Background to this inspection
Updated
30 January 2023
Lewis-Manning Hospice Care is a charity which helps people with life-limiting illnesses and their families across East Dorset. Services are free. Lewis-Manning Hospice Care opened in 1991, the Lymphoedema Clinic was set up in 1998 and was followed by introduction of the Better Breathing Clinics soon after. The service moved to the current location in July 2020. Some of the services provided by Lewis-Manning Hospice Care do not fall under the remit of the Care Quality Commission, for example, their day hospice. At this inspection we only inspected the lymphoedema and better breathing clinics as they come under their regulated activity.
Lewis-Manning Hospice Care deliver care for patients who have been diagnosed with life-limiting illnesses whose GP surgery falls within their catchment area in Poole, Purbeck and East Dorset.
The service has had a manager in post since June 2022 and they were registered with the CQC in September 2022.
The service is registered to provide the following regulated activity:
Treatment of diseases, disorder or injury.
Activity for the year 2021 to 2022
Lymphoedema clinic;
Total number of patients 320
Total number of new patients referrals 139
Attendances at clinics total 1412
Better breathing clinic;
Total number of new patient referrals 124
Attendances at clinics 553
Updated
30 January 2023
We carried out a comprehensive inspection of Lewis-Manning Hospice Care, as part of our inspection programme. We inspected all our key questions: safe, effective, caring, responsive and well led.
This is the first inspection of this service at their new location since they re-located in July 2020. They were inspected at their previous location in 2016. They were rated as good.
Before the inspection we reviewed information, we had about the provider, including information we had received and intelligence available.
Our rating of this location stayed the same. We rated it as good because:
- The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed patients and kept good care records.
- Staff provided good care and treatment. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients and supported them to make decisions about their care and had access to good information. Key services were available 5 days a week.
- Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
- The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and some did not have to wait too long for treatment.
- Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.
However:
- Although the clinics operated for 4 days a week, safety checks on the emergency resuscitation trolley were only carried out once a week.
- Clinic staff were not always aware of the patient’s wishes regarding resuscitation if they became unwell during an appointment.
- Patients were not aware of how to make a formal complaint.
- The Statement of Purpose did not list all the satellite clinics provided across East Dorset.
- Not all staff had provided a full detailed employment history.