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Inspection report

Date of Inspection: 9 February 2012
Date of Publication: 2 March 2012
Inspection Report published 2 March 2012 PDF | 53.28 KB

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent staff.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 09/02/2012, checked the provider's records, observed how people were being cared for, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

People who come to Cotswold Care Hospice are cared for by competent, trained, and experienced staff. Staff are supervised and appraised to ensure they are working effectively. Staff are able to undertake professional development that is relevant to their role from time to time.

Overall, we found that Cotswold Care Hospice was meeting this essential standard.

User experience

We asked the people that we met if they felt that the staff they had met and had cared for them were well trained and supported. People said that staff "seemed to be very well trained" and "I feel that they really know what they are doing". We were told that the therapists, including the art therapist, were "really knowledgeable and clearly love what they are doing here".

Other evidence

We asked staff about their training and development. All the staff that we talked with said that their training was relevant and up-to-date. We looked at the records of training and saw that this was up-to-date and confirmed with what staff told us.

Mandatory training was delivered annually and included the subjects that ensured that care and welfare of people who use the service was safe and delivered to a high standard. This included health and safety subjects, infection prevention and control, safeguarding vulnerable adults and children, equality and diversity, and basic life support. Some training was delivered 'in-house' by staff who had been accredited to deliver training to other staff. Some staff also told us that they had been given opportunities to undertake professional development and a "reasonable" budget was available each year for this.

Staff told us that the training delivered gave them confidence in their role. Staff also received supervision and an annual appraisal which we were told was "motivating" and "keeps us focused". We were told that supervision took place between four and eight weeks, depending on the role of the staff. We were told that supervision included bereavement support and counselling for staff if required. When a member of staff was present at the death of a patient, they were given clinical supervision shortly afterwards as a form of support.

We asked staff if they enjoyed their work and fell well supported. We were told that a number of staff had worked at the service for many years and "loved the job", "love coming here every day", and "I am fantastically supported." Staff said that the morning multi-disciplinary meetings before patients arrived, and at the end of the day, were also supportive and strengthened the teams.

The staff had meetings within their discipline and also together. The heads of department met weekly, as did some of the therapy teams, and the clinical team met every six weeks. A multi-disciplinary team met monthly to discuss patients where there were concerns. The organisation had an annual staff day which included training and specialist presentations.