Bickerstaffe House

Updated 23 June 2021

This service has not been inspected or rated before.

The NHS West Lancashire clinical commissioning group commission West Lancashire community services (Bickerstaffe House) provided by Virgin Care to deliver community health services in the West Lancashire area. They provide a service to patients in their own homes and to patients in care and nursing homes. The services they provide includes;

• adult rehabilitation
• cardiac nursing
• community emergency response
• community IV therapy
• community matrons
• continence nursing
• diabetes nursing
• dietetics
• discharge planning
• district nursing
• falls prevention service
• neuro-rehab
• out of hours district nursing
• palliative care nursing
• phlebotomy
• podiatry
• respiratory nursing
• care co-ordination hub
• short intensive support services (SISS)
• speech & language therapy
• tissue viability nursing

Several services operate Monday to Sunday 365 days a year delivering a responsive service to support the needs of their patients and local response to COVID-19. These include:

• community emergency response 8am to 6pm
• community IV therapy 8am to 6pm
• discharge planning 8am to 8pm
• district nursing 24/7
• single point of access/care coordination hub 8am to 6pm
• short intensive support service 8am to 10pm.

There is a registered manager in place, and they are registered to provided diagnostic and screening procedures and treatment of disease, disorder or injury regulated activities.

Care Quality Commission (CQC) have not inspected this location before.

Updated 23 June 2021

We have not previously rated this service. 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. The service controlled infection risk 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, checked that patients ate and drank enough, 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.
• 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 and did not have to wait too long for treatment. There were innovative approaches to providing integrated person-centered pathways of care that involve other service providers, particularly for people with multiple and complex needs. The services were flexible, provided informed choice and ensured continuity of care. The service had shown where improvements have been made as a result of learning from reviews and that learning is shared with other services.
• 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 had seen an increase in the occurrences of pressure ulcers. From March 2020 to March 2021. Lessons learned from each root cause analysis investigation had been completed and an overarching action plan had also been developed.

Updated 23 June 2021

We have not previously rated this service. 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. The service controlled infection risk 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, checked that patients ate and drank enough, 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.
• 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 and did not have to wait too long for treatment. There were innovative approaches to providing integrated person-centred pathways of care that involve other service providers, particularly for people with multiple and complex needs. The services were flexible, provided informed choice and ensured continuity of care. The service had shown where improvements have been made as a result of learning from reviews and that learning is shared with other services.
• 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 had seen an increase in the occurrences of pressure ulcers. From March 2020 to March 2021. Lessons learned from each root cause analysis investigation had been completed and an overarching action plan had also been developed.