A genuine culture of listening, learning and improvement was evident amongst all staff we spoke with. The overall quality of the estate is good there is no medium to long term need for redevelopment or replacement of the site that is as pressing in absolute terms as at RPH and RLI. [6], A new maternity unit opened in 1979, the pathology building was added in 1994 and the new centenary building opened in 1996. To be part of the conversation and to keep up to date on all the latest news and updates, start by registering for our email newsletter today. The CQC observed significant amounts of black and grey dust on several items of equipment when they visited the medical assessment unit. "We have already taken a number of actions, including moving one of the wards to new purposebuilt facilities, enhancing the level of care offered to the patients. Drove around for 30 minutes. Without it, services could fail, impacting on our populations health, economic prosperity and the sustainability of other providers which cannot absorb the additional demand. Issues around estates and environment were on the directorate risk register and had been identified as a not met against National D16 commissioning service specifications for critical care services, during an assessment by the LSCCCN. The Royal Lancaster Infirmary is a part of the University Hospitals of Morecambe Bay NHS Foundation Trust. Concerns: The CQC has issued a letter of intent to UHMBT. we have taken enforcement action. We did not inspect all of the key lines of enquiry as our concerns were related to specific risks around the stroke care pathway. The trust did not have a dedicated CCOR team and this continued to be on the risk register, however during our inspection we noted good provision of principles in line with GPICS (2015), NICE CG50 and against the seven core elements of Comprehensive Critical Care Outreach,(C3O 2011). In light of this, we suspended the ratings for Medical care including care for older people. A full condition survey has been carried out on each of the sites: these figures are shown inFigure 8below and indicate the investment that would be required to return the site to operationally sound. Royal Lancaster Infirmary is bursting at the seams, there is no room to expand, parking is insufficient and emergency vehicles have to travel through a congested city centre.. The care of the dying patient (CDP) document in use throughout the trust. The inspection at Royal Lancaster Infirmary on 2-3 August led to its medical services being downgraded from good to inadequate. We don't rate every type of service. The topography of the RLI site provides some challenges around suitability and movement / accessibility between buildings and departments, particularly for patients of reduced mobility, but this was excluded from the six-facet survey. Report: A patient at Royal Lancaster Infirmary. Imposing conditions means the provider must manage regulated activities in a way which complies with the conditions we set. See the services we provide and find further information about each of them. Given todays standards, the cubicle would be deemed non- compliant and not fit for purpose. Outcomes for women within the maternity service were not always positive, consistent nor met expectations, such as national standards. These remain well below the national average of 30% and 21%, respectively. Entrances, waiting areas and circulation spaces built 40 years ago were not designed for the current volumes of patients so become congested and over-crowded. FGH also provides a range of planned care including: outpatients; diagnostics; therapies; maternity and day-case and inpatient surgery. Within surgery, the service performed worse than national standards for waiting times from referral to treatment. Bassetlaw Hospital. Any other browser may experience partial or no support. Investment in our infrastructure is essential. Care and treatment was evidence based and followed national guidance. Figure 18shows the medium to longer term development control plans for the RLI site. It provides acute hospital services including urgent and emergency care, medical care, surgery, maternity, critical care, paediatrics and out-patients for people in the North Lancashire and South Cumbria areas. Retford Hospital. End of life care services were very well led. We observed that physiotherapy cover in the unit did not provide enough opportunity to be involved in unit activity, deliver care to eight patients that was in line with GPICS (2015) and reduced opportunity to develop standards of patient rehabilitation in critical care. "There has been some really great work to improve the safety of patients, the care offered and the culture within the wards the CQC visited. The service controlled infection risk well. Staff were proud of opportunities they had been involved in to drive forward service improvements and innovation. The age, condition and poor functional content of the current hospital estate means that we must address this critical need if we are to serve both the current and future needs of our local population, and meet the NHSs net zero carbon ambitions. The site is congested, with limited development space available and gaining planning consent could be challenging. We saw evidence of proactive executive involvement in terms of the development of the end of life care strategy. However, this was well understood by the executive team and clinical staff. Download the LancsLive app for free on iPhone here and Android here. Royal Lancaster Infirmary 01524 65944. The maternity service did not always assess and monitor women to see if they were in pain, nor give pain relief in a timely way. Ward 23 provides general medical care and treatment. I was brought in by ambulance from Westmorland General with extremely high blood pressure. Thank you all, Visited Accident and emergency services on March 2023, Report review titled Great person centred care as unsuitable, by Mrs Judith Ann Harrison - Posted on 05 February 2023. Around 2h later shift changed and new patients arrived, were initially examined and taken in by doctor within half an hour wheres me and another patient clearly in severe pain sat waiting. Electricity supply does not currently meet national standards. Registered Nurse - Ward 33 | Job advert | Trac Isaac Costa Privileged to be able to help Greta is originally from Slovakia. However, the service performed worse than expected