out patient services for people with a life-limiting illness. Referral to use the service is generally made by a doctor or specialist nurse. No direct charge is made to people using these services. Care is provided to people over 18 years of age who are resident in the borough of Barnsley.

Barnsley Hospice also offers treatment for patients suffering from cancer and non-cancer related oedema. The service is also available to those who have had cancer in the past. There are three Lymphoedema Practitioners who can see patients in their home, hospital or the clinic based at the hospice. (Lymphoedema is a chronic (long-term) condition that causes swelling in the body's tissues). Individual plans are created to include some of the following: skin care, exercise, massage and compression. The key element of this service is to enable patients to successfully manage Lymphoedema on a day-to-day basis.

Barnsley Hospice also provides a day service at The Limes support and therapy centre. The Limes is open Tuesday to Friday. The day service is designed to help patients adapt to the limitations caused by serious illness. Each patient is assessed individually and support is also available to their families and those close to them. The day service offers support and advice with symptom management and treatment. People benefit from socialising with people who are going through similar experiences. Refreshments and a meal are provided free of charge. Transport can be arranged if necessary. The care team providing support at the centre include registered nurses, an activity coordinator, doctors, complementary therapists and volunteers. If required there is access to a social worker, counselling service and spiritual support.

Barnsley Hospice has a registered manager. 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.

Day-to-day operation of the hospice is delegated by the Board of Trustees to the Chief Executive Officer (CEO). The CEO discharges responsibilities through the Hospice Executive Team, comprising of the Patient Services Director, Consultant Clinical Lead , Support Services Director and Finance Director. The registered manager is also the CEO.

Hospice Practitioners provide medical cover together with four part time consultants in Palliative medicine.

24 hour cover by the medical team is provided. There is a system called ‘Pall Call’ in place at the hospice. ‘Pall Call’ is a specialist palliative care telephone advice line for health care professionals and is open 24 hours seven days a week. It is also available for patients and carers to call.

Our last inspection at Barnsley Hospice took place in November 2013. Barnsley Hospice was found to be meeting the requirements of the regulations we inspected at that time.

This inspection took place on 1 August 2016 and was unannounced. This meant staff at the hospice did not know we were coming. On the day of our inspection all 10 beds on the in-patient unit were occupied.

Staff were trained in how to protect people from the risk of abuse and harm. They knew how to recognise signs of abuse and how to raise an alert if they had any concerns.

The service had appropriate arrangements in place to manage medicines so people were protected from the risks associated with medicines.

There were sufficient staff on duty to meet people’s needs. Staffing levels were calculated and adjusted according to people’s changing needs.

Robust and safe recruitment procedures were followed which meant suitable staff were employed to help keep people safe.

Systems were in place to maintain the safety of the hos

Inspection areas

Safe

Good

Updated 31 August 2016

The service was safe.

There were sufficient staff on duty to meet people’s needs safely.

Robust and safe recruitment procedures were followed in practice.

The service had appropriate arrangements in place to manage medicines so people were protected from the risks associated with medicines.

The environment was secure and well maintained and fit for purpose.

Effective

Good

Updated 31 August 2016

The service was effective.

People were supported to maintain a nutritious diet and people told us about the high quality of the food. There were varied choices of menu, drinks and snacks provided.

Staff were trained in the principles of the Mental Capacity Act and the Deprivation of Liberty Safeguards and were knowledgeable about the requirements of the legislation.

Staff told us they were supported through induction, regular on-going training, group supervision and appraisal. Individual staff supervision was less frequent and meetings were not always recorded. The registered manager said they had identified improvements in staff supervision were required and said they planned to increase the consistency and frequency of individual staff supervision within the next three months.

Caring

Good

Updated 31 August 2016

The service was caring.

People and relatives made positive comments about the staff and told us they were treated with dignity and respect. The staff were described as being kind and caring.

Staff were attentive to people’s needs and choices and treated them with respect.

Staff protected people’s dignity and privacy when providing care for them.

Responsive

Good

Updated 31 August 2016

The service was responsive.

People were encouraged to be involved in making choices regarding their care and treatment.

The care plans we looked at reflected people’s needs and gave information about their treatment regimes.

The hospice staff worked closely with community-based professionals to provide an integrated end of life care service.

A copy of the complaints procedure was available and complaints

records were maintained.

Well-led

Good

Updated 31 August 2016

The service was well led.

We received very positive comments regarding the overall management of the hospice from staff, other care professionals, relatives and people who used the service.

Quality assurance and clinical governance systems were in place and were used to improve the service.

The service was actively involved in building local community links and took part in close working with other hospices and organisations at regional level.