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. At least one standard in this area was not being met when we inspected the service and, University Hospitals of Morecambe Bay NHS Foundation Trust, Find out more about our inspection reports. The hospital lacks an obvious main entrance, which can be confusing for patients and visitors. Tertiary (highly specialised) service capacity. The Royal Preston Hospital site has been independently assessed as 80% requiring demolition or redevelopment, significantly limiting opportunity for refurbishment. Visited Accident and emergency services on December 2022, Report review titled Brilliant, effective and caring treatment as unsuitable, review titled Very Slow and Unable to resolve my problems, review titled Brilliant, effective and caring treatment. Something went wrong, please try again later. [11], An inspection by the Care Quality Commission (CQC) published in February 2017 gave the hospital a good overall rating with caring graded as outstanding but with patient safety requiring improvement.[12]. The service did not have effective governance processes and systems to manage risk, issues and performance. In light of this, we suspended the ratings for Medical care including care for older people. there are some services which we cant rate, while some might be under appeal from the provider. This is illustrated inFigure 19, which shows the results of the six-facet survey. The site is congested, with limited development space available and gaining planning consent could be challenging. Maternity services at Royal Lancaster Infirmary consist of a consultant and midwifery led day assessment unit, a delivery suite with seven beds, two dedicated obstetric theatres and a 24 bedded antenatal and postnatal ward. Patients in the emergency department did not always have their privacy and dignity maintained. 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.. Over 50% of the estate is requiring demolition and the majority of the remaining site will require refurbishment if it is retained in use. 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. An additional five consultants at RLI and three consultants at FGH have been funded to ensure safe staffing levels and mitigate risks. Inadequate Inspectors found concerns had not been appropriately actioned by senior staff leading to a further two safeguarding incidents which put patients at risk of harm. There is a powerful case for investment in new estate. An ease of access to hospital group had been developed by the trust which included representation from the bereavement and chaplaincy service where initiatives were in place to improve access to the mortuary. Furness General Hospital (FGH) provides a range of general acute hospital services, with an accident and emergency (A&E) department, critical / coronary care units and various consultant-led services. Historic Sites Report review titled Great friendly service as unsuitable, by Valentina Sovar - Posted on 30 January 2023. They were focused on the needs of patients receiving care. The age profile of the sites is shown inFigures 6 and 7. In light of this, we suspended the ratings for Medical care including care for older people. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. Significant backlog maintenance, which requires attention. Patients attending the outpatient and diagnostic imaging departments received effective care and treatment. Retford Hospital. Address Royal Lancaster Infirmary Ashton Road Lancaster LA1 4RP Web: http://www.uhmb.nhs.uk/ Telephone 01539 715577 View Royal Lancaster Infirmary on NHS Choices Find other facilities close to Royal Lancaster Infirmary, Lancaster + Over half of all discharges to ward areas were delayed beyond 4 hours due to the pressures on hospital beds, however this did not prevent the patient from receiving the care and treatment they needed and staff paid attention to patient dignity when single sex accommodation breaches occurred. Furness General Hospital (University Hospitals of Morecambe Bay NHS Foundation Trust), located in Barrow- in-Furness, is in a geographically isolated area with significant population health needs, and is a major local employer. If you are ill or injured and unsure what to do next, call NHS 111. the service isn't performing as well as it should and we have told the service how it must improve. 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. Our general switchboard number is 01302 366666. ICNARC data did indicate that the unit position was comparable nationally with other units against the 8 hour reported target in the CMP. Endoscopy and maternity theatres are also further from the Critical Care Unit than HBN standards would ordinarily mandate. There was a clear vision and strategy that focused on all people are treated with dignity, respect and compassion at the end of their lives. Royal Lancaster Infirmary. Visitor information - Manchester Royal Infirmary It provides . One patient could not have a catheter removed because there were no available doctors and patient handover records were left unattended leaving them at risk of being accessed by members of the public. The need for new hospitals is unequivocal. Since the conditions were imposed, the trust responded immediately and put actions in place to improve the service. (i)The age of our estate: Over 65% of clinical facilities date from 1970s to 1990s and as a result experience serious dilapidation. There was active involvement strategically from the deputy chief nurse and executive leadership at board level. 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Please contact the relevant ward/department before your visit. Royal Lancaster Infirmary has not yet replied. 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. Due to the nature of this ward, it has a large amount of very poorly patients. In Royal Preston Hospital we have episodes of flooding into clinical areas due to the age and condition of some parts of our hospital. The official enumeration day of the 1900 census was 1 June 1900. (opens in new window) Let's make care better together. In the maternity service leaders did not consistently use reliable information systems to enable them to run services well. At this inspection staff and managers confirmed that the trust had reduced the use of paper records and implemented an electronic records system for most outpatient areas. Patients who had experienced a stroke were not always cared for in the most appropriate environment. Our hospitals are some of our regions most significant assets. RLI has estate running costs of 442 per square metre: these are double equivalent benchmark (new) sites. 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. 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. Motorway access to the sites is limited dueto the rural geography, with road networks of A-roads at best. Following this inspection, under Section 31 of the Health and Social Care Act 2008, we imposed urgent conditions on the registration of the provider in respect to the regulated activity; Treatment of disease, disorder and injury and diagnostic screen procedures. They make up some of the worst hospital estate in the North West, if not the country. We use your sign-up to provide content in the ways you've consented to and improve our understanding of you. Our ability to manage demand has been constrained by the inflexibility of the estate. Most of the site is on a slope, which in some areas is too steep for patients to be safely moved except by ambulances. . There was an estates strategy which outlined the plans for unit upgrade and expansion. Drove around for 30 minutes. Staff had access to specialist advice and support 24 hours a day from a consultant on-call team for end of life care. The RLI site does not comply with modern building standards for space. Sluice provision is limited and does not meet HTM standards of one sluice per 14 beds. The regulator's findings included concerns that patients were being put at risk because of an insufficient number of doctors and nurses. Visiting our hospitals. The inspectors also raised significant concerns about the leadership of ongoing safeguarding concerns. Royal Lancaster Infirmary 01524 65944. Staff were proud of opportunities they had been involved in to drive forward service improvements and innovation. Patients were at the centre of decisions about care and treatment. It also provides several specialist regional services including: cancer; neurosurgery and neurology; renal; vascular; plastics and burns; rehabilitation; and is the major trauma centre for Lancashire and South Cumbria. Attendances at the emergency departments within the trust averaged around 10,000 per month. Contact our newsdesk on lancslive@reachplc.com. 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. Our inspection was unannounced (staff did not know we were coming) to enable us to observe routine activity. I was delighted with my care. My experience was of the same day emergency centre and ED traige and I felt listened to and well cared for. Ward 23 at the Royal Lancaster Infirmary is located in Medical Unit 2. "We fully accept the findings of the report, which is the last part of the CQC Hospital Inspection Report that was published in August," UHMBT's executive chief nurse Jackie Bird said. (vi) Car parkingis consistently highlighted as a concern in our feedback from staff and patients. Royal Lancaster Infirmary is a Hospital facility based in Lancaster. The programme for care of patients with tracheostomy across wards was comprehensive. Excellent Care Rated 5 stars out of 5 by Mrs Judith Ann Harrison - Posted on 05 February 2023 I was brought in by ambulance from Westmorland General with extremely high blood pressure. South Cumbria and Lancashire hospitals ease visitor restrictions Operating theatre: Theatre A is currently 30 square metres, Theatre B is currently 18 square metres, Theatre C is currently 30.62 square metres and Theatre D is currently 31.17 square metres (HBN recommends 55 square metres), Scrub room: Theatre A is currently 8.37 square metres, Theatre B is currently 0 square metres, Theatre C is currently 9 square metres and Theatre D is currently 7.77 square metres (HBN recommends 11 square metres), Anaesthetic room: Theatre A is currently 15.46 square metres, Theatre B is currently 0 square metres, Theatre C is currently 15.31 square metres and Theatre D is currently 20 square metres (HBN recommends 19 square metres), Sterile preparation: Theatre A is currently 8.24 square metres, Theatre B is currently 0 square metres, Theatre C is currently 14.27 square metres and Theatre D is currently 6.94 square metres (HBN recommends 12 square metres). Dirty utility (serving one theatre): Theatre A is currently 8.37 square metres, Theatre B is currently 0 square metres, Theatre C is currently 8.13 square metres and Theatre D is currently 7.17 square metres (HBN recommends 12 square metres). Ward areas are non-compliant with HBN requirements. This was an improved arrangement since our last inspection, with a 50% reduction in annual admissions, (from 46 to 24). We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding The estate fails to meet some HBN standards and capacity requirements. To add a little bit more, every single sanitizer dispenser I tried using was empty - from entrance to ward 34, Visited Gastrointestinal and Liver services on April 2023, Report review titled Unlucky timing I would say as unsuitable. There are approximately 2,000 car parking spaces at Royal Preston Hospital. Compared to the HBN standard, a typical 28-bed ward at RPH would need to increase capacity by 220% to comply with current space standards, as illustrated