Visited Accident and emergency services on February 2023, Report review titled Excellent Care as unsuitable, by Kelly Gannon - Posted on 01 March 2023. The six-facet survey (illustrated inFigure 14) shows that the majority of this relates to the physical condition of the estate. Current 28 bed ward: 600 square metres; Read our Accessibility Statement Finally the doctors were happy and I was able to leave, at ten past ten. The survey of bereaved relatives results were positive in relation to dignity and respect afforded to patients. The Royal Lancaster Infirmary ( RLI) is a hospital in the city of Lancaster, England. Motorway access to the sites is limited dueto the rural geography, with road networks of A-roads at best. Figure 13shows the redevelopment profile. The trust engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually. 20 August 2021, In Staff were positive and motivated and without exception delivered care that was kind and promoted peoples dignity, and focused on the individual needs of people. Inspectors observed one consultant assessing a patient amongst other patients nearby. Infection prevention control measures . A low number of critical care elective admissions were cancelled and there was a low number of readmissions to the unit. There is an opportunity to reduce the percentage of the site currently set aside for non-patient facing activities to increase and improve the estate for patients. the service is performing exceptionally well. We found examples of strong local and senior leadership and staff from all departments commented on management improvements. This is why patient experience and looking after the whole person is important. Suspended ratings are being reviewed by us and will be published soon. This provides a poor patient experience, and the reduced amount of ward space available has resulted in this location for the regional Neurology ward., Figure 13: Development Control Plan for Royal Preston Hospital: long term. Most but not all the buildings are linked by long passages, with some buildings separated from the main complex by public highways. We visited Royal Lancaster Infirmary as part of our unannounced inspection during 20 to 22 April 2021. Bassetlaw Hospital. [2] [3] It lies to the south of the city centre, between the A6 road and the Lancaster Canal. Report review titled Amazing team as unsuitable, by Anonymous - Posted on 08 December 2022. It is staffed by the most dedicated bunch of nurses, healthcare workers, admin support staff & doctors. 45 Lancashire roads with mobile speed cameras throughout May including M6, M61, M55, A56 and A585, Lancashire Road Safety Partnership sets up mobile speed cameras to 'improve driver behaviour', Preston fire crews due to remain at Old Orphanage into the morning, Six fire crews were called to Mount Street in Preston earlier this evening. The inspectors also raised significant concerns about the leadership of ongoing safeguarding concerns. Liaison with the infection control team supported assurance that patients with infections received best practice and the small proportion of patients that may need specialist ventilated isolation facilities would be transferred if required. In order to gain access to the ward, all visitors must not be Covid-19 positive, must not have Covid-19 symptoms or generally feel unwell. Clinically, the staff are of the highest calibre you will find anywhere. The nurses and receptionists were great, doctor - cant tell. Units are often on the roadside and are exposed to wildlife including birds when recommendations state that they should be protected and away from roads / transit routes. Medical care (including older peoples care). Staff had access to specialist advice and support 24 hours a day from a consultant on-call team for end of life care. Key challenges and specific investment needed to meet the future heath needs of the local population that can be addressed in line with the strategic priorities of the national New Hospital Programme include: Figure 19: Results of the six-facet survey for Furness General Hospital illustrates the physical condition, functional suitability and quality of the estate is categorised as good. From June 2020 to May 2021 there were 1643 babies delivered across the three maternity locations provided by the trust. This included the development of the bereavement service. We took this urgent action as we believed a person would or may be exposed to the risk of harm if we had not done so. Staff we spoke with across the team were passionate about their roles and proud of the trust. Figure 5below shows all hospital sites across our region. Find a Temple View locations, schedules, and other information for all the Church's temples. Patients were overwhelmingly positive about the way staff looked after them. Capacity in clinical areas is constrained: this impacts on distancing and infection control, adding clinical risk. Royal Lancaster Infirmary (RLI) is UHMBTs principal hospital, providing a range of general acute hospital services with an Emergency Department, critical coronary care units and various consultant led services. Inspectors observed the patient becoming agitated when being asked questions and the consultant at times being abrupt with the patient. However, this was well understood by the executive team and clinical staff. (iv) Corridors are also elongated, at times creating atravel distance of 1kmfor our patients and staff. Staff in the medical service did not always assess swallowing abilities in a timely manner. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. 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. Or by navigating to the user icon in the top right. Electricity supply does not currently meet national standards. "We also want to pay tribute to our colleagues working in the areas inspected who have worked tirelessly throughout the pandemic and now are continuing to improve the care offered.". The official enumeration day of the 1900 census was 1 June 1900. Staff worked hard to not discharge patients to wards during the night with low number of out of hours discharges, comparable with other similar units. Ward areas are non-compliant with HBN requirements. ROYAL LANCASTER INFIRMARY RLI FLOOR MAP HOSPITAL FLOOR PLAN THEcaptainsparkle 2.69K subscribers Subscribe 12K views 3 years ago ROYAL LANCASTER INFIRMARY BEFORE I HAD TO VISIT THE RLI A FEW. Suspended ratings are being reviewed by us and will be published soon. 