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Archived: Lymphoedema Specialist Services Ltd


Inspection carried out on 21 and 22 March 2017

During a routine inspection

We do not currently rate independent community specialist providers.

Lymphoedema Specialist Services (LSS)

 are a small independent company who employed two fulltime members of staff and provided services on behalf of the NHS.

LSS are registered to provide diagnostic and screening services, treatment of disease and disorder and transport services. During this inspection, we inspected treatment of disease and disorder as this is the regulated activity the service is currently providing.

We found:

  • While we found staff to be open and transparent and were able to describe incidents, LSS did not report any incidents or near misses in the last twelve months. We raised this with the registered manager (RM) who acknowledged that further training might be required to embed this through the service.

  • Staff were aware of their responsibility to safeguard vulnerable adults and children. While the RM was not trained to safeguarding level three at the time of the inspection, we saw evidence that this had been achieved following the inspection, providing an appropriate level for a service that can treat children.

  • Risks to patients were adequately assessed and reviewed, and we found that staff were aware of processes to follow in the event of clinical emergencies.

  • Staff were actively engaged in activities to monitor and improve quality and outcomes to patients.

  • Patients were involved and encouraged to be partners in their care and in making decisions, with any support they need. Staff spent time talking to patients and those close to them. They were communicated with and received information in a way that they could understand. Patients understood their care, treatment and condition. Patients and staff worked together to plan care and there was shared decision-making about care and treatment.

  • Services were planned and delivered in a way that mets the needs of the local population. The importance of flexibility, choice and continuity of care was reflected in the services. People’s individual needs and preferences were central to the planning and delivery of tailored services. The services were flexible, and provided choice andcontinuity of care.

  • The leadership was knowledgeable about quality issues and priorities, they understood what the challenges were and took action to address them. The service was transparent, collaborative and open with all relevant stakeholders about performance.

  • LSS were aware of their risks; and had a risk register in place, however not all of the risks had a risk rating.

  • The vision had been developed and staff knew of the importance of quality and compassion in the treatment of their patients.

The service proactively engaged with, involved all staff and ensured that the voices of all staff were heard and acted on.

Inspection carried out on 4 November 2013

During a routine inspection

Currently the organisation provides treatment for some NHS patients under a contract from the local clinical commissioning groups (CCG’s). Other people are able to access the service privately or through a case by case approach from the commissioners.

People did not receive treatment at this location. It was used as a base to store records and plan care and treatment for people who did not attend the provider's clinics.

We looked at records and saw that people were asked for their consent prior to receiving any treatment. We looked at treatment plans and saw that this reflected relevant research and guidance.

The provider worked co-operatively with other providers and organisations. There was a complaints procedure in place at the organisation.

Staff were supported by the provider continuously to maintain and improve high standards of care by creating an environment where clinical excellence could do well.

Inspection carried out on 7 December 2012

During a routine inspection

People told us that they were treated with respect and felt involved in their care and that treatment had improved their quality of life. Staff told us they provided home visits for people who had disabilities that prevented them attending clinics.

One person told us they were visited at home because they were too ill to travel. Other people told us that special support sleeves or stockings had been made to measure and that they had been taught to massage the affected limb to help recovery

We found that people using the service experienced individualised specialist diagnosis and treatment and observed this happening during a clinic

We found that people were cared for in a kind and supportive way and that they were offered additional information for their individual conditions. Staff told us there were many causes of lymphoedema and information

We found that peoples wishes and individual beliefs were respected and taken into account