The Hospice continues to follow government guidance to ensure the safety of all patients, staff, volunteers and visitors https://www.gov.uk/coronavirus
to promote the safety of all patients, volunteers and staff everyone who works at the hospice including contractors and professional visitors are undergoing regular testing for COVID-19.
Good hand hygiene is the best way of protecting yourself, our patients and our staff. If you are visiting the Hospice please ensure that you follow the following guidance.
Please wash your hands with soap and water:
- before leaving home
- on arrival at the hospice
- after using the toilet
- before eating any food, including snacks
- before leaving the Hospice
- on arrival at home
- and avoid touching your eyes, nose, and mouth with unwashed hands
Hospice services are currently operating as follows:
The Hospice Inpatient Unit remains open and all patients are being cared for in single rooms. Referrals for adults with advanced, progressive, life-limiting disease will be considered and prioritised on the basis of clinical need when they have complex physical, emotional, psychosocial or spiritual needs which cannot be met in the current place of care. Referral needs to be made by another health care professional involved in their care.
Visiting Someone On The Inpatient Unit
The Hospice is constantly reviewing its practice with regards to compassionate visiting arrangements whilst working within government guidance and considering patient, staff and visitor safety at all times. Patients and visitors will be advised of the specific arrangements for their situation prior to admission and if and when their situation changes over the course of their stay with us. All patients on the unit are identified as low, medium or high risk in relation their COVID-19 status.
We now conduct COVID-19 lateral flow testing for visitors to hospice inpatients as regular testing of visitors when combined with other infection prevention and control (IPC) measures (such as social distancing and the use of personal protective equipment) will support the Hospice in enabling us to safely maintain a balance between infection control and the vital benefits of visiting to the health and wellbeing of patients and those important to them. The process for conducting the tests will be explained prior to patient admission and the visitor will be supported throughout by a member of the ward team.
Low and medium risk patients are currently able to have a family member accompany them on their day of admission and to have a pre-booked one-hour daily visit with up to two family members or friends. High risk patients (those who present with symptoms of COVID_19 or have had a recent positive test) will need to be cared for in isolation with closed window visits.
For patients identified as significantly deteriorating or being in the last days of their life we are able to be more flexible and patients in any group are able to have face to visiting and one family member to stay overnight if required. Details of how this will work are discussed on an individual basis. Patients in the high-risk group will be asked to identify a designated person who will have at least one daily contact call from the nurse looking after them that day. Other family members are able to contact the ward for updates as usual with the patients consent. Nursing staff are also able to facilitate virtual visiting through the use of an iPad– please discuss your needs with the nurse who is looking after your loved one.
All visitors must sign in at reception prior to visiting either through the window or within the unit. Anyone who is experiencing symptoms of COVID -19 – a high temperature, a new, continuous cough or a loss or change to your sense of smell or taste, or anyone who is isolating because they have been in contact with someone with these symptoms or who has been advised to isolate for other reasons must not visit the Hospice. We strongly recommend that those who have been identified as vulnerable or extremely vulnerable do not visit at this time. All face to face visitors will be required to wear PPE, face mask, gloves and apron (provided by the hospice) for the duration of their visit,
Family Support Services
Adult and children’s bereavement counselling services for anyone with a West Cheshire GP, regardless of the place or cause of death, are being provided by telephone or video consultation. There are also online Bereavement Help Points running on 2nd & 4th Wednesday of the month at 11.00-12.00 and 1st and 3rd Monday of the month at 18.00-19.00. Email firstname.lastname@example.org to register. Referrals for any of the above services can be made by a professional involved in your care or by self-referral. Please contact 01244 853 193 for more information or email email@example.com
Living Well Services for people living with an advanced life limiting condition and those who care for anyone in this situation, are being provided through telephone support, video consultations and small group work. For more information about these services please contact 01244 566 707 for more information.
The spiritual care coordinator and hospice social worker are available to speak with patients and visitors within the hospice by appointment and can be contacted on 01244 851 091.
These services are being provided as a combination of face to face sessions and telephone consultations according to clinical need, as agreed with DR Bokhari. Patients attending for face to face consultations must follow the guidance below:
Before coming to the appointment
The patient or anyone accompanying them must not attend if they have:
- any symptoms of COVID-19: a high temperature, a new, continuous cough, a loss or change to sense of smell or taste
- been in contact with anyone with COVID-19 symptoms,
- been identified as needing to self-isolate through the NHS test and trace system or to quarantine due to recent travel abroad.
- Please advise us of any special needs which may impact on the appointment e.g. mobility assistance, assistance with communication so this can be planned prior to the visit.
On arrival at the Hospice
- Please wait in the car until 5 minutes before the appointment
- Only 1 visitor may accompany the patient to the appointment
- A volunteer will greet the patient on arrival and will ask the patient and visitor to confirm that that they do not have any of the symptoms identified above or any restrictions on their movement
- Contact details for the visitor will also be required for test and trace
- The patient and visitor will need to wear a face covering throughout the visit. Where patients or visitors are unable to wear the PPE due to health conditions or a disability, the doctor will discuss with the visitor what other Infection Prevention and Control measures are required
- Maintain a two-metre distance with other visitors and staff, in line with government social distancing guidance, at all times
- Avoid using the hospice toilets unless absolutely necessary
- Please contact the ward as soon as possible if either the patient or visitor develops any COVID-19 symptoms after the appointment as this may have implications for staff and volunteers
The answers to the following frequently asked questions may also be helpful:
Can children visit?
We will discuss on an individual basis the possibility of children visiting a parent. This will be managed on a case by case basis. Children must not be brought to the hospice before there has been a discussion and an agreed plan made with a member of the senior nursing team. Our family support service has a number of resources and information available to help families support any children at this time. Please speak to the nurse in charge for more information.
Can we bring food in to the hospice?
Food can be brought into the hospice if you are visiting face to face but not via the window to ensure social distancing is maintained. At present we cannot store food at the hospice apart from in exceptional circumstances following discussion with a member of the senior nursing team.
How do we manage laundry?
Patients do still require their own clothes for their hospice stay: night clothes and possibly loose comfortable clothing for daytime depending on their situation. Nursing staff are able to place used clothing into bags and pass to visitors and receive clean clothing when the visitors check in for visiting.
Any specific concerns regarding visiting arrangements to be directed to the senior nursing team: Liz Taylor – Director of Clinical Services, Debbie Evans – Ward Manager and Infection Prevention and Control Lead, or Louise Saville King – Deputy Ward Manager via the main hospice number 01244 851091.
Please also read our visiting leaflets:
Thank you for your help and co-operation.
Liz Taylor, Director of Clinical Services
Dr Fariha Bokhari, Responsible Clinician