for patient length of stay in the national hip fracture audit 2019 and the national bowel cancer audit 2020. Our rating of this location stayed the same. Despite delays in A&E, which are obviously not the fault of the staff (9h wait), I would like to sincerely thank all the staff at the A&E unit, and emergency day assessment unit for their caring, compassionate and effective treatment that I received for an unexpected, adverse reaction to some drugs which had been prescribed for me, and which was quickly resolved. However, there is a strong casefor investment to support its future sustainability in the context of its strategic importance in the provision of services to the population of Barrow-in-Furness and its proximity to major strategic national assets. Outpatient and diagnostic services were delivered by caring, committed and compassionate staff. Special report: On Lancaster's Covid red wards where heroic - LancsLive The weight of positive comments gave evidence of a caring and compassionate team. Significant backlog maintenance, which requires attention. Following the inspection, the trust began working with external providers to minimise the risk to patients. The Huggett Suite, is based in the Centenary Building, and will provide the RLI with six acute stroke beds and an assessment bay. However there was poor access to sinks in the unit, which did not comply with health building note HBN 00-09, (infection control in the built environment; hand hygiene facilities, clinical wash-hand basin provision). If you are ill or injured and unsure what to do next, call NHS 111. Westmorland General Hospital During our last inspection we identified concerns with the timely availability of case notes and test results in the outpatients department. Improving the care offered to patients by employing two new doctors, two new physiotherapists and a new advanced nurse practitioner, Continuing to ensure every patient is reviewed three times per day with a view to discharging patients quickly. If you are thinking of starting a family, have booked an appointment with a midwife, or would like to deliver your baby at one of our hospitals, our virtual . Upgrading technical clinical areas (such as operating theatres and endoscopy units) may require modular replacements unit at very considerable cost causing further parking and accessibility issues. Our ambition is to improve the environment for patients and staff, including increasing the single room provision. The FGH site has a reasonable amount of strategic expansion space available. They have several stations that are less noisy and in line of sight for all patient rooms and loads of diagnostics all monitored from the stations brilliant.. Attendances at the emergency departments within the trust averaged around 10,000 per month. Patients were cared for holistically and there was strong evidence of spiritual and emotional support being recognised for its importance within the trust. Any other browser may experience partial or no support. Report review titled Amazing team as unsuitable, by Anonymous - Posted on 08 December 2022. In the urgent and emergency care service there were not always enough staff with the right qualifications, skills, training and experience to provide care and treatment to children and staffing of childrens nurses was not in line with national guidance. This is not sufficient for our workforce, so around 1,000 staff members are required to park off-site and use Park and Ride services. Many are not wheelchair accessible and the toilets are too low, requiring an additional seat raiser, which is a risk similar to the use of a commode. I should like to express my particular thanks to Dr Julia Marshall for taking the time to talk to me and explain the problems. Royal Preston Hospital (RPH) provides a full range of district general hospital services including: Emergency Department (ED); critical care; general medicine including elderly care; general surgery; oral and maxillo-facial surgery; ear nose and throat surgery; anaesthetics; childrens services; and womens health and maternity. Maternity Virtual Tour - Royal Lancaster Infirmary - YouTube (vi) Car parkingis consistently highlighted as a concern in our feedback from staff and patients. From June 2020 to May 2021 there were 1643 babies delivered across the three maternity locations provided by the trust. Staff did not always feel respected, supported and valued by senior leaders. Nurse skill mix in the critical care unit was not compromised to cover the theatre recovery activity, as had been previously reported. Patients in North Lancashire and South Cumbria will now benefit from a brand new stroke unit at the Royal Lancaster Infirmary (RLI), thanks to a major investment of over 1m. Glasgow Royal Infirmary - NHSGGC This includes an element of physical condition and lifecycle works, which are required to return the estate to condition B as per the six-facet survey. Plus use our free tools to find new customers. Inspectors spoke with senior staff on the unit about this at the time, however they seemed unconcerned about this. Call: 0141 451 5315 or 0141 451 5521. Operating suite floor areas are non-compliant for all areas: Theatres at RLI are well below the HBN recommended size of 55sqm and space requirements for an anaesthetic room, preparation room, scrub up and gown or dirty utility are not met. Staff had access to specialist advice and support 24 hours a day from a consultant on-call team for end of life care. Read frequently asked questions, the latest news about the programme and stories from people in the region. The urgent and emergency care and maternity service did not always provide care and treatment based on national guidance and evidence-based practice. Inspectors found crumbling walls, rusty bins and dirty wards during an inspection at the Royal Lancaster Infirmary. If you are having difficulty getting through to the ward, you can contact the hospital switchboard on 0161 276 1234. Preston, There was a sense of purpose to get to bottom of the problem, and as a patient I felt cared for, listened to and treated with respect. The trust had 2,397 elective surgical admissions, 10,124 emergency admissions and 13,114 day surgery admissions between January 2020 and December 2020. royal lancaster infirmary map of wards - iccleveland.org . Visited Accident and emergency services on February 2023, Report review titled Excellent Care as unsuitable, by Kelly