Pee Paediatric Services

On this page

• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

We looked for evidence that the service involved people and treated them with compassion, kindness, dignity and respect.

This is the first inspection for this service since its registration with CQC. This key question has been rated as Good/Outstanding

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service always treated people with kindness, empathy and compassion and respected their privacy and dignity.

Arrangements were in place to promote patients’ privacy. The nurse practitioner understood Gillick competency and there was a process to ensure young adults had control over their own privacy and the amount of parental involvement in managing their care and support.

The service treated people as individuals and made sure people’s care, support and treatment met people’s needs and preferences. The nurse practitioner said that they found that children felt comfortable in the clinic as it was laid out in a child friendly way, with small chairs, and toys. They said children tended to open up more in this environment, and that parents commented on it.

The nurse practitioner told us they occasionally had phone calls directly with children if the child wanted to, for example to tell them that they got new bedding, had a new mattress, were able to have their first sleepover, could go on residential trips, and could go on playdates.

Patient communication needs were met to enable them to be fully involved in their care. We saw there were child-friendly information materials including story books relating to bed-wetting and other bladder control problems. One parent commented that the nurse practitioner spent a long time explaining bladder function to their child, using visual aids and checking their understanding.

The service promoted people’s independence, so people knew their rights and had choice and control over their own care, treatment and wellbeing. Feedback from parents was consistently positive.

One parent commented that the nurse practitioner “really understood the complexities we were facing”. They said their child was not initially cooperative, but the nurse managed him with patience and skill, explained the issues in a way their child could understand without pressuring them to interact, allowing them to absorb the advice in their own time.

The service listened to and understood people’s needs, views and wishes. Staff responded to people’s needs in the moment and acted to minimise any discomfort, concern or distress.

Parents could easily contact the service via the nurse practitioner’s mobile phone number, for example to ask questions about potential bladder irritants, and for general support.

The service was run by a sole nurse practitioner. They had peer support from an external colleague who was a clinical nurse specialist for paediatric nephrology, who also did their nursing revalidation.