Background to this inspection
Updated
23 February 2023
Harlington Hospice is operated by Harlington Hospice Association Limited. Harlington Hospice is a community hospice working throughout the London Borough of Hillingdon. The hospice is situated in a refurbished Victorian detached house and provides a range of facilities including a purpose-built day centre and bespoke treatment rooms. The ground floor has 4 treatment and 2 counselling rooms, the first floor is offices. There is also a second building which is the wellbeing centre.
The hospice provides a lymphoedema therapy service, a wellbeing service, and counselling services providing support to patients and their families. Lymphoedema is a chronic condition that causes swelling in the body due to an accumulation of fluid in body tissues. The hospice does not have any inpatient beds, hospice at home, or community care services.
Harlington Hospice Association Limited provides other services such as an inpatient unit, hospice at home, and community care, however they are registered under another location and therefore were not included as part of this inspection please.
The service is registered for the treatment of disease, disorder or injury and has a registered manager in place to oversee this. We last inspected Harlington Hospice in November 2017, this was a follow up inspection to review progress in addressing concerns raised during the inspection undertaken in August 2017. We rated it good in all domains.
Updated
23 February 2023
Our rating of this service 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. Staff assessed risks to patients, acted on them 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, supported them to make decisions about their care, and had access to good information.
- 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.
- 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:
- The service did not always control infection risk well.
- The design, maintenance and use of facilities, premises and equipment did not always keep people safe.
We rated this service as good because it was effective, caring, responsive, and well led although safe requires improvement.
Hospice services for adults
Updated
23 February 2023
Our rating of this service 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. Staff assessed risks to patients, acted on them 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, supported them to make decisions about their care, and had access to good information.
- 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.
- 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:
- The service did not always control infection risk well.
- The design, maintenance and use of facilities, premises and equipment did not always keep people safe.
We rated this service as good because it was effective, caring, responsive, and well led although safe requires improvement.