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Dove Cottage Day Hospice Good

Inspection Summary


Overall summary & rating

Good

Updated 30 October 2019

Dove Cottage Day Hospice is operated by Dove Cottage Day Hospice. The service has no overnight beds.

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 the one regulated activity of Treatment of disease, disorder or injury (TDDI).

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.

Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

Services we rate

Our rating of this service stayed the same. We rated it as good because:

  • The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them. Staff collected safety information and used it to improve the service.

  • Staff provided good care and treatment, gave patients enough to eat and drink. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information.

  • Staff treated patients with great compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided exceptional emotional support to patients, families and carers.

  • The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.

  • Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

Heidi Smoult

​Deputy Chief Inspector of Hospitals (Central Region)

Inspection areas

Safe

Good

Updated 30 October 2019

Our rating of safe stayed the same. We rated it as Good because:

  • The service provided mandatory training in key skills to all staff and made sure everyone completed it.

  • Staff understood how to protect patients from abuse and the service worked well with other agencies to do so.

  • The service controlled infection risk well. The design, maintenance and use of facilities, premises and equipment kept people safe. Staff were trained to use them.

  • Staff completed and updated risk assessments for each patient and removed or minimised risks.

  • The service had enough staff with the right qualifications, skills, training and experience to keep patients safe from avoidable harm and to provide the right care and treatment.

  • Staff kept detailed records of patients’ care and treatment.

  • The service used systems and processes to safely administer, record and store medicine.

  • The service managed patient safety incidents well. Staff recognised and reported incidents and near misses

We found the following areas of good practice:

  • Planned staffing levels were always maintained and an acuity tool was used to plan staffing levels and guest attendance.

Effective

Good

Updated 30 October 2019

Our rating of effective stayed the same.We rated it as Good because:

  • The service provided care and treatment based on national guidance and evidence-based practice.

  • Staff gave patients enough food and drink to meet their needs and improve their health.

  • Staff assessed and monitored patients regularly to see if they were in pain, and supported pain relief in a timely way.

  • Staff monitored the effectiveness of care and treatment.

  • The service made sure staff were competent for their roles.

  • All those responsible for delivering care worked together as a team to benefit patients.

  • Staff gave patients practical support and advice to lead healthier lives.

  • Staff supported patients to make informed decisions about their care and treatment.

Caring

Good

Updated 30 October 2019

Our rating of caring stayed the same. We rated it as

Good

because:

  • Staff treated patients with great compassion and kindness, respected their privacy and dignity, and took account of their individual needs.

  • Staff provided exceptional emotional support to patients, families and carers to minimise their distress. They understood patients’ personal, cultural and religious needs.

  • Staff supported and involved patients, families and carers to understand their condition and make decisions about their care and treatment.

We found the following areas of good practice:

  • The service was provided to guests, their carers and relatives beyond the time they spent in the hospice and extended into bereavement care.

  • The spiritual space and the chaplaincy support was very personalised and was usually commented on positively, including by people who had no faith.

  • Feedback from guests was overwhelmingly positive both through the comments they made to the inspection team and through the provider’s surveys.

  • There was a strong culture of caring and compassion and feedback from guests indicated that the care provided went beyond their expectations.

Responsive

Good

Updated 30 October 2019

Our rating of responsive stayed the same.We rated it as Good because:

  • The service planned and provided care in a way that met the needs of local people and the communities served. It also worked with others in the wider system and local organisations to plan care.

  • The service was inclusive and took account of patients’ individual needs and preferences. Staff made reasonable adjustments to help patients access services. They coordinated care with other services and providers.

  • People could access the service when they needed it and received the right care in a timely way.

  • It was easy for people to give feedback and raise concerns about care received

We found the following areas of good practice:

  • The provider was proactive in identifying the changing needs of its client group and responding with additional and revised services.

Well-led

Good

Updated 30 October 2019

Our rating of well-led stayed the same.We rated it as Good because:

  • Managers had the right skills and abilities to run a service providing high-quality sustainable care.

  • The service had a vision for what it wanted to achieve and workable plans to turn it into action developed with involvement from staff, patients, and key groups representing the local community.

  • Managers promoted a positive culture that supported and valued staff, creating a sense of common purpose based on shared values.

  • There was a systematic approach to continually improving the quality of its services and safeguarding high standards of care.

  • The service was committed to improving services by learning from when things went well and when they went wrong.

  • The service had effective systems for identifying risks, planning to eliminate or reduce them, and coping with both the expected and unexpected.

  • They collected, analysed, managed and used information well to support all its activities.

  • The service engaged with patients, the public and local organisations to plan and manage appropriate services and collaborated with partner organisations effectively.

Checks on specific services

Hospice services for adults

Good

Updated 30 October 2019

Hospices for adults was the main activity of the service.

We rated this service as good because it was safe, effective, caring, responsive and well-led.