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. (opens in new window), Read section 7: Delivering the Lancashire and South Cumbria Clinical Strategy, Section 5: Lancashire and South Cumbria Health and Care Partnership >>, Section 7: Delivering the Lancashire and South Cumbria Clinical Strategy >>, Section 8: Our infrastructure does not support our future digital technology ambitions >>, Section 9: Our infrastructure impedes our ability to recruit and retain our workforce >>, Section 10: Our infrastructure impacts our use of resources >>, Demand exceeds capacity across all clinical areas, and aged buildings lack flexible capacity leading to congestion and overcrowding, Non-compliance with Health Building Notes space and single room provision (19%), Poor clinical adjacencies and lengthy circulation spaces, Some tertiary services have developed and expanded without fully being able to meet all the estate requirements, Independent appraisal has confirmed 80% of the site requires redevelopment or demolition over the medium to long term. Care and treatment was evidence based and followed national guidance. Most of the site is on a slope, which in some areas is too steep for patients to be safely moved except by ambulances. Excellent friendly service. The trust had 2,397 elective surgical admissions, 10,124 emergency admissions and 13,114 day surgery admissions between January 2020 and December 2020. Staff we spoke with were planning improvement as part of the appointment of a supernumerary coordinator. Ashton Road, Lancaster, Lancashire, LA1 5AZ Our estate restricts our capacity to provide high-quality safe, efficient and cost-effective services for our patients and impacts our ability to attract and retain staff. Follow up clinics were in place at the RLI for critical care patients, as recommended by NICE CG83 and GPICS (2015), who had experienced a stay in critical care of longer than 4 days. The weight of positive comments gave evidence of a caring and compassionate team. There are also a range of consulting rooms for antenatal and postnatal clinics and a bereavement suite. When we inspected this time the department continued to work with vacancies but a new rota system enabled the department to make improvements. Patients in the emergency department did not always have their privacy and dignity maintained. RLI also provides a range of planned care including: outpatients; diagnostics; therapies; maternity and day case and inpatient surgery. 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Royal Lancaster Infirmary The Royal Lancaster Infirmary is a hospital in the city of Lancaster, England.It lies to the south of the city centre, between the A6 road and the Lancaster Canal.It is managed by the University Hospitals of Morecambe Bay NHS Foundation Trust. Test your knowledge. In the last inspection of Royal Lancaster Infirmary, in July 2015, we rated end of life care services as 'good'. Our inspection was unannounced (staff did not know we were coming) to enable us to observe routine activity. The hospital lacks an obvious main entrance, which can be confusing for patients and visitors. 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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 was active involvement strategically from the deputy chief nurse and executive leadership at board level. Theoretical comparable footprint size for 28 bed ward to HBN-04 guidance would be 1,320 square metres, with 50% single beds. The hospital provides elective day case surgery for orthopaedic surgery, ophthalmology, ear, nose and throat (ENT), maxillofacial, urology and general surgery. At Royal Lancaster Infirmary, there are 460 spaces for the 2,809 staff based there, with limited Park and Ride facilities. (ix) Lack of decanting space: a modern hospital is designed with sufficient space to allow clinical units to be decanted during refurbishment or improvement. The team in critical care services were well-led. Within surgery, the service performed worse than national standards for waiting times from referral to treatment. If you are ill or injured and unsure what to do next, call NHS 111. This page is not available in other languages. The mortuary was clean and well maintained, infection control risks were managed with clear reporting procedures in place. Historic Sites Significant backlog maintenance, which requires attention. The staff on the ward will advise you how many visitors are allowed, what time visiting is and details of any restrictions for that ward. Bosses at UHMBT have since said that improvements have been made and action is ongoing in response to the CQC's concerns. Royal Lancaster Infirmary (UHMBT): 8 hectare site, gross internal floor area of 55,882 square metres, . 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. 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. The radiology department, medical assessment unit and surgical assessment unit are not co-located with the Emergency Department. RPH has developed in a largely opportunistic manner, with the majority of the estate planned to 1950-60s specifications and built in the 1970s and early 80s. Taken from Szucs, Loretto Dennis, "Research . They did not always use special feeding and hydration techniques when necessary. University Hospitals of Morecambe Bay NHS Foundation Trust. The Royal Preston Hospital site does not comply with modern building standards for space: Almost all operating theatres and all day case theatres at RPH are well below the HBN recommended size of 55sqm. There were examples of innovation across the service. Download the LancsLive app for free on iPhone here and Android here. They make up some of the worst hospital estate in the North West, if not the country. CT scanning staff had previously raised concerns about shortage of staff and their access to knowledge and skills competencies. PR3 3WQ, In During the inspection we found areas of concern that led to a further unannounced focused inspection in medicine for the stroke care pathway. the service is performing badly and we've taken enforcement action against the provider of the service. "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. The regulator's findings included concerns that patients were being put at risk because of an insufficient number of doctors and nurses. Contact our newsdesk on lancslive@reachplc.com. " Being in hospital isn't pleasant, away from home, family and routine, and most patients do not want to be there. Figure 20shows the medium to long term development profile for the FGH site. Patients were at the centre of decisions about care and treatment. The did not have an effective system to ensure that all clinical staff had the knowledge, competence, skills and experience to care for and provide treatment to patients presenting with symptoms of stroke. the service isn't performing as well as it should and we have told the service how it must improve. This enables recording and sharing of peoples care preferences and details about their care at the end of life. The chaplaincy and bereavement service supported families emotional needs when people were at the end of life, and continued to provide support afterwards. We had reported in 2015 that medicines were not stored securely in the unit; however this had improved with provision of new storage cabinets and performance of a regular safe storage of medicines audit.

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