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Princess Alice Hospice Outstanding

All reports

Inspection report

Date of Inspection: 9 December 2013
Date of Publication: 8 January 2014
Inspection Report published 08 January 2014 PDF

Before people are given any examination, care, treatment or support, they should be asked if they agree to it (outcome 2)

Meeting this standard

We checked that people who use this service

  • Where they are able, give valid consent to the examination, care, treatment and support they receive.
  • Understand and know how to change any decisions about examination, care, treatment and support that has been previously agreed.
  • Can be confident that their human rights are respected and taken into account.

How this check was done

We carried out a visit on 9 December 2013, observed how people were being cared for, talked with people who use the service and talked with carers and / or family members. We talked with staff.

Our judgement

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

Reasons for our judgement

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

We saw that staff asked people if they wanted assistance or support before giving it. For example one person told us “I didn’t feel too good this morning when staff asked if I wanted a bath. I asked if I could have one later and they said yes.” Another person said “Everything is explained very clearly to me and then I make a decision. I have been talking to the doctors and nurses about different painkillers I have heard about and they have agreed to try some things with me.”

We spoke with the medical director who showed us the variety of consent forms and policies available to patients. These included consent to examination or treatment; decisions about cardiopulmonary resuscitation and a best interests’ policy. This showed us the hospice took seriously the right of patients to make their own decisions.

We were told that the hospice had an ethics committee. They looked at ethical clinical decision making. This showed us medical staff looked at medical interventions for people and made decisions related to their preference and quality of life.

We observed all staff knocked on doors prior to entering, and waited for a response. We saw that when a member of the multi-disciplinary team was with a patient a sign was placed on the door. One patient told us “If I don’t want to be disturbed I tell the staff and hang a sign on the door. They respect my wishes.” We saw that where patients were in three bed bays, curtains were used to ensure their privacy from each other. This showed us that staff respected people’s right to privacy and dignity.

Staff told us that all care was individualised for each patient. We were told “No two patients are the same. No two patients respond the same to symptom control. We have to see each patient and treat holistically and respond to their needs. Of course this is always done during discussions with them and then agreeing with them the best way forward.”