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Inspection report

Date of Inspection: 7 July 2011
Date of Publication: 30 September 2011
Inspection Report published 30 September 2011 PDF | 39.75 KB

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

We reviewed all the information we hold about this provider, carried out a visit on 07/07/2011, 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 experience effective, safe and appropriate care, treatment and support that meets their individual needs.

User experience

“It’s brilliant, all the staff are nice, they ask me about my care and how I want things done. The care is very individual and personal”

“The staff are great, they care for me very well here”

There is a lovely landscaped garden for people to enjoy. We saw people sitting in the garden during our visit. There is a range of garden furniture so people can sit in comfort and sun umbrellas were available to protect people from the direct sun. One of the people said “I love sitting out here its lovely”.

We were impressed with the high level of confidentiality demonstrated by staff that clearly was part of the day to day practices within Mary Stevens Hospice. Staff always asked people’s permission before we spoke to them or looked at any information about their care.

The atmosphere was welcoming, friendly and calm. Visitors are welcomed by reception staff and a small gift shop is available for people to buy gift and cards.

Other evidence

We looked at some people’s care notes. The hospice uses ‘The Liverpool Care Pathway’ (LCP) which is an end of life pathway and provides healthcare professionals with a focus for meeting people’s individual needs. We saw that documentation is recorded clearly and is detailed. Pre assessment documentation clearly states what people’s needs are and the reason for the referral to the hospice.

A weekly meeting takes place (MDT) to review each patients care. Patients regularly get the chance to discuss their care with the MDT team.

Care plans were in place to meet particular needs such as pressure care, constipation and pain management. This should ensure that specific health needs and their symptoms are well managed.

Care notes were written in a personalised way and indicated that the focus was on the very personal and individual needs of the person. People’s spiritual needs and wishes were also recorded.

Medical cover is available from GP’s employed by the hospice. Out of hours there is a doctor and senior nurse on call during evenings and weekends. This ensures that nursing staff have the medical support they need in an emergency.

The Hospice has specialist mattresses, profiling beds and hoists to ensure people are constantly nursed and risks of sore skin kept to a minimum.

A multi-faith chapel is available for people and their family and friends to use when they want to. Different services are available for people to attend.

A day centre is attached to the main hospice. This is open each week day and different activities are available that people can take part in. There is also a range of complimentary therapies available such as aromatherapy, reflexology and indian head massage.

Staff told us “There are no strict routines. It is people’s choice they can get up when they want, have a bath or shower and eat when they want. It is their choice we are here to assist”. And “We work in a way that is personalised”.

We saw that bedrooms were comfortable and spacious. There are some single rooms and a three and four bedded ward. Staff confirmed that the wards are single sex only so people’s privacy and dignity are maintained. The wards were spacious and designed in a way to maintain people’s privacy. Curtains were available for extra privacy.