Archived: Anglesey House

Updated 1 October 2019

Anglesey House have a registered manager and the regulated activities are for personal care, nursing care and treatment of disease, disorder and injury.

We have inspected this location at provider level in 2017. This was the first inspection at location level.

The district nursing team deliver a seven -day service, providing holistic evidence-based care to housebound patients within East Staffordshire. The service support patients with complex needs in their own home to avoid unnecessary hospital admissions. This includes end of life care, wound care, continence care and support for patients with long term conditions. The service also provides ambulatory wound care and leg ulcer clinics in several locations.

The community matrons support patients identified at high risk of admission to hospital due to their presenting health needs. They take a multi-disciplinary approach, working with primary care, adult social care, mental health services, acute care and the third sector agencies who support older patients. The community matrons form part of the frailty team in accident and emergency at a local NHS trust team to support safe discharge of patients’ home.

The rapid response service offers acute nursing care and assessment in peoples own homes. The service can carry out a variety of advanced acute nursing skills in the home and is designed to avoid admission to hospital and to support discharge. The service works closely with the community therapist and falls team and in close partnership with a local Hospital to support the safe transfer of care to the community. The service provides a range of nursing interventions and provides all out of hours community nursing during working hours.

The rapid response palliative support team are a team of support workers, supported by a registered nurse. These staff are skilled and experienced in supporting patients at the end of their life to prevent hospital admission. In addition, they support patients to return to their own home, if this is their choice, at end of life. The service has an ‘in reach’ element in a local Hospital to identify patients who can be transferred into community care.

The adult continence service is provided by a small team of specialist nurses. The team are available to patients with a bladder or bowel issue and are resident and registered with a GP practice in the East Staffordshire CCG area. This includes all residential/supported living care homes.

The learning disability primary care service provides support to primary care services to meet the needs of patients with learning disabilities in East Staffordshire. This includes advice, training and support to identify barriers to accessing health and identifying what reasonable adjustments are required to improve access to health and improve health outcomes.

A community dietician provides support to patients with nutritional needs in Burton and surrounds with a focus on the frail elderly.

Anglesey House is operated by Virgin Care Services Limited. The service opened in 2016. It is based in Burton upon Trent, Staffordshire. The service primarily serves the communities of the East Staffordshire.

The service has had a registered manager in post since 13 April 2017. At the time of the inspection, a new manager had recently been appointed and was registered with the CQC on 16 April 2019.

Updated 1 October 2019

Anglesey House is operated by Virgin Care Services Limited. The service has a number of specialist services to support local people living with health conditions in the community. The teams are made up of a district nursing team who deliver a seven-day service and community matrons support people identified at high risk of admission to hospital due to their presenting health needs.

There is a rapid response service, including a rapid response palliative support team who offer acute nursing care and assessment in patients own homes.

The adult continence service is provided by a small team of specialist nurses. The learning disability primary care service provides support to people with learning disabilities. A community dietician provides support to patients with nutritional needs with a focus on the frail elderly population.

We inspected this service using our comprehensive inspection methodology. We carried out an unannounced inspection on 15 May 2019. This was the service’s first comprehensive inspection and they had not been previously rated.

To get to the heart of people’s 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.

We have provided guidance for services that we rate and do not rate.

Services we rate

We rated it as Good overall.

• The service had enough staff with the right qualifications, skills, training and experience to keep patients safe from avoidable harm and to provide the right care and treatment. Staff had access to a training and competency programme to ensure they had the skills required to provide good quality care.

• The service provided care and treatment based on national guidance and evidence of its effectiveness. Managers checked to make sure staff followed guidance.

• Staff of different kinds worked together as a team to benefit patients. District nurses and other allied healthcare professionals supported each other to provide good care.

• The service planned and provided services in a way that met the needs of local people. The services provided reflected the needs of the population served and they ensured flexibility, choice and continuity of care. The facilities and premises were appropriate for the services that were delivered.

• Staff cared for patients with compassion. Feedback from patients confirmed that staff treated them well and with kindness. People who used the service told that staff went over and above what was expected of them. Staff displayed determination and creativity to overcome obstacles to delivering care.

• There was inclusive and effective leadership. There were up to date strategy, policies and standard operating procedures aligned with national guidance and the wider health economy. There was a demonstrated commitment to system-wide collaboration and leadership.

• Staff we spoke with overwhelmingly felt positive and proud to work in the organisation. The culture centred on the needs and experience of people who used services. Staff told us that they felt pride in the organisation and the work the carried out to ensure patients received good quality care.

However:

• Staff highlighted continued issues with access to a network connection to support remote working and accessibility to patient records.

• Patient’s care records did not always demonstrate that consent had been gained to provide care and treatment.

• Staff compliance with mandatory information governance training fell short of the service target. There were plans documented to improve the numbers for completion.

Heidi Smoult

Deputy Chief Inspector of Hospitals

Updated 1 October 2019

We rated the service as good for safe, effective, caring, responsive and well led.