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We are carrying out a review of quality at Dove Cottage Day Hospice. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 4 September 2015

We carried out an unannounced inspection of the service on 14 July 2015.

Dove Cottage Day Hospice is an independent organisation offering palliative day care to people with life limiting conditions living in north east Leicestershire, Rutland and south east Nottinghamshire. The service is situated close to the village of Stathern. All services are provided free of charge. A small team of nurses and nursing assistants are supported by over 60 volunteers. Facilities include communal lounges, a garden room with access to a landscaped garden and treatment rooms where people receive massage and complimentary therapies. Up to 20 people use the service each day.

The service was registered to provide three regulated activities. These were Treatment of disease, disorder or injury (TDDI); Diagnostic and screening procedures and Transport services, triage and medical advice provided remotely. At the time of our inspection only TDDI was provided.

The service 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.

People using the service told us they felt safe because of the quality of care they received. They explained that staff and volunteers understood and were attentive to their needs. They described Dove Cottage as being warm and friendly and that it was a place they looked forward to visiting.

Staff understood their responsibilities for keeping people safe. Equipment and premises were well maintained and free of hazards that could result in people being harmed.

People were supported by sufficient numbers of skilled and experienced permanent staff and volunteers. They received their medicines when they needed them.

Staff and volunteers were highly regarded by people using the service. Our observations of how staff and volunteers supported people confirmed what people told us. Staff and volunteers communicated effectively with people using the service and each other. We saw that staff and volunteers put their training into practice. Staff and volunteers told us they felt well supported by the management team.

All of the people using the service were presumed to have mental capacity and staff understood their responsibilities under the Mental Capacity Act 2005.

People spoke in very favourable terms about the quality of meals they had. They were supported with their nutritional and health needs and preferences by staff and volunteers.

Staff and volunteers developed caring relationships with people using the service. That happened because staff and volunteers had detailed knowledge of the needs and preferences of people that the service.

People were involved in the assessments of their needs and in decisions about their care and support. People’s wishes were respected by staff who treated them with dignity. Several people we spoke with told us that staff and volunteers were like a second family.

People’s care plans were focused on their individual needs. They were supported to maintain their interests and hobbies through a variety of activities staff and volunteers provided.

People knew how to raise concerns if they had any. They emphasised to us that they had not had occasion to raise concerns or make a complaint.

People using the service, their relatives, staff and volunteers were involved in developing the service through a wide range of fund raising activities. Staff and volunteers were enthusiastic and motivated. They told us they enjoyed their roles at Dove Cottage more than any other job they’d done before.

The provider had effective arrangements for monitoring the service. These included scheduled audits and arrangements to receive feedback from people using the service and their relatives. People’s feedback was acted upon. The provider was committed to continuous improvement.

Inspection areas

Safe

Good

Updated 4 September 2015

The service was safe.

People told us they felt safe because of the quality of the staff and the care and support they received.

Staff understood their responsibilities on how to keep people safe. People received their medicines when they needed.

Effective

Good

Updated 4 September 2015

The service was effective.

People were supported by staff and volunteers who understood their needs.

Staff and volunteers received support through effective training and supervision.

Staff and volunteers supported people with their nutritional and health needs.

Caring

Good

Updated 4 September 2015

The service was caring.

People using the service told us that staff and volunteers were very caring and often went an `extra mile’ to support them.

People were involved in decisions about their care and support.

Staff respected people’s choices and their privacy and dignity.

Responsive

Good

Updated 4 September 2015

The service was responsive.

People received care and support that was centred on their individual needs and preferences.

People enjoyed a variety of activities and therapies at Dove Cottage.

People knew how to raise concerns if they had any.

Well-led

Good

Updated 4 September 2015

The service was well led.

People using the service, their relatives, staff and volunteers were involved in the development of the service.

Staff were motivated and enthusiastic and felt they were well led.

The provider had effective arrangements for monitoring the quality of the service.