inFigure 10. Dont make people do unnecessary travels because you can prescribe painkillers to get the patient off the chest. Visiting Times. Figure 14: Comparison between RLI operating theatre space and HBN space requirements. Ward 23 at the Royal Lancaster Infirmary is located in Medical Unit 2. This means that we may include adverts from us and third parties based on our knowledge of you. Nurses do the heavy lifting, I dont understand they are just as qualified in fact I can bet nurses are better at doing IVs than doctors because they do it all the time wheres doctor looks at you, scribbles something down or better yet gives you paracetamol and sends you to another place to deal with you. Bassetlaw Hospital. Maybe need another 8h in waiting room to get dose of painkillers. The journey distance between the hospitals is 13.6 miles, with a 20-30 minute journey time by car. "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. Investment in our infrastructure is essential. 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. The Royal Lancaster Infirmary is a part of the University Hospitals of Morecambe Bay NHS Foundation Trust. Royal Lancaster Infirmary Overview Overview Departments and services Facilities Ratings and reviews Leave a review Contact us Address Ashton Road Lancaster Lancashire LA1 4RP Get directions (opens in Google Maps) Phone 01524 65944 Online Visit Hospital website Send email to Hospital Find another hospital Care Quality Commission inspection rating Supernumerary induction for new nursing staff was good with an organised approach to nurse appraisal and nursing achievement of competence in critical care skills. During our inspection we found that nurse staffing was good with sufficient staffing levels for provision of critical care. The infection risk wasn't controlled well and not all areas of the premises was visibly clean. Test your knowledge. Following the inspection, the trust began working with external providers to minimise the risk to patients. We are also pleased that the levels of care in those areas have already improved. Poor availability to park at this hospital. Figure 15: The resus bay is 11 square metres. The air handling units in many of the theatres are beyond their appropriate life span and external inspections have highlighted this issue. 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. We have lots more details on the project in our Information hub. Some of the estate has limited functional suitability, which is challenging to address in old estate. Our Services. Investment is needed restore the condition of the estate together with isolated investments to satisfy the health needs of the population over the longer term, Significant challenge to meet modern carbon emission standards on this estate, Creates flexible capacity which can be used to segregate / isolate and adapt for other uses such as increased acuity of care. Backlog maintenance costs total 88m this is predominantly relating to the condition of the estate, Running costs double that of a new build at 442/m2 due to the age of the site; running costs involve replacement i.e. Royal Lancaster Inrmary Consultant led labour ward Popular The Central Delivery Suite Maternity Services at the Royal Lancaster Infirmary (RLI) offer midwife-led and obstetric consultant-led care for high risk and low risk women, 24 hours a day, 7 days a week. Measures are still in place for infection prevention which include: social distancing, hand hygiene and wearing surgical masks. Queen Victoria Hospital 01524 591680. the woman received a letter from the Department for Work and Pensions (DWP) informing her that she would need to repay 8623.20 despite her repeatedly checking her benefits was correct. For example, the Emergency Departments were not designed for the level of demand they are currently experiencing: the RLI ED has a capacity of 40,000 per year, with actual attendances at around 60,000. Figure 20: Development Control Plans for the FGH site. Figures 10 and 11detail this. Appointments. They are anchor institutions providing healthcare and employment to 40,000 people. Menu 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. / 54.0425; -2.8003. 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. 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 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. Inspectors also found "significant amounts of dust" and staff admitted that recent outbreaks of Covid were avoidable. The ward is not connected to the main hospital and requires the patient to be transferred within an NHS or private ambulance. Infection prevention control measures . Staff treated patients with compassion and kindness and took account of their individual needs and helped them understand their conditions. Bosses at UHMBT have since said that improvements have been made and action is ongoing in response to the CQC's concerns. Get all the latest news, sport and what's on stories sent to your inbox daily with the LancsLive newsletter here. 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. Royal Lancaster Infirmary Hospital Map, Address and Location The trust had recently introduced a Hospital Home. Capacity in clinical areas is constrained: this impacts on distancing and infection control, adding clinical risk. The inspection at Royal Lancaster Infirmary on 2-3 August led to its medical services being downgraded from good to inadequate. We are carrying out a review of quality at Royal Lancaster Infirmary. There was a lack of clear information to evidence how the service monitored the effectiveness of care and treatment. Location: Based in Centre Block. 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 . The conditions related to the stroke services at Royal Lancaster Infirmary and Furness General Hospital. According to Google maps, car travel times between the sites