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Helen and Douglas House Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 26 July 2017

We inspected this service on 6 June 2017.

Helen and Douglas House is a hospice charity based in Oxford providing palliative, respite, end of life and bereavement care to life limited children, young adults and their families. Helen House can accommodate up to eight children and Douglas House up to seven young adults. At the time of our inspection there were four children in Helen House and three young adults in Douglas House.

The service provides complete care including counselling and bereavement support for children, young adults and their families. The hospice had a multi-professional team consisting of medical and nursing staff, spiritual care, family support workers and therapists. The hospice was also supported by volunteers.

There was a registered manager in post. 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 worked closely with the director of clinical services and a deputy manager.

At the last inspection on 6 December 2016, the inspection was prompted in part by a notification of a significant incident. On that focused inspection the service was rated inadequate in safe and requiring improvement in well led. Two breaches of the Health and Social Care Act 2008 (Regulated Activities) 2014 were identified. Following the inspection, we received regular action plans which set out what actions were being taken to ensure children and young adults were safe.

We undertook this inspection on 6 June 2017 in line with our inspection guidance to see if improvements had been made. At this inspection we found considerable improvements in the service. We saw that action had been taken to improve children's and young adults' safety and the provider’s quality assurance systems were effective.

Children and young adults had a range of individualised risk assessments in place to keep them safe and to help them maintain their independence. Where risks to children and young adults had been identified, risk assessments were in place and action had been taken to manage the risks. Staff were aware of children's and young adults' needs and followed guidance to keep them safe.

Children and young adults received care that was personalised to meet their needs. Care plans were current and reflected changes in care.

The provider had effective quality assurance systems in place which identified areas of improvement and allowed learning across the board.

Children and young adults who were supported by the service felt safe. Staff had a clear understanding on how to safeguard them and protect their health and well-being. Children and young adults received their medicines as prescribed.

There were enough suitably qualified and experienced staff to meet children’s and young adults’ needs. The service had robust recruitment procedures and conducted background checks to ensure staff were suitable for their roles.

Staff received adequate training and support to carry out their roles effectively. Children and young adults felt supported by competent staff that benefitted from regular supervision (one to one meetings with their line manager) to help them meet the needs of the children and young adults they cared for. Nurses were supported through the revalidation process.

Children’s and young adults’ nutritional needs were met. They were given choices and were supported to have their meals when they needed them. Staff treated children and young adults with kindness, compassion and respect and promoted their independence and right to privacy.

Children and young adults were supported to maintain their health and were referred for specialist advice as required. Staff knew how to support children, young adults and their families through

Inspection areas

Safe

Requires improvement

Updated 26 July 2017

Whilst the service had made significant improvements to the safety of care we have judged the service needs to demonstrate that these improvements can be sustained over time.

Risks to people were managed and assessments were in place to manage the risks and keep children and young adults safe.

There were sufficient numbers of suitably qualified staff to meet children and young adults� needs.

Children and young adults were protected from the risk of abuse as staff had a good understanding of safeguarding procedures.

Medicines were administered safely.

Effective

Good

Updated 26 July 2017

The service was effective.

Staff had the knowledge and skills to support children and young adults effectively.

Children and young adults were supported to have their nutritional needs met.

Staff had good knowledge of the Mental Capacity Act 2005 and applied its principles in their day to day work.

Children and young adults were supported to access healthcare support when needed.

Caring

Good

Updated 26 July 2017

The service was caring.

Children and young adults were treated as individuals and were involved in their care.

Children and young adults were supported by caring staff who treated them with dignity and respect.

Staff knew how to maintain confidentiality.

Responsive

Good

Updated 26 July 2017

The service was responsive.

Children�s and young adults� needs were assessed and care plans were current and reflected their needs.

Children�s and young adults� views were sought and acted upon.

Children, young adults and families knew how to make a complaint and were confident complaints would be dealt with effectively.

Well-led

Good

Updated 26 July 2017

The service was well led.

Young adults, families and staff told us the management team was open and approachable.

The leadership created a culture of openness that made staff, children and young adults feel included and well supported.

There were effective systems in place to monitor the quality and safety of the service.