Source · CQC inspection
Unit 4 Cornishway Industrial Estate
Type Independent Ambulance
Region North West
Last inspected 7 Jul 2022
Overall rating: Requires Improvement View full CQC report
Domain ratings
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Good
Responsive
Good
Well-led
Requires Improvement
Earlier inspection findings
Must-do actions (10)
Must-do action 1 of 10
Must do
Safe
Ensure they assess the risks to the health and safety of service of people usingservices. That risk assessments are available and completed by people with the qualifications, skills, competence and experience to do so.
Must-do action 2 of 10
Must do
Safe
Ensure they complete risks assessments doing all that is reasonably practicable to mitigate identified risks to patients.
Must-do action 3 of 10
Must do
Safe
Provide care and treatment in a safe way for service users by assessing the risk of, and preventing, detecting and controlling the spread of, infections.
Must-do action 4 of 10
Must do
Safe
Ensure incidents that affect the health, safety and welfare of people using services are appropriately recognised and reported. Incidents must be reviewed and thoroughly investigated by competent staff and monitored to make sure that action is taken to remedy the situation and make sure that improvements are made as a result.
Must-do action 5 of 10
Must do
Safe
Provide care and treatment in a safe way for service users by ensuring the proper and safe management of medicines. Staff responsible for the management and administration of medication must be suitably trained and competent and this should be kept under review. Staff must follow policies and procedures about managing medicines.
Must-do action 6 of 10
Must do
Safe
Ensure all premises and equipment are clean, suitable for the purpose for which they are to be used and properly maintained.
Must-do action 7 of 10
Must do
Well-led
Establish and operate effectively systems and process to identify where quality and/or safety are being compromised and to respond appropriately to assess, monitor and improve the quality and safety of the services
Must-do action 8 of 10
Must do
Effective
The provider must ensure that staff are competent, receives such appropriate training, supervision and appraisal as is necessary to enable them to carry out the duties they are employed to perform.
Must-do action 9 of 10
Must do
Well-led
Ensure that procedures are be established and operated effectively to ensure staff employed are of good character and have the competence, skills and experience for the work to be performed by them,
Must-do action 10 of 10
Must do
Well-led
Maintain securely records of the care and treatment provided to the service user and of decisions taken in relation to the care and treatment provided;
Should-do actions (6)
Should-do action 1 of 6
Should do
Safe
Operate a cleaning schedule and monitor the level of cleanliness. To take action without delay when any shortfalls are identified and make sure that staff with responsibility for cleaning have appropriate training
Should-do action 2 of 6
Should do
Safe
Operate a stock control system to monitor single use items and ensure that they remain in date
Should-do action 3 of 6
Should do
Effective
Review arrangements for staff to receive training in the deteriorating patient such as NEWS2 in line with the services own policies
Should-do action 4 of 6
Should do
Well-led
Review the risk register to have oversight of all risks within the organisation, covering all areas of practice, and monitor progress against them. Determine and implement an operation means to determine and review on an ongoing basis with appropriate planning any risks identified on the risk register
Should-do action 5 of 6
Should do
Well-led
Review policies and standard operating procedures to determine I they reflect the service delivered and monitor performance against any policies
Should-do action 6 of 6
Should do
Effective
Maintain an up to date system to identify HCP staff, their qualifications and training.