On arrival in the hospice the patients are introduced to the nursing staff that will be caring for them and shown to their bed. There are 4 single occupancy en-suite rooms, but these may be required to accommodate patients with specific care needs that, in the judgement of the palliative care team, are best met in single occupancy rooms. The remaining 5 beds are allocated in 2 single sexed rooms.
Patients are cared for by a dedicated specialist palliative care team which consist of doctors and nurses, physiotherapists, occupational therapists, family support workers, clinical psychologists, hospice chaplains, bereavement support team, pharmacists, a music therapist, welfare rights team, lymphoedema team and a housemother. Some of these team members work across both the Cransley Hospice and Cynthia Spencer Hospice sites. Ward clerks, secretarial staff, catering and domestic staff and the porters complement the hospice team. There are a number of volunteers at Cransley Hospice who carry out a range of tasks.
After assessment by the nursing and specialist palliative care team a patient’s care is planned and explained by the identified Registered nurse. There is always a trained nurse on duty that is responsible for co-ordinating the delivery of planned care. This nurse is also available to answer any questions the patient and family have.
There is a Consultant led ward round every Monday afternoon and Thursday morning. Family members/carers are encouraged to be present during the ward round which provides an opportunity to discuss various issues or concerns that they may have. Every Wednesday morning all the specialist palliative care team meet to amalgamate their thoughts and patients’ views about their plan of care. An appropriate member of the team will then discuss this with the patient during the following days.
It is not always widely known that many patients are discharged from the hospice. Planning for discharge may soon start after admission. Patients can be discharged back to their own home, to the homes of family/carers, or to a nursing home if necessary. The hospice is unable to offer indefinite long term care. A patient may be offered regular follow up appointments to see the hospice Consultant at the hospice as an outpatient. The patient may also be visited at home by a Specialist Palliative Care Nurse, who provides support and information to patients and their families/carers.