St Luke's Hospice -Turnchapel

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We rated the ‘monitoring and improving outcomes’ quality statement for the effective key question as good. We found the service monitored patients care and treatment via regular audits and used this information to improve the care provided to patients at the end of their life. Effective was rated outstanding overall as the scores for these areas have been combined with scores based on the key question ratings from the last inspection in 2016.

This service scored 96 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

Patients reported feeling involved in their care plans, which were regularly reviewed and adjusted based on their feedback and clinical outcomes. Patients and those close to them told us staff provided good care and treatment.

Staff and leaders provided positive feedback regarding the hospice's commitment to monitoring and improving care and treatment. They reported that the regular use of reliable data helped them understand performance trends and identify areas for improvement. Staff highlighted the effectiveness of multi-disciplinary meetings in ensuring care plans were consistently reviewed and tailored to meet both clinical expectations and patient needs. This approach ensured that care outcomes were positive and aligned with patients' expectations.

Managers and staff followed up-to-date policies to plan and deliver high quality care according to best practice and national guidance. Managers had procedures in place to ensure that staff followed the evidence based guidance. The preferred place of death for people was discussed and recorded in people’s notes and this was monitored. There was a rolling plan for audits and data gathering to ensure clinical outcomes were measured. The service provided care and treatment based on national guidance and evidence-based practice. The service was signed up to the Gold Standard Framework Needs Based Coding which was used to highlight the need of patients and is visible to all partner organisations. This coding was assessed as a minimum every 3 weeks. The service also participated in wider system groups that helped to share learning and support methodology and help organisations to operate as effectively as possible.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.