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Archived: Noah's Ark Children's Hospice Good

This service is now registered at a different address - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 28 January 2017

This inspection took place on 6 and 7 December 2016 and was announced. We last inspected this service on 4 December 2013 when it met all the regulations we looked at.

Noah’s Ark Children’s Hospice is a charity that offers support to children and young people who have a life-limiting or life threatening illness. They operate in the five North London boroughs of Barnet, Camden, Enfield, Haringey and Islington, and also in Hertsmere, a borough council in Hertfordshire.

Noah’s Ark provides care for the children and young people affected by illness. This support is community based and is provided by a range of staff including family link workers, social workers, music drama and movement therapist, play workers and home support volunteers, through support groups such as sibling groups and parent groups. There are also over 70 care volunteers who support children in their own homes or through group activities. Overall 450 volunteers support Noah's Ark providing support for administration, retail and fundraising.

Noah’s Ark also offers specialist carers who are able to provide direct care to children and young people. They also employ paediatric nurses who support and train the specialist carers. This is the part of the service which is regulated by the Care Quality Commission (CQC). At the time of the inspection they were providing specialist care to approximately 80 children and young people, whilst supporting an additional 150 children and young people with services not regulated by CQC, and a further 180 bereaved families.

Currently the service is community based. However, there are well progressed plans to continue raising funds and start building a hospice which will house the community teams and a small residential unit to provide end of life care for children and young people who might require this service.

Anyone in the community is able to refer themselves or any child or young person under the age of 19 to the service. Noah’s Ark can provide tailored care which includes medical, emotional and practical care. They provide an out of hours on-call service to families and their staff so they can be accessed in an emergency.

The service had a registered manager in post who was the Director of Care. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

Parents were positive about the support they received from Noah’s Ark, this was in terms of the direct support for their children and for the support provided to the entire family which alleviated pressure on them.

Staff were trained to provide end of life care to children and young people in line with their wishes and those of the family. The service was able to offer bereavement support to parents after the death of a child.

The provider completed a range of checks prior to recruitment of volunteers, staff and trustees to make sure they were suitable to work with children and young people. There were policies and procedures in place to make sure children and young people were kept safe. The service had a designated lead for safeguarding children at risk. Staff we spoke with knew what action they needed to take to ensure children and young people were protected from harm.

Staff received an induction programme and subsequently, dependent upon their role, extensive training. They were also encouraged to source training they felt they required and to remain registered with their professional body. Staff told us they received support from their peers and managers through a variety of informal and formal mechanisms.

The needs of children and young people were constantly reviewed and care provided on that basis. Health needs were reviewed by the provider including making sure children received

Inspection areas

Safe

Good

Updated 28 January 2017

The service was safe. The provider had undertaken recruitment checks of people applying to work at the service to ensure only those suitable were employed. People knew how to make sure children and young people who used the service were kept safe, and what action to take if they were concerned.

Staffing levels were determined by the level of care and support the children, young people or their families required.. This helped to ensure families received the level of support they required when they were in greatest need.

The provider made sure there were systems in place to manage children�s medicines in an emergency and to prevent risks associated with cross infection.

The provider had arrangements to identify potential risks to people and put measures in place to mitigate against the risks.

Effective

Good

Updated 28 January 2017

The service was effective. Staff had an intensive induction period and received regular training. There were a number of measures in place so staff felt supported in their roles.

Staff were aware of the Mental Capacity Act 2005 and how it may impact on their work. Staff sought consent from children, young people or their families before providing care.

The provider worked with other healthcare professionals to ensure the needs of children and young people were effectively met.

Caring

Good

Updated 28 January 2017

The service was caring. Parents told us staff were caring, they particularly valued the support the service provided to the whole family.

Regular staff meant children and young people received care that was consistent. Staff were able to promote the young person�s independence.

The service was able to provide compassionate end of life care, which took account of families� diverse needs.

Responsive

Good

Updated 28 January 2017

The service was responsive. The provider ensured that the needs of children and young people were comprehensively and continually assessed so their current needs were being met.

Activities were arranged for children, young people, siblings and parents to help reduce social isolation.

Parents told us they knew how to make a complaint and the service used learning from complaints to help improve the overall quality of the service.

Well-led

Good

Updated 28 January 2017

The service was well-led. There was a clear management structure in place and the provider created an open and transparent culture within the service so staff, people using the service, relatives and others could express their views about the service.

Accidents and incidents were monitored and there was a rolling programme of checks and audits to help improve the overall quality of the service.

The provider actively sought feedback from children, young people, parents and from other stakeholders to help them understand the quality of the service being delivered.