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St Luke's Hospice Outstanding

We have edited the inspection report for St Luke's Hospice from 12 January 2017 in order to remove some text which should not have been included in this report. This has not affected the rating given to this service.
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Inspection report

Date of Inspection: 7 June 2012
Date of Publication: 20 June 2012
Inspection Report published 20 June 2012 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

Our judgement

People experienced care, treatment and support that met their needs and protected their rights. The provider was meeting this standard.

User experience

We talked to three patients along with one relative during our inspection. People told us they were happy with care at the hospice, liked all the staff who looked after them, thought the hospice was kept clean and enjoyed their food.

Some comments captured included:

"[Staff are] friendly and helpful";

"Staff are always there when I ask for something";

"Good variety of food which is served promptly and my dignity is maintained";

"Fantastic experience...courteous staff";

"[Nursing and other staff] absolutely wonderful, they're angels";

"All [staff] very good...nothing too much trouble";

"[Food] Marvellous...always had nice food and always served really nicely";

"They change my position in bed regularly and attend to all my personal needs";

"My family think [the hospice] is marvellous";

"Cannot think of anything they could improve";

"Anything you want you can get";

"Excellent here...nurses are super!"

We also talked to two relatives of a patient who had been admitted to the in-patient area within the last 24 hours. The relatives had observed "how very personal the care was" when compared with the care the patient had received at a local NHS hospital. Overall, their first impressions of the hospice were that the service was "very nice…very good" with "very good staff".

We used informal observation to see how members of staff interacted with patients. We saw staff treated people with dignity and respect by using a positive, friendly and professional approach. We found people looked clean, tidy and had their medical, nursing and welfare needs met.

Other evidence

Prior to our inspection some external stakeholders were also contacted so they could contribute information prior to our visit. Sheffield’s local involvement network (LINk) provided no information of concern. NHS Sheffield provided a report summary which explained their ongoing positive engagement and included a number of statements which provided assurance of compliance with this and a number of other essential standards.

During our inspection we found the hospice employed a range of healthcare professionals to ensure people's care and welfare needs were met. These included palliative care consultants, medical staff, nurses and other members of the multi-disciplinary team including physiotherapists and social workers. The hospice used an evidenced based end of life care pathway and had a range of equipment, facilities and other services to meet the needs of people receiving palliative care.

We reviewed a sample of four sets of care records. These included detailed medical and nursing admission and assessment documents, care plans, multi-disciplinary meeting records and other documents related to the care of the patient. We also checked individual patient risk assessments which covered areas such as nutrition, moving and handling, bed rail risks and wound care. Overall we found care records, observation charts and risk assessment forms were completed to a reasonable standard. The patient progress records (ongoing care evaluation) were completed by all members of the multi-disciplinary team which allowed accurate and detailed contemporaneous records of each patient's daily care.

We talked to two staff nurses during our inspection who both felt nursing documentation could be improved, particularly in relation to admission and initial assessment documents. We talked to the senior sister of the in-patient area who explained a review of care documentation was underway. We found work was in progress and the hospice planned to introduce new core care plans which could be individualised when required. The senior sister explained, and one of the staff nurses confirmed, that they had been asked to look at ways of streamlining and improving nursing admission documentation.