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Inspection Summary


Overall summary & rating

Good

Updated 1 February 2017

This inspection took place on 7 September 2016 and was unannounced. The service was last inspected on 26 November 2013 and at that time the service was meeting all the regulations we inspected.

Kirkwood Hospice provides treatment for people who have advanced, progressive life-threatening illnesses such as cancer, neurological diseases, advanced heart and lung disease and end stage kidney failure. They provided ‘in-patient care,’ for up to 16 people. People are admitted to the in-patient unit for symptom control and medicine reviews and to support people and their families with their illness and treatment plans. The average length of stay at the hospice was seven days. There were 11 people using the in-patient hospice beds at the time of this inspection.

The service had 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 we spoke with told us they felt safe at Kirkwood Hospice.

Staff had a good understanding of how to safeguard adults from abuse and who to contact if they suspected any abuse. The provider had safe recruitment and selection procedures in place.

There were enough staff to meet people’s needs in a timely manner and medicines were managed in a safe way for people.

Staff had received an induction, supervision, appraisal and specialist training to enable them to provide support to the people who used the service. An effective overview of staff training and supervision was in the process of being developed to ensure staff were up to date with their training and development needs.

Staff were supported to maintain their professional registration where appropriate, reflect on and improve practice and share learning and expertise to support with the local community.

People’s consent to care and treatment was sought in line with legislation and guidance.

Meals were planned on an individual basis and people could choose from an all-day menu. People’s dietary requirements were catered for and people told us catering staff went the extra mile to meet their individual preferences.

A multidisciplinary team of healthcare professionals was available on site and effective liaison was evident between community professionals and the staff team.

The environment was clean and comfortable. It was also very well designed and maintained to accommodate people’s individual needs and promote their well-being.

People who used the service told us all the staff were excellent, showed compassion and went the extra mile to involve them in decision making and to support them with their end of life wishes.

We saw staff were caring and supported people in a way that maintained their dignity, privacy and human rights. People gave us examples of how they had been supported with compassion and sensitivity.

Staff were passionate about enabling people to experience a comfortable, dignified and pain free death. We saw the service provided holistic support, which included the persons family and support network.

People were supported to be as independent as possible and people’s cultural and religious needs were central to service provision.

People told us they were involved in their care planning and we saw they received personalised care that was regularly reviewed.

People were able to make choices about their care. Care plans detailed the care and support people required. From talking with people who used the service, their relatives and staff we were confident person-centred care was being delivered. Although some care records lacked information about personal goals a new project was being implemented to address this.

A range of activities were provided for people. Friends and family were welcomed to the service at any time.

Inspection areas

Safe

Good

Updated 1 February 2017

The service was safe.

Medicines were managed in a safe way for people.

Staff had a good understanding of how to safeguard people from abuse. Robust recruitment practices were followed to ensure staff were suitable to work in the service.

The environment and premises were well managed and appropriate safety checks took place to ensure people’s safety.

There were always enough staff to meet people’s assessed needs.

Effective

Good

Updated 1 February 2017

The service was effective.

Staff were provided with training to ensure they were able to meet people’s needs effectively.

People’s consent to care was sought in line with legislation and guidance.

There was a choice of meals and all preferences were catered for.

People had access to health and social care professionals as the need arose.

Caring

Outstanding

Updated 1 February 2017

The service was caring.

People told us the staff who supported them were very caring and went the extra mile to fulfil their wishes.

People were supported in a way that protected their privacy and dignity.

People were supported to be as independent as possible and direct their own care.

People’s religious and cultural needs were respected and person centred end of life care was delivered in line with people’s individual wishes.

Responsive

Good

Updated 1 February 2017

The service was responsive.

People were involved in the development and review of their care plans and their choices were respected.

People told us they knew how to complain and told us staff were approachable.

Well-led

Good

Updated 1 February 2017

The service was well led.

The registered manager was visible within the service.

The culture was positive, person centred, open and inclusive.

The registered manager and registered provider had a system in place to assess and monitor the quality of service provided.