St Richard's Hospice Statement of Purpose by St Richard's Hospice

Statement of purpose

Health and Social Care Act 2008

Part 1

The provider’s name, legal status, address and other contact details

Including address for service of notices and other documents

Please first read the guidance document Statement of purpose: Guidance for providers

Statement of purpose, Part 1

Health and Social Care Act 2008, Regulation 12, schedule 3

The provider’s business contact details, including address for service of notices and other documents, in accordance with Sections 93 and 94 of the Health and Social Care Act 2008

1. Provider’s name and legal status

Full name1 St Richard’s Hospice Foundation

CQC provider ID 1-101725068

Legal status1 Individual Partnership Organisation

2. Provider’s address, including for service of notices and other documents

Business address2 Wildwood Drive

Town/city Worcester

County Worcestershire

Post code WR5 2QT

Business telephone 01905 763963

Electronic mail (email)3 dwestwood@strichards.org.uk

By submitting this statement of purpose you are confirming your willingness for CQC to use the email address supplied at Section 2 above for service of documents and for sending all other correspondence to you. Email ensures fast and efficient delivery of important information. If you do not want to receive documents by email please check or tick the box below. We will not share this email address with anyone else.

I/we do NOT wish to receive notices and other documents from CQC by email

1 Where the provider is a partnership please fill in the partnership’s name at ‘Full name’ in Section 1 above. Where the partnership does not have a name, please fill in the names of all the partners at Section 3 below

2 Where you do not agree to service of notices and other documents by email they will be sent by post to the business address shown in Section 2. This includes draft and final inspection reports. This postal business address will be included on the CQC website.

3 Where you agree to service of notices and other documents by email your copies will be sent to the email address shown in Section 2. This includes draft and final inspection reports.

Please note: CQC can deem notices sent to the email or postal address for service you supply in your statement of purpose as having been served as described in Sections 93 and 94 of the Health and Social Care Act 2008. The address supplied must therefore be accurate, up to date, and able to ensure prompt delivery of these important documents.

3. The full names of all the partners in a partnership

Names: N/A

Statement of purpose

Health and Social Care Act 2008

Part 2

Aims and objectives

Please read the guidance document Statement of purpose: Guidance for providers.

Aims and objectives

What are your aims and objectives in providing the regulated activities and locations shown in part 3 of this statement of purpose

Our purpose

St Richard’s Hospice offers free, expert care and support for adults with an illness that cannot be cured, their loved ones and carers.

Our vision

St Richard’s Hospice caring for life together.

Our Shared Values

These values define our relationships with all those we care for and support; our colleagues and the wider community.

Caring:

 Caring is at the heart of everything we do.

 We are inclusive and treat everyone as an individual who we respect and value.

 We take time to listen and respond to the needs of each person.

Compassionate:

 We work with empathy, sensitivity and understanding.

 We are considerate, kind and fair.

 We support and empower individual choice.

Committed:

 We are dedicated, reliable and hard working.

 We continuously strive to deliver high quality services.

 We support each other and work together for the benefit of our patients and loved ones.

Professional:

 We aspire to be the best in everything we do.

 We are innovative and develop our skills through continuous learning and evaluation.

 We take responsibility for our actions and are accountable.

Who do we care for?

We care for people over 18 with an illness that cannot be cured and where complex needs cannot be met by other services. These include cancer and neurological, respiratory, cardiac and renal conditions.

All our services are available to people registered with a South Worcestershire GP. Our In-patient Unit cares for people across Worcestershire. We also care for some people who live outside of Worcestershire if the wish of the patient is to be cared for in Worcestershire for example to be near family or loved ones.

We care for people by:

 Supporting people, their loved ones and carers, to manage their illness and remain independent for as long as possible, giving emotional,

social, practical and spiritual support

 Providing dedicated, individualised palliative and end of life support helping people to control their pain and other symptoms of concern

 Offering support to enable a person to live well through the course of their illness alongside other therapies that are intended to prolong life

 Supporting our patients, loved ones and carers before and through bereavement

 Working in collaboration with our communities to ensure we are inclusive, respect diversity and provide equitable access to meet the needs of our patients, their loved ones and carers.

 Working in partnership with other health care providers and organisations

 Encouraging wider understanding that death and dying is a part of life

 Supporting the local community to be well informed about the care available to them

 Supporting the health and social care workforce through learning and development to provide high-quality, individualised palliative and end of life care

We work closely with our community and hospital colleagues from the NHS, Social Services, local Nursing Homes and voluntary sector providers. All our work enhances the care and support patients and their families receive from other statutory services. St Richard's Hospice is an integral part of the local health care economy in Worcestershire. It is an independent, registered charity, supported by local communities.

Our care is unconditional, non-judgemental and provided free of charge at the point of delivery, regardless of religion or spiritual belief, ethnic origin, disability, sexual orientation or gender identity or social background.

