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Zoe's Place Baby Hospice Good

Inspection Summary

Overall summary & rating


Updated 26 October 2016

This inspection took place on 11 August 2016 and was unannounced.

Zoe’s Place Baby Hospice is registered to provide care and treatment to children aged between 0 and five years, who have a life-limiting or life threatening condition. Zoe’s Place provides a range of services within its hospice from; short breaks for children, day care, support into children’s services after the age of five and care after death. Support is also provided to parents and siblings through groups and events held at the hospice. Since the hospice opened in 2011 the services offered to children including the opening hours have gradually developed and increased. In January 2016 the hospice extended its opening hours to seven days a week. Specialist nursing care is provided at the six bed hospice. The provider Zoe’s Place Trust runs another two children’s hospices which are situated in Middlesbrough and Liverpool.

There was a registered manager in post who is the head of care. 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.

There were procedures in place to make sure children were kept as safe as possible. This included the reporting and following through of incidents and accidents to make sure actions supported each child’s needs being met in the safest possible way when these had occurred. We found the procedures in place for following through incidents needed to be strengthened to further promote children's safety and wellbeing. The register manager immediately took action to ensure the incident procedures were as robust as they could be.

Staff had received training to support them in administering medicine to children to support their health needs. We identified some improvement to be made in the development of the risk assessment arrangements to support staff if a child experienced a severe allergic reaction. This was important to make sure staff had information to follow so children’s safety was consistently managed and met.

Children showed through their facial expressions and body language they were happy and looked comfortable when staff supported them with their needs and during play. Parents had no concerns about their child’s safety and were confident all staff knew their child’s particular needs and what may place them at risk in order to keep them safe. Staff had received training in how to protect children from abuse. Staff knew how to recognise and report possible harm or abuse and would have no hesitation in speaking out if they witnessed abuse. Recruitment checks had been carried out to make sure staff were suitable to work with children and their families before staff started to work at the hospice.

Staffing arrangements made sure children’s specialist care and needs were met at different times of the day and during the night. Children’s needs were met in a timely way and there was ample time for staff to spend with each child as the numbers of staff were based on one to one support for each child. Parents were very appreciative of how staffing levels were managed and reviewed as it had a positive impact upon the flexibility of their child’s needs being met either on a day and/or respite care basis.

Children were supported by staff who had been provided with the specialist training they required before there was an agreement by the management team to make sure a child’s needs could be effectively met. Staff practices reflected they were knowledgeable in the care they provided to each child during our inspection. Children’s healthcare needs were further promoted by the sharing of learning experiences and the joint partnerships with external healthcare professionals so care and treatment remained effective for each child. Parents were appreciati

Inspection areas



Updated 26 October 2016

The service was safe.

The registered manager took immediate action to ensure the safety measures in place for reducing similar incidents from happening again were strengthened to promote children� s safety and wellbeing.

Children were protected from abuse by a staff team who were able to recognise and report possible and/or actual abuse.

Children had the care, support and supervision they needed to meet their needs in a timely way due to the continual assessment of the numbers of staff requiring to be on duty.

Children received their medicines from staff who were knowledgeable and competent to be able to do this so children�s wellbeing was not placed at risk.



Updated 26 October 2016

The service was effective.

Children were provided with care and treatment from staff who received regular training to ensure they had the skills and knowledge to meet their specialist needs.

Parents� decisions regarding their child�s treatment and end of life care had been sought.

Children�s feeding routines and the support they required was well known by staff to make sure their nutritional needs were met.

Children�s healthcare needs were met by staff who worked in partnership with parents and involved external healthcare professionals when required.



Updated 26 October 2016

The service was caring.

Children were supported by staff who were caring and knew the importance of their roles in making sure their caring practices respected each child�s privacy and dignity.

Parents were complimentary about how staff were thoughtful and how they valued their mutual support as it meant they felt comfortable and at ease in their child staying at the hospice.

Staff were committed in providing the best care to each child during their life and at the end of their life which supported each child�s individuality.



Updated 26 October 2016

The service was responsive.

Children needs were responded to by staff in a personalised way and very much involved parents so choices, preferences and goals could be met.

Children were supported by staff to have fun and enjoyment through age and need appropriate resources to enhance each child�s time spent at the hospice.

Links were being made with community resources so the services offered at the hospice continued to expand and be responsive to children�s palliative and end of life care.

The spiritual and religious needs of children and their families were supported. .

Parents knew how to raise any concerns and/or complaints they had and had confidence the management team would take action to resolve these.



Updated 26 October 2016

The service was well-led.

Parents were complimentary about how the management team was making on-going improvements and how they felt there was an inclusive and homely culture at the hospice.

Staff were proud of their work, achievements and felt supported by the management team to make sure the care each child received the best care.

Quality and monitoring checks together with the views of others were used to reflect continuous improvement and development of palliative and end of life care offered to children and families.