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Prospect Hospice Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 13 October 2021

Our rating of this location improved. We rated it as outstanding 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, and gave them pain relief when they needed it. 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 keep as healthy as they could, supported them to make decisions about their care, and had access to good information. Key services were available seven days a week.
  • Staff treated patients with compassion and kindness and always respected their privacy and dignity. Staff recognised and respected the totality of their individual needs and went to great lengths to make final wishes a reality. People who used the service were active partners in their care. Staff were fully committed to working in partnership to make this a reality for each person. Staff helped patients and their families to understand their conditions. There was a strong, visible person-centred culture and staff provided emotional support to patients, families and carers in every way they could. Patients emotional and social needs were highly valued by staff and embedded in their care and treatment. The service considered itself as caring for the patient and those close to them and created systems to support care in this way. Staff supported and encouraged people to have a voice and realise their potential. Staff consistently respected choices made by the patient and those close to them and promoted this choice with other health agencies. Patients felt they were truly cared for and supported by hospice staff.
  • The service planned care to meet the needs of local people, consistently took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it.
  • Leaders had an inspiring shared purpose to deliver outstanding care. They ran services well and strived to motivate staff to succeed in enhancing their skills and improving care they delivered. Leads developed systems which encouraged and supported staff to innovate and put patients and families at the centre of their care. Leads had developed and used reliable information systems. Staff understood the service’s vision and values and applied them in their work. Staff felt respected, supported and valued and were keen to let us know how leads and managers had supported them at difficult times. Staff were proud to work within the hospice as a team and felt there was no hierarchy. Staff were clear about their roles and accountabilities and felt leads engaged with them in a constructive way. Leads created ways for constructive challenge from people who use the services. The service engaged well with patients, staff and the community to plan and manage services and all staff were committed to improving services continually for the benefit of the patient.

However:

  • Some groups of nursing staff had not received meaningful or consistent clinical supervision or one to one meetings since before May 2021.
  • Not all staff who had contact with patients and families were trained in level two safeguarding children.

Inspection areas

Safe

Good

Updated 13 October 2021

Effective

Good

Updated 13 October 2021

Caring

Outstanding

Updated 13 October 2021

Responsive

Good

Updated 13 October 2021

Well-led

Outstanding

Updated 13 October 2021

Checks on specific services

Hospice services for adults

Outstanding

Updated 13 October 2021