Background to this inspection
Updated
30 March 2022
John Taylor Hospice provides specialist care for people living with a terminal illness and their families. The hospice works in partnership with many organisations to provide joined-up services and also provides advice and support to other professionals on issues surrounding specialist palliative and end of life care. The hospice also provides consultants in palliative care, specialist doctors and allied health professionals.
John Taylor Hospice also provides education and training and undertakes research to further the understanding of end of life care. John Taylor Hospice is a charity. Funding is provided by local clinical commissioning groups, donations from the public, and grants and trusts. All services are free for the people cared for by the hospice.
There was a registered manager in post. Hospice services include an inpatient unit, hospice at home services, bereavement services, support from community nurse specialists as well as a wellbeing service. The service is registered with the CQC to provide:
- Personal Care.
- Treatment of disease, disorder or injury.
Updated
30 March 2022
Our rating of this location improved. We rated it as outstanding because:
- The hospice consistently employed a variety of measures to assure effective high-quality care. Staff held a specific meeting to look at compliance with national guidance. Outcomes for patients were positive, consistent and met national standards. Compliance with preferred place of death, the integrated palliative care outcome scale and use of advance care planning was very high. There was evidence of excellent multidisciplinary working to ensure patients were able to die in their preferred place.
- Staff went above and beyond to honour patient’s wishes at the end of their life; we heard many examples of how staff had achieved this. Patients’ feedback was consistently positive. Staff were creative when helping to support patients, and they did all they could to ensure patients’ and families’ emotional needs were met.
- The service had implemented new ideas and worked with other hospices and services to prevent hospital admissions. Managers encouraged staff to work in new ways to meet the needs of the population; they identified gaps in services and how these could be filled.
- The service was constantly striving to improve, staff were encouraged to start new forums in relation to gaps in the service. The service had implemented a learning disability and neurodiversity group. The group looked at how they could improve the service for patients with a learning disability or those who were neuro diverse.
- The service was innovative in response to the COVID-19 pandemic and changing landscapes. We heard lots of examples of innovation, continuous improvement and learning. Wellbeing was very much on the agenda for the management team and they worked hard to make the hospice a good place to work for all staff.
However:
- Not all mandatory training was up to date due to the impact of COVID-19 pandemic and some of the training information was difficult to interpret.
- Staff appraisal rates were low due to the impact of the COVID-19 pandemic.
- There was no lock on the door directly into the viewing room.
- Some of the wording in the safeguarding policy did not reflect current guidance.
Hospice services for adults
Updated
30 March 2022
Our rating of this service improved. We rated it as outstanding see summary above for details: