2 - 3 December 2019
During a routine inspection
Shooting Star House is operated by Shooting Star Children’s Hospice. The hospice runs a number of services including eight inpatient beds and a hospice at home service seven days a week, and a specialist palliative community nursing team that conducts assessments and provides children, young people and their families with care, support and advice in their own homes.
The hospice provides care and treatment for children and young person with a life-limiting condition who are aged from pre-birth to 21 years.
We inspected this service using our comprehensive inspection methodology. We carried out the unannounced part of the inspection from 2 to 3 December 2019.
To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.
Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.
Services we rate
Our rating of this service stayed the same. We rated it as Good overall.
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Staff kept children, young people and their families safe from harm and abuse. Risks were assessed, monitored and managed appropriately.
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Staff followed best practice in relation to infection prevention and control.
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Care and treatment records were accurate, stored securely and provided comprehensive details of care and treatment.
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Staff recognised incidents and knew how to report them. Managers investigated incidents and made improvements to the service.
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Staff had the appropriate skills, training, knowledge and experience to deliver effective care and treatment.
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Staff delivered care and treatment in line with evidence-based practice.
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Staff involved children, young people, their families and carers in decisions about their care and treatment.
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Staff cared for children, young people and their families with compassion, treating them with dignity and respect. Staff truly respected and valued children and your people as individuals and empowered them as partners in their care, practically and emotionally, by offering an exceptional service.
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The service was proactive in meeting the needs of children and young people from the whole community. The services provided reflected the needs of the population served and ensured flexibility, choice and continuity of care.
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The service was proactive at engaging with groups that were hard to reach to ensure equitable access to its services.
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There were clear processes for staff to manage complaints and concerns.
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There was an open and transparent culture, with engaged and experienced leadership.
However, we also found the following issues that the service provider needs to improve:
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The storage of equipment did not always keep people safe. We found that equipment was stored in toilets and other areas of the service which were not in line with good practice.
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Not all outcome measures collected by the service were reported on during governance meetings meaning that outcome measures did not always shape and improve services.
Nigel Acheson
Deputy Chief Inspector of Hospitals (London)