St Michael's Hospice (North Hampshire)

Updated 1 November 2021

The St Michael’s Hospice (North Hampshire) is operated by St Michael’s Hospice (North Hampshire). The hospice is situated in Basingstoke and supports people living in Basingstoke and the surrounding area. The service provides specialist palliative care, advice and support for adults with life limiting illness and their families. They deliver physical, emotional, spiritual and holistic care through a multi- disciplinary team of palliative care nurses, doctors, healthcare assistants, counsellors, physio and occupational therapists and an inhouse chaplain. The hospice has an eight bedded inpatient unit with en suite facilities and a community care service known as Hospital at Home to support patients in their own home.

The hospice has a day care service that provides support and therapy to individuals and groups. This has been closed due to restrictions caused by the pandemic. This is currently used by the local NHS trust to provide Oncology care to patients. However; the hospice plans to resume the day service in October 2021.

In the reporting period of April 2020 - March 2021, the service had 225 bed days and an occupancy of 72%.

Track record on safety

• No Never events
• One serious injury
• No incidents of hospital acquired Meticillin-resistant Staphylococcus aureus (MRSA),
• No incidents of hospital acquired Meticillin-sensitive staphylococcus aureus (MSSA)
• No incidents of hospital acquired Clostridioides difficile (C. Diff)
• No incidents of hospital acquired E. coli
• No clinical complaints
• 134 compliments.

The hospice is registered to provide the following regulated activities:

• Diagnostic and Screening Procedures
• Treatment of disease, disorder or injury

Services provided at the hospital under service level agreement:

• Pathology and histology
• Pharmacy
• IT
• Maintenance of medical equipment
• Clinical and or non-clinical waste removal
• Emergency maintenance out of hours from the local Trust.

St Michael’s Hospice had a registered manager. This is a person who has registered with the Care Quality Commission to manage the regulated activities. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations.

We last inspected this service in July 2016 when we rated it as Good overall and found no breaches of regulations.

Updated 1 November 2021

Our rating of this location stayed the same. We rated it as good because:

• The service had enough staff with key skills 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 risks well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them. Staff collected safety information and used it to improve the service.
• Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Key services were available seven days a week.
• People were truly respected and valued as individuals and were empowered as partners in their care. Staff fully involved people and treated them 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 tailored planned care to meet the needs of individual people, took account of patients’ individual needs, and made it easy for people to give feedback. People received care in a way that was flexible, offered choice and continuity. People could access the service when they needed it and did not have to wait too long for treatment.
• The leadership, governance and culture were used to drive and improve the delivery of high-quality person-centred care. 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. The service promoted equality and diversity in their daily work and provided opportunities for career development. The service had an open culture where patients, their families and staff could raise concerns without fear.
• Leaders operated effective governance processes, throughout the service and with partner organisations. Staff at all levels were clear about their roles and accountabilities and had regular opportunities to meet, discuss and learn from the performance of the service.

However:

• The medicines in the drug fridge was not maintained securely at the time of the inspection.
• The staff records were not maintained securely.
• The clinical room where medicines were kept did not have any facility to monitor the room temperature.

Updated 1 November 2021