The service provides home parenteral nutrition (HPN) which is a long-term system for providing nutrition through a central venous catheter and is administered in the patient’s home. The service has four regional teams of community nurses who provide this service to NHS patients which is commissioned from NHS England
The service provides specialist community nurses to provide training to patients and their families in administration of HPN. The service also provides administration of HPN to patients, where the patient and family are unable to administer the HPN independently. At the time of our inspection, the service did not have any patients under the age of 18 years old.
We inspected this service using our comprehensive inspection methodology. We carried out an unannounced inspection on 21 May 2019.
To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.
Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.
The main service provided by this provider was community nursing to provide home parenteral nutrition.
Services we rate
This service had not been previously inspected. We rated it as Good overall.
-
The service had enough staff with the right qualifications, skills, training and experience to keep people safe from avoidable harm and to provide the right care and treatment.
-
Staff understood how to protect patients from abuse and the service worked well with other agencies to do so. Staff had training on how to recognise abuse and they knew how to apply it.
-
The service managed patient safety incidents well. Staff recognised incidents and reported them appropriately. Managers investigated incidents and shared lessons learned with the whole team.
-
The service followed best practice when giving and recording medicines. The service followed best practice when giving and recording medicines.
-
The service made sure staff were competent for their roles. Managers appraised staff’s work performance and held supervision meetings with them to provide support and to monitor the effectiveness of the service.
-
Staff always had access to up to date, accurate and comprehensive information on patient’s care and treatment. All staff had access to an electronic records system that they could all update.
-
Staff cared for patients with compassion. Feedback from patients confirmed that staff treated them well and with kindness.
-
The service treated concerns and complaints seriously, investigated them and learned lessons from the results, and shared these with staff.
-
The service had good systems to identify risks, plan to eliminate or reduce them and cope with both the expected and unexpected.
Ann Ford
Deputy Chief Inspector of Hospitals (North)