Lakelands Day Care Hospice

Updated 5 August 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 26 April 2016 and was unannounced. The inspection was carried out by two inspectors.

Before the inspection the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We checked the information we held about this service and the service provider. We also contacted the Local Authority.

Prior to this inspection the Care Quality Commission (CQC) reviewed all the information we held about the service, including data about safeguarding and statutory notifications. Statutory notifications are information about important events which the provider is required to send us by law. We reviewed this information to help focus our planning and determine what areas we needed to look at during our inspection.

During our inspection we observed how staff interacted with people who used the service. We observed the lunch time meal and afternoon activities.

We spoke with five people who used the service, two relatives of people who used the service, the registered manager, two registered nurses, one health care assistant, a volunteer complimentary therapist, two volunteers and the cook.

We reviewed five people’s care records, five staff files and records relating to the management of the service, such as quality audits.

Updated 5 August 2016

This inspection took place 26 April 2016 and was unannounced.

Lakelands Day Care Hospice provides a day service to support people with life limiting conditions and their families. They also offer a night time hospice at home service. On the day of our visit, seven people were using the day service.

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.

People felt safe. Staff had received training to enable them to recognise signs and symptoms of abuse and how to report any concerns they may have had. People had risk assessments in place where required, to enable them to be as independent as they could be.

There were sufficient staff, with the correct skill mix, on duty to support people with their needs. Effective recruitment processes were in place and followed by the service to ensure appropriate staff were employed.

Systems were in place for the safe management of medicines. People self-administered and risk assessments were in place for this.

Staff received a comprehensive induction process and on-going training. They were well supported by the registered manager, and had regular one to one time for supervisions. Staff had attended a variety of training to ensure they were able to provide care based on current practice when supporting people.

People were supported to make decisions about all aspects of their life; this was underpinned by the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. Staff were knowledgeable of this guidance and correct processes were in place to protect people. Staff gained consent before supporting people or assisting them in any way.

People were able to make choices about the food and drink they had, and staff gave support when required.

People were supported to access a variety of additional health care when required, including complimentary therapies. People’s privacy and dignity was maintained at all times. People were supported to follow their interests and join in activities.

Staff provided care and support in a caring and meaningful way. They knew the people who used the service well. People and relatives, where appropriate, were involved in the planning of their care and support.

A complaints procedure was in place and accessible to all. People knew how to complain. Effective quality monitoring systems were in place. A variety of audits were carried out.