Source · CQC inspection

Ambulance Headquarters, Bernicia House

Type NHS Healthcare Organisation Region North East Last inspected 1 Feb 2023

Overall rating: Requires Improvement View full CQC report

Domain ratings

Five CQC key questions

Safe

Requires Improvement

Effective

Requires Improvement

Caring

Good

Responsive

Requires Improvement

Well-led

Requires Improvement

Earlier inspection findings

pre-2024 framework · 3 must-do

Must-do actions (3)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 3

Must do

Safe

Ensure patients are protected from abuse and improper treatment.

Regulation: Regulation 13 HSCA (RA) Regulations 2014 Safeguarding service users from abuse and improper treatment Service users must be protected from abuse and improper treatment

⚠ The service did not have systems and processes in place that operated effectively to prevent abuse of service users. This was in breach of Regulation 13(1)&(2) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Must-do action 2 of 3

Must do

Well-led

Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

Regulation: Regulation 17 HSCA (RA) Regulations 2014 Good governance Systems or processes must be established and operated effectively to ensure compliance with the requirements of the fundamental standards as se

⚠ Systems and processes were not established and operated effectively to assess, monitor and improve the quality and safety of the services provided in the carrying on of regulated activities, in line with national guidance and frameworks. This was in breach of Regulation 17(1) of the Health and Social Care Act …

Must-do action 3 of 3

Must do

Safe

Ensure sufficient numbers of suitably qualified, competent, skilled and experienced persons are deployed to meet the fundamental standards of care and treatment.

Regulation: Regulation 18 CQC (Registration) Regulations 2009 Notification of other incidents Requirements in relation to staffing.

⚠ There were not sufficient numbers of suitably, qualitied, competent, skilled and experienced persons deployed. This was in breach of Regulation 18(1), of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.