Gannon - Posted on 01 March 2023. If integral shower and toilet facilities were available for each multi-bed bay or single room, then partial closures would be possible, increasing our bed capacity and ability to cope with outbreaks. Doncaster Royal Infirmary. Our general switchboard number is 01302 366666. This page is not available in other languages. When we inspected this time the department continued to work with vacancies but a new rota system enabled the department to make improvements. Bosses at UHMBT have since said that improvements have been made and action is ongoing in response to the CQC's concerns. During our inspection we found that nurse staffing was good with sufficient staffing levels for provision of critical care. As always you can unsubscribe at any time. (v) Poor clinical adjacenciesadd to the running costs from more portering to the downtime experienced by clinicians as they wait for patients to arrive from distant areas. Medical care (including older peoples care). They are anchor institutions providing healthcare and employment to 40,000 people. 9 February 2017. BEFORE I HAD TO VISIT THE RLI A FEW DAYS AGO, I THOUGHT I'D HAVE A LOOK ONLINE TO SEE WHERE I HAD TO GO.I COULDN'T FIND A FLOOR PLAN/MAP/FLOOR MAP/GUIDE OR WHATEVER YOU CALL IT, SO I DECIDED TO MAKE MY OWN. Royal Lancaster Infirmary (UHMBT): 8 hectare site, gross internal floor area of 55,882 square metres, . The estate fails to meet some HBN standards and capacity requirements. I was triaged quickly and then had a brain scan. University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) serves a population of approximately 360,000 across the Morecambe Bay ICP area and employs 7,500 staff. Figure 8sets out the site-specific running costs and area of the estate. Ashton Road, Lancaster, Lancashire, LA1 5AZ There was a proactive approach to the assessment and management of patient-centred risks and staff took responsibility for driving improvement to reduce risk of patient harm or acute deterioration. The infection risk wasn't controlled well and not all areas of the premises was visibly clean. Royal Lancaster Infirmary partially collapses after car crash I dread getting an appointment at this hospital. There was very good public and staff engagement, There was a commitment by the trust and this was underpinned by staff that patients were cared for in a dignified, timely and appropriate manner. There were damaged walls with crumbling plaster on the floor and there were clinical waste bins with rusty metal lids. We observed good compliance with hand hygiene by all nursing staff, with regular 100% audit results of compliance. Ward 37 is a medical ward at LRI with a specialist interest in respiratory medicine. Finally the doctors were happy and I was able to leave, at ten past ten. The programme for care of patients with tracheostomy across wards was comprehensive. Since the last inspection we found that there had been some improvements in staffing. 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This often results in sewage leaks due to inadequate plumbing capacity. There was good provision of equipment in critical care with robust systems for medical device training. Visitor information - Manchester Royal Infirmary The improvement work undertaken so far includes: Additional building work on the existing wards in Medical Unit 2 is taking place to enhance the accommodation. Visited Accident and emergency services on January 2023, Report review titled Bad experience as unsuitable, Every time I get sent sent to a&e and Lancaster hospital I dread it due to me having a lot of health conditions I wanted some gas and air to relieve the paine while they were moving my body but they refused to supply me this and I was left with lots of pains and aches while no pain relief was offered but before coming here ambulance crew gave me gas and air to support the pain I was recieving it's disgusting excuse was it can be dangerous and addictive but that's not the point I was literally in very bad pain, Report review titled Very Slow and Unable to resolve my problems as unsuitable, by Hannah Ellison - Posted on 22 January 2023. 22 July 2022, Published "The estate is falling down and we must tell the truth about that. The conditions related to the stroke pathway at the Royal Lancaster Hospital and the Furness General Hospital. (iii) Due to the age of the buildings, spaceslack flexibility and capacity. The resus bay within the Emergency Department is non-compliant and not fit for purpose. You can reach them on 01539 715577. Escalating patients ready to leave our care with senior teams to ensure their care is transferred as quickly as possible. lifecycle costs over maintenance, Site is configured over a challenging topography access is particularly challenging for those with a disability and transport to some parts of the hospital (separate ward blocks) is only possible by ambulance at 500,000 per year cost to the Trust, The estate fails to meet many HBN standards single room provision is only 50% of the recommended standard and less than a third of our ambition for 70% single rooms. Staff in the emergency department did not always reassess pain scores. Whilst the services had plans in place to improve this, these measures had not been fully implemented and had not yet led to any significant improvement in the services. The survey of bereaved relatives results were positive in relation to dignity and respect afforded to patients. Staff we spoke with were planning improvement as part of the appointment of a supernumerary coordinator. Louise Munro, age 23, is a Royal Voluntary Service On Ward volunteer at Royal Lancaster Infirmary, where she spends time with 84-year-old Marina. (ix) Lack of decanting space: a modern hospital is designed with sufficient space to allow clinical units to be decanted during refurbishment or improvement. There's no need for the service to take further action. The services could not always demonstrate how they used findings to make improvements and achieve good outcomes for patients. If you take the patient, get it done there and then, diagnose. Medical staff we spoke with discussed the historical shortfalls in anaesthetic staffing levels for out of hours cover. In particular, the Critical Care Unit / High Dependency Unit. The investment in leadership programmes was good and it was clear the learning was shared, staff had a shared purpose and made an impact in practice.