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Great Oaks Dean Forest Hospice Good

All reports

Inspection report

Date of Inspection: 13 December 2013
Date of Publication: 25 December 2013
Inspection Report published 25 December 2013 PDF

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent staff.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 13 December 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard. A mandatory training programme and regular team training were provided. Staff were supported to access specialist training where this met their learning needs and the needs of the service.

Reasons for our judgement

Staff received appropriate professional development. One person told us that staff were competent and seemed confident in their roles which made them feel safe while being cared for. They commented, “I have found they are the right type of people, some are very good”. New employees completed an 'induction to the service' day and this was followed-up with regular mandatory training. New staff members were orientated to the provider’s different services where they worked alongside experienced staff members. Nursing and complementary therapy staff told us that they were able to meet their continual professional development (CPD) and/or the Nursing and Midwifery Council's post-registration education and practice (PREP) requirements.

Staff were able, from time to time, to obtain further relevant qualifications. One staff member we spoke with had almost completed a return to practice course which would enable them to re-register and practice as a qualified nurse. They told us they had been supported by Great Oaks as they had been given time to attend and complete the written elements of the course. Another member of staff told us that they could apply for the time and funding to attend relevant specialist courses.

The provider had worked continuously to maintain and improve high standards of care by creating an environment where clinical excellence could do well. Staff told us that training was accessible and covered a broad spectrum of topics. An ‘introduction to palliative care’ course was run monthly in conjunction with two other hospice services within the county. A staff member told us that this was comprehensive and was useful for updating their knowledge. The provider was a member of the 3 Counties Cancer Research Network which meant that staff had ongoing access to a wide network of specialist providers and information. All of the staff we spoke with felt well-supported in their roles. They said, “It’s a really positive place to work” and “It’s a fantastic place to be”.

Multidisciplinary team meetings were held weekly. Monthly clinical team meetings were attended by the palliative care consultant and were used to discuss ongoing or difficult to resolve problems. The service’s clinical governance group met quarterly and had oversight of clinical incidents, user group feedback and audit outcomes. Any issues were raised to the Board of Directors.