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Inspection Summary


Overall summary & rating

Good

Updated 15 June 2016

The East Cheshire Hospice is located in a residential area close to the centre of Macclesfield from where it provides care for adults suffering from life limiting illnesses. There are fifteen inpatient beds as well as a day care centre supporting people to continue to live in their own home. The hospice is staffed by doctors, nurses, other health professionals and support staff as well as volunteers. The services provided include counselling and bereavement support; a Lymphoedema service (for people who experience swellings and inflammations); an outpatient clinic; occupational and art therapy, physiotherapy, chaplaincy and volunteer services. Services are free to people and the Hospice is largely dependent on donations and fund-raising by volunteers in the community.

This inspection was carried out on 17 March 2016 by one adult social care inspector. It was an unannounced inspection. There were 12 inpatients at the hospice on the day of our visit.

There was a manager in post who was registered with the Care Quality Commission (CQC). 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. The registered manager was also the director of care and operational services and oversaw the running of the service.

East Cheshire Hospice had caring and positive staff who said that patients were at the heart of the service and were fully involved in the planning and review of their care, treatment and support.

Plans in regard to all aspects of their medical, emotional and spiritual needs were personalised and written in partnership with people. Staff delivered support to patients according to their individual plans.

Staff had received training with regard to protecting patients from abuse and harm. They knew how to recognise signs of abuse and how to raise an alert if they had any concerns.

We saw risk assessments which were centred on the needs of the individual. Each risk assessment included clear measures to reduce identified risks and guidance for staff to follow or make sure patients were protected from harm.

Accidents and incidents were recorded and monitored so that risks of recurrence could be reduced.

There were sufficient staff on duty to meet patient’s needs. Staffing levels were calculated and adjusted according to patient’s changing needs.

There were thorough recruitment procedures in place which included the checking of references.

Staff were enthusiastic about the care they gave and said that patients were at the heart of East Cheshire Hospice and it was important to treat each person as an individual.

Patients were treated with dignity and respect and cared for by staff who knew and understood their needs. Patients and their relatives were involved in making decisions about their care and

support.

Families and friends were supported by trained bereavement councillors and all staff at the hospice.

We saw warm, caring, respectful relationships between patients and staff during our inspection.

Staff had received essential training including end of life care and were scheduled for refresher courses. Staff had received further training specific to the needs of the people they supported.

All members of care and support staff received regular one to one or group supervision and an annual appraisal. This ensured they were supported to work to the expected standards.

Clear information about the service, the facilities, and how to complain was provided to patients and visitors.

Medication was managed safely and processes in place ensured the handling and administration of medication was safe, secure and that patients received medicines when they were prescribed.

Patients were supported to make decisions about their life and trea

Inspection areas

Safe

Good

Updated 15 June 2016

The service was safe.

Patients spoken with said they felt safe.

Staff had received training and knew how to protect people from harm and abuse.

There were enough staff to ensure people were able to receive personalised care and support.

Patients received medication as they needed it and it was stored and administered effectively.

Effective

Good

Updated 15 June 2016

The service was effective.

Staff were supported with regular supervision and annual appraisals.

Staff understood the Mental Capacity Act 2005 (MCA) which enabled them to support patients to make decisions.

Patients were involved in menu planning, and supported to eat and drink if required.

Patients had access to health care professionals on a regular basis as part of their treatment.

Caring

Good

Updated 15 June 2016

The service was caring.

Patients were very complimentary about the care and support provided.

Patients were involved in the planning and review of their care plan.

Patients were treated with dignity and respect, and had the privacy they required.

Visitors were welcomed at any time.

Responsive

Good

Updated 15 June 2016

The service was responsive.

Patients had person centred care/treatment plans which they had been involved in writing.

The service had a 'day therapies' centre, which included therapist and nurses, for patients to access.

The hospice had a complaints system which was used effectively.

Well-led

Good

Updated 15 June 2016

The service was well led.

The hospice had a registered manager who was supported by a staff team and a board of trustees.

There were good internal quality audit systems in place.

The service worked in partnership with key organisations, including specialist health and social care professionals.