Another aim of our service is to enable patients to have the choice to stay at home where possible, providing our care alongside their own doctors and nurses from the neighbourhood team with the support of St Richard’s teams both at the hospice or in the patient’s own home.

Access to St Richard’s Hospice Services

If patients require St Richard's Hospice assessment, they can be referred by their general practitioner, consultant at the hospital, district nurse or other health care professional. They can also be referred by a relative, key worker, friend or self-refer. All referrals will be processed through the Advice and Guidance service which is the single point of access provided by St Richard’s. Patients are also able to self-refer to hospice services via the Wellbeing Café.

In all cases the patient’s own general practitioner, or key person in charge of a patient’s care, will be informed. At all stages, we will work in partnership with the community teams and acute hospital services involved in the patient’s care. Patients / Clients for whom our service is not suitable will be guided and signposted or referred on to other more appropriate organisations.

Statement of purpose

Health and Social Care Act 2008

Part 3

Location(s), and

 the people who use the service there

 their service type(s)

 their regulated activity(ies)

Fill in a separate part 3 for each location

The information below is for location no.: 1121827815 of a total of: 1 locations

Name of location

St Richard’s Hospice

Address Wildwood Drive Worcester Worcestershire

Postcode WR5 2QT

Telephone 01905 763963

Email dwestwood@strichards.org.uk

Description of the location

(The premises and the area around them, access, adaptations, equipment, facilities, suitability for relevant special needs, staffing & qualifications etc)

We offer free care and support for people in the hospice, in the community, in GP surgeries, at clinics, by telephone or by virtual services using secure video conferencing facilities. The Wildwood site is purpose built and set in its own extensive gardens. All patient areas are accessible by wheelchair users. There is a large carpark that has dedicated space for patients and families and accessible parking.

The building houses the following services and staff:

In-patient Unit – this purpose-built facility has the capacity for up to 17 single occupancy ensuite rooms. The rooms are designed to be as comfortable and homely as possible, each bedroom having its own entertainment unit with TV and DVD player, with information and reading material available in a variety of accessible formats as well as access to portals to facilitate virtual visiting if required. Virtual technology is available.

All patient rooms have access to an outside patio area with view of the garden which can also be accessed by patients who are bed bound. Each room is equipped with up to date profiling beds with access to a range of mattresses to suit patient pressure relieving and comfort requirements. We also have access to cuddle beds to allow patients and their significant other to spend time close together. Bedrooms, showers and bathrooms have hoisting facilities built in as well as access to mobile hoisting and mobility aid equipment. Purpose built drugs room, dressings room and sluice room are available. There are facilities to enable patients’ families and loved ones to stay overnight if they choose to do so. There is a mortuary facility (Worcester Suite) with capacity for 6 patients.

The unit provides specialist palliative care, supporting the physical, psychological, social, spiritual and cultural needs of the patient and their family/loved ones with a 2 staff to 5 patient ratio during the 12 hour day shift and a 1 staff to four patient ratio at night. Patients are cared for by a multi-disciplinary team, including: Specialist Doctors: Consultant in palliative medicine, specialist and specialty doctors as well as trainees who work across 7 days. Out of hours on call is provided by consultants 7 days a week

Nurses: Unit manager, sisters, senior staff nurses, staff nurses, senior health care assistants and health care assistants.

Family Support Workers: Specialist social workers and counsellors

Psychologist: employed by the local NHS trust

Pharmacist: Pharmacist specialising in palliative medicines

Therapists: Occupational therapists, physiotherapists, therapy support assistants and qualified complimentary therapists

Spiritual care team: Chaplain and spiritual care volunteers, on call faith leaders to support all religious needs.

CAB Advisor: Employed by the Citizens Advice Bureau but working exclusively for the hospice

Hospitality: Hostess supported by volunteers to meet the requests of patients in relation to meal times.

Volunteers: Numerous volunteer roles to support wellbeing of patients and families. Referrals to other healthcare professionals i.e. Orthotics, Dietetics, Speech and Language Therapists can be made as appropriate.

Integrated Community Service

A multi-disciplinary integrated community team consists of 3 main services: Living Well, Hospice at Home and Advice and Guidance

Living Well:

The service aims to enable and empower patients to set realistic goals and supports them in a variety of ways to achieve them. The Living Well Team provide holistic rehabilitative palliative care, supporting patients to make choices that improve their quality of life and support them to live well with their condition, whilst acknowledging and planning for the inevitability of death. Services are provided predominantly face to face in the Living Well Centre. Home visits are undertaken by members of the therapy teams where appropriate and some patients access support via video call.

The professional multi-disciplinary team (MDT) is led by therapists and includes, Registered Nurses, Living Well Assistant Practitioners, Complementary Therapists, a Creative Therapist, Clinical Psychologist, Chaplain, Doctor, Occupational Therapists, Physiotherapists, Therapy Support Assistants and trained volunteers. Patients can also access other services within the hospice which may include counselling, family support, financial and benefit advice.

The Living Well Centre is on the ground floor of the hospice building and is easily accessible to all patients. Accessible toilet facilities are available in the department. The environment is light and welcoming, creating a space where patients and carers feel supported. It is also a space where patients are able to confidently share experiences with each other to gain peer support. Living well has direct access to a wheelchair accessible courtyard garden.

Well Being Café

The Wellbeing Café is run on Wednesdays between 1030 – 1500. The service is supported by the Living Well Team, Family Support and the Advice and Guidance team who are available for support as required. The café provides an opportunity for patients and carers to attend the hospice to ask questions and gain support from healthcare professionals. Patients and carers can also meet peers and socialise and gain emotional support from each other in the hospice environment. People are also able to self-refer to the hospice for the first time via the Wellbeing Café. They are able to attend and receive a full assessment if that is their wish and they are then able to access the right support for themselves at the right time. This is housed in The Green – a stunning cafe setting at the heart of the hospice which has adjoining rooms that patients attending Living Well or from the In-patient Unit can access

including a fully equipped physiotherapy gym, cinema room, complimentary therapy room, hairdressers, outpatient room, art room and horticulture room.

Hospice at Home:

A Specialist nurse led service providing care in patient’s homes, and in clinic settings in South Worcestershire.

These services are staffed by a Consultant in palliative medicine (employed by the local NHS community trust), Clinical Nurse Specialists (including non-medical prescribers), senior staff nurses and senior health care assistants.

Family Support Service – housed in the purpose built Snowdrop Centre which provides rooms for 1:1 patient, family support and for group work with families including children. Staffed by specialist social workers, specialist trained counsellors and counselling volunteers, family support practitioners, CAB workers, family support volunteers and community support volunteers. The team observe best practice in accordance with guidance from the British Association for Counselling and Psychotherapy and Social Work England.

The service provides pre and post death support to hospice patients and their families/loved ones. We define family and loved ones as anyone who is important to the patient.

Bereavement Support South Worcestershire (BSSW) is hosted by the Family Support Team. It offers bereavement support to people in South Worcestershire with a South Worcestershire GP who are bereaved by sudden and unexpected death

24 hour Advisory Service

Advice and Guidance provide an advisory service to patients, families/loved ones and other health care professionals 8 am - 6 pm Monday-Friday and 8 am - 4 pm at weekends and Bank Holidays. Our on-call service is supported by the Consultants in Palliative Medicine for Worcestershire should more complex medical advice be required. Outside of these hours patients, families and professionals can be supported by the Inpatient unit.

Learning Centre

The centre exists to provide a source of learning and resource for staff and other healthcare professionals involved in the care and support of patients with a serious progressive illness, as well as to the patients and their families/loved ones too.

A comprehensive array of training courses is available for nurses, doctors and other healthcare professionals, carers and volunteers in a variety of healthcare settings. The aim is to improve the quality of care provided to patients through the improvement of skills and expertise; and spreading of expert knowledge.

There is a competency framework in place for all main clinical roles reflecting the skills, knowledge and competencies needed to meet patients and family needs.

Spiritual Care A

Spiritual Care Team offers regular opportunities for prayer and meditation in the ‘sacred space’ and keeps it well stocked with materials to aid private reflection. Our Hospice Chaplain, with the assistance of a team of Spiritual Care volunteers, seek to support patients, relatives, staff and volunteers by offering pastoral and spiritual care. The team supports people of all faiths and philosophies and our starting point is always the starting point of the other person.

CQC service user bands

The people that will use this location (‘The whole population’ means everyone).

Adults aged 18-65

Mental health

Physical disability

Dementia

People with an eating disorder

Children aged 0 – 3 years

The whole population

Adults aged 65+

Sensory impairment

People detained under the Mental Health Act

People who misuse drugs or alcohol

Learning difficulties or autistic disorder

Children aged 4-12

Children aged 13-18

Other (please specify below)

The CQC service type(s) provided at this location

Acute services (ACS)

Prison healthcare services (PHS)

Hospital services for people with mental health needs, learning disabilities, and problems with substance misuse (MLS)

Hospice services (HPS)

Rehabilitation services (RHS)

Long-term conditions services (LTC)

Residential substance misuse treatment and/or rehabilitation service (RSM)

Hyperbaric chamber (HBC)

Community healthcare service (CHC)

Community-based services for people with mental health needs (MHC)

Community-based services for people with a learning disability (LDC)

Community-based services for people who misuse substances (SMC)

Urgent care services (UCS)

Doctors consultation service (DCS)

Doctors treatment service (DTS)

Mobile doctor service (MBS)

Dental service (DEN)

Diagnostic and or screening service (DSS)

Care home service without nursing (CHS)

Care home service with nursing (CHN)

Specialist college service (SPC)

Domiciliary care service (DCC)

Supported living service (SLS)

Shared Lives (SHL)

Extra Care housing services (EXC)

Ambulance service (AMB)

Remote clinical advice service (RCA)

Blood and Transplant service (BTS)

Regulated activity(ies) carried on at this location

Personal care