Latest CQC report

The Hospice is registered and inspected by the Care Quality Commission, which is the independent regulator of care in England. We must undergo unannounced inspections from the CQC. 

We were last inspected on 4 October 2016, and were rated as 'good'.

You can read a summary of our report by clicking here or download the full report, with pictures.

Alternatively, you can read more details about our CQC report below. 


About our CQC rating:
We are really pleased with the overall result of our CQC inspection in October 2016, in which we were rated as ‘good’. This rating is testament to the hard work and dedication of our team of staff and volunteers, who deliver care for patients or provide the support services that make care possible.
The CQC spoke to patients and visitors, as well as staff and volunteers, and received lovely compliments on the care and support we provide. The patients and relatives they spoke to were extremely complimentary about the caring nature of the staff and inspectors agreed that staff were caring, respected dignity and privacy and were committed to ensuring people’s needs were met. The quality of the meals and the high standards of cleanliness were also praised.
As the report shows, we were given the rating ‘requires improvement’ for the ‘well-led’ category. To receive a rating of ‘good’ or higher for this category, an organisation has to have a Registered Manager. At the time of our inspection, our new Clinical Services Manager was undertaking the lengthy assessments needed to gain this status; as that process wasn’t finished, ‘requires improvement’ was the highest rating it was possible for the CQC to award in this category. We’re pleased to say that our Clinical Services Manager is now the Registered Manager, so in future inspections we hope to receive a minimum of ‘good’ in this fifth category too.

Through the CQC, the Hospice is accountable for continuously improving the quality of our services and safeguarding high standards of care. 

We ensure the quality of our care by creating an environment in which excellence in clinical care will flourish, including:

  • ensuring that we are complying with Care Quality Commission outcomes and regulations;

  • monitoring care through the use of Help the Hospice audit tools and other measures to ensure best practice;

  • monitoring patient and carer satisfaction by responding promptly to comments and complaints and conducting an audit of patient and carer satisfaction surveys;

  • rigorously reviewing reports of incidents and near misses and putting in place appropriate action plans;

  • developing of clinical guidelines based on the most up to date evidence.

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