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Inspection Summary


Overall summary & rating

Good

Updated 22 December 2016

We inspected Springhill Hospice on the 16 and 17 August 2016. The first day of the inspection was unannounced. We last inspected Springhill Hospice on 15 October 2013 where we found all the regulations that we looked at had been complied with.

Springhill Hospice is a charitable organisation that provides a range of hospice services for adults with a life-limiting illness. The hospice is purpose built and provides accommodation on the Inpatient Ward for up to 16 people. The hospice also has a Specialist Palliative Care Community Service, a Day Hospice, and a Hospice at Home service. In addition the hospice offers a 24 hour telephone advice line for professionals, people who use the service and their families. The hospice is close to public transport routes and is situated in a residential area of Rochdale, not too far from the town centre. It is set in large well-maintained gardens with adequate parking and clearly defined parking areas for disabled visitors. Services are free to people, with Springhill Hospice receiving some NHS funding and the remaining funds achieved through fundraising and charitable donations.

There were 16 people being cared for in the Inpatient Ward during our inspection, 16 people in the Day Hospice and approximately 240 people in the community.

The hospice had a manager registered with the Care Quality Commission (CQC) who was present during the inspection. A registered manager is a person who has registered with CQC 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 and associated regulations about how the service is run.

We found there was one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Medicines were not always given as prescribed, appropriate systems were not in place for the management of medicines requiring refrigeration and relevant information to enable staff to administer ‘when required’ medicine safely was not in place. You can see what action we have told the provider to take at the back of the full version of the report.

The expressions of gratitude relayed to us demonstrated that people were cared for with the utmost compassion, kindness, dignity and respect. People spoke highly of the kindness and caring attitude of the staff. People told us they received the care they needed when they needed it and that staff were knowledgeable and committed. Visitors were made welcome and the staff recognised and considered the importance of caring for the needs of family members and friends.

People were supported at the end of their life to have a comfortable, dignified and pain-free death. The nursing and medical staff showed they were highly skilled in pain and symptom control. Staff were passionate about the need to spread awareness and knowledge of end of life care by introducing an innovative and creative programme of training for staff caring for people in care homes.

We found that people received outstanding care. People's privacy was respected and people were assisted in a way that respected their dignity. We observed respectful, kindly and caring interactions between the staff, the people who used the service and visitors. People looked well cared for and there was enough equipment available to ensure people's safety, comfort and independence were protected.

The way that the hospice staff worked in partnership with other organisations was outstandingly effective. The staff were passionate about the need to spread awareness and share their knowledge of end of life care with other services that were involved in supporting people in the community.

We saw how the cultural and religious needs of all faiths was considered and respected. Staff told us they strived to ensure that people’s spiritual needs were met. There was a Spiritual and Pastoral Care Co-ordinator who was available to spend time with people in t

Inspection areas

Safe

Requires improvement

Updated 22 December 2016

The service was not always safe.

Medicines were not always given as prescribed, appropriate systems were not in place for the management of medicines requiring refrigeration and relevant information to enable staff to administer ‘when required’ medicine safely was not in place.

Sufficient suitably qualified and competent staff that had been safely recruited were available at all times to meet people's needs. Suitable arrangements were in place to help safeguard people from abuse.

All areas of the hospice were secure, well maintained and accessible for people with limited mobility. In addition good infection control procedures were in place;, making it a safe environment for people to live and work in.

Effective

Outstanding

Updated 22 December 2016

The service was very effective.

Staff were passionate about the need to spread awareness and knowledge of end of life care by introducing an innovative and creative programme of training for staff caring for people in care homes. The education provided by the hospice also extended to other professionals in the community caring for people with a life limiting illness; helping to ensure the best possible care for people and for their families.

Staff were able to demonstrate their understanding of the principles of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty

Safeguards (DoLS). People were involved in making decisions about all aspects of their treatment and care.

People were provided with a choice of suitable nutritious food and drink to ensure their health care needs were met. People were supported to eat and drink and maintain a balanced diet.

Caring

Outstanding

Updated 22 December 2016

The service was very caring.

People told us they received the care they needed when they needed it and that staff were knowledgeable and committed. People spoke highly of the kindness and caring attitude of the staff. People were cared for with the utmost compassion, kindness, dignity and respect.

People were supported at the end of their life to have a comfortable, dignified and pain-free death. The nursing and medical staff showed they were highly skilled in pain and symptom control and provided outstanding end of life care

Responsive

Good

Updated 22 December 2016

The service was responsive.

The care records showed people were involved in the assessment of their needs. A person's preferred place of care at all stages of their illness and the arrangements in the event of their death were documented.

Staff were skilled in recognising when a person was in the last days of life and were able to provide the appropriate care.

Suitable arrangements were in place for reporting and responding to any complaints or concerns.

Well-led

Good

Updated 22 December 2016

The service was well led.

The service had a manager in post who was registered with the CQC,

Clear lines of accountability and effective methods of communication were in place to ensure people received the best possible service. Systems were in place to monitor the quality of the service provided to help ensure that people received safe, effective care and support.

Accidents or incidents that CQC needed to be informed about had been notified to us by the registered manager. This meant we were able to see if appropriate action had been taken by management to ensure people were kept safe.