The Care Quality Commission
  • Hospice service

Rugby Myton Hospice

Overall: Good read more about inspection ratings

Barby Road, Rugby, Warwickshire, CV22 5PY (01788) 550085

Provided and run by:
The Myton Hospices

All Inspections

01 June 2022

During a routine inspection

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

  • 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 and report abuse and they knew how to apply it. The service made sure staff were competent for their roles.
  • Staff used effective infection control measures.
  • The, maintenance of equipment was in place to keep people safe. Staff had access to and completed training to use systems that managed clinical waste well.
  • Staff had processes to complete and update risk assessments for each patient. Risk assessments consider patients that might be deteriorating in the last days or hours of their life.
  • The service had enough nursing and support staff, with the right qualifications, skills, training and experience to keep patients safe from avoidable harm.
  • The service had not had any patient safety incidents. Managers shared lessons learned with the whole team and the wider service.
  • Patients could access the specialist palliative care service when they needed it. Waiting times from referral to achievement of preferred place of care and death were in line with good practice.
  • Staff from the service worked with other healthcare professionals as a team to benefit patients. They supported each other to provide good care.
  • Staff monitored the effectiveness of care and treatment.
  • The service provided care and treatment based on national guidance and evidence-based practice.
  • Staff supported patients to make informed decisions about their care and treatment.
  • Staff treated patients with compassion and kindness, respected their privacy and dignity, and took account of their individual needs.
  • Staff supported and involved patients, families and carers to understand their condition and make decisions about their care and treatment.
  • The service planned and provided care in a way that met the needs of local people and the communities served. The service took account of patients’ individual needs and preferences. Staff made reasonable adjustments to help patients access services.
  • It was easy for people to give feedback and raise concerns about care received.
  • Leaders had the skills and abilities to run the service. They understood and managed the priorities and issues the service faced.
  • Staff felt respected, supported and valued. However, they were focused on the needs of patients receiving care.
  • Leaders operated effective governance processes, throughout the service and with partner organisations.
  • Leaders and teams used systems to manage performance effectively. They identified and escalated relevant risks and issues and identified actions to reduce their impact.
  • The service collected reliable data and analysed it. Staff could mostly find the data they needed, in easily accessible formats, to understand performance, however improvements to service provision were not always planned. The information systems were integrated and secure. Data or notifications were consistently submitted to external organisations as required.
  • Leaders and staff actively and openly engaged with patients, staff, equality groups, the public and local organisations to plan and manage services. They collaborated with partner organisations to help improve services for patients.

However:

  • The service provided mandatory training in key skills to all staff but not all staff were up to date.

21 July 2016

During a routine inspection

This inspection took place on 21 July 2016 and was unannounced.

Rugby Myton Hospice is registered to provide personal care. Rugby Myton Hospice provides people aged over 18 who are living with life threatening and life limiting conditions with the opportunity to attend the day hospice. Initially people attend the day hospice for one day per week over a 12 week period. Rugby Myton Hospice also offers a hospice at home service to support people with palliative (Palliative care is comprehensive treatment of the discomfort, symptoms and stress of serious illnesses) and end of life care needs in their own homes. Family support is provided. The aims of the services offered include supporting people with their physical health and emotional wellbeing.

There was a registered manager in post who was also the director of nursing, care and education. 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 were protected from harm and abuse by staff due to the arrangements in place to make sure risks to people at the day hospice and in their own homes were reduced. Where people were at risk due to their health and physical needs these had been identified. Preventative measures were put in place to help people to manage and reduce any known risks. Staff and volunteers had been suitably recruited and there were sufficient staff with a variety of skills to meet people’s individual needs and to respond flexibly to changes.

People independently managed their own medicines when they attended the day hospice, with arrangements in place if support was required to promote safe medicine practices. Nurses were on hand to support people if this was required and secure medicine storage arrangements were available if needed. When people received care at home arrangements were in place to ensure people were safely supported to take their medicines where required.

People’s specialist needs were met by a diverse volunteer and staff team who had received training and support to perform their roles and deliver good quality care. People were confident and positive about the abilities of staff and volunteers to meet their individual needs. The management team supported staff to develop their knowledge and skills to ensure best practice with on-going improvements in care.

People’s individual needs were assessed and staff always encouraged people to make their own choices about their care and treatment. Where this was not possible, decisions were made in people’s best interests by people who had the legal authority to do this.

People had built trusting relationships with volunteers and staff when they attended the day hospice. They valued the time volunteers and staff spent listening to them and how they were helped to achieve their individual wishes in their own time without any rush. Relatives of people who received a hospice at home service praised staff for their kindness and thoughtful ways whilst caring for their family members. They appreciated the service offered which meant their family members could have their wishes of dying at home fulfilled due to the support they received.

We received very positive feedback about the care provided by the volunteers and staff. People who used the service and their relatives felt staff went out of their way to support them in a kind, caring manner and went above and beyond what was expected to meet their diverse needs. Staff developed positive, respectful relationships with people and were kind and caring in their approach.

Staff were creative in supporting people to express their views so their care was personalised and involved each person in meeting their particular goals. This included staff continually striving to promote new approaches into their caring practices to support people in having the best life possible, such as sourcing recipes for people to help to enhance the taste of their supplements.

People looked forward to spending time at the day hospice as they were supported in a range of things both for interest and fun which people enjoyed. These also brought therapeutic benefits to enhance people’s health and wellbeing. People particularly enjoyed the complementary therapies such as, massages which helped them to relax and ease any pain they experienced.

People were supported by staff to complete advance care plans to reflect their future choices about their end of life care. Spiritual, religious and bereavement support was offered to people.

People were complimentary about their lunchtime meals they received at the day hospice. They were supported with their nutritional and health needs and had access to nurses to support them with their symptom and pain management. Staff who provided care to people in their own homes provided them with mouth care support to promote people’s comfort and always made sure people had drinks to avoid dehydration.

People were treated as individuals and staff were motivated and committed to supporting people's needs so they were able to plan and achieve their goals. This was achieved by staff working closely with other professionals and services so people received consistent care. Staff responded positively to people’s changing needs to ensure their practices continued to meet people’s needs.

There was a range of quality checking and monitoring arrangements which were shared between the staff, managers, leadership team and with the board of trustees. These arrangements focussed upon how the quality of care and clinical effectiveness enhanced people’s experiences. People and their family members, staff and board of trustees were consulted and involved in developing the service. Their views were used to inform service improvements and developments to influence the services people received so these remained effective and raised quality where needed.

The registered manager led by example and was committed to develop the hospice services to ensure they met the local population’s changing palliative and end of life care needs in the best possible way.

14, 15 October 2013

During a routine inspection

When we visited Rugby Myton Hospice, there were six people using the day service and four people using the domiciliary care service. During our visit we spoke with two people who used the day service and we telephoned two relatives of people who used the domiciliary service. We spoke with three members of staff delivering care, the housekeeper, the registered manager, the manager and the administrator of the domiciliary care service, the provider's human resource manager and the provider's audit and compliance manager.

We read the care records for five people who used the service. We observed care practice and staff's interaction with people when they were delivering care in the day service.

We looked at the cleanliness of the day service and found that everywhere was clean and tidy. Staff we spoke with explained how they minimised the risk of infection.

We found that the records kept by the service were fit for purpose and stored appropriately.

We found that people or their relatives had agreed to the care and treatment they received.

We found that the provider had an effective recruitment process and appropriate checks were made on staff before they began work.

When we asked one person's relative about the service they told us, "They could not have been more caring and loving. It was a wonderful experience.'

6 February 2013

During a routine inspection

On the day we visited Rugby Myton Hospice, there were eleven people using the day service and four people using the domiciliary care service. During our visit we spoke with two people who used the day services, two members of staff delivering care, the registered manager, the manager of the domiciliary care service and the provider's audit and compliance manager. We read the care records for two people who used the day services and for one person who used the domiciliary service. We observed care practice and staff's interaction with people when they were delivering care in the day service. We telephoned a relative of someone who used the domiciliary service, after our visit.

People who used the day service were complimentary of the care they received. One person told us that visiting the day service was, 'The highlight of their week.' They told us, 'If I wasn't able to come I would be very upset, it is a wonderful service.'

A relative we spoke to about the domiciliary service, told us that their family member, 'Misses them when they are not there.' They told us that the care provided is, 'Patient centred' and 'Fantastic.'

During our visit we saw that people in the day service were involved in different activities. Several people joined in a quiz. Other people played board games and did jigsaw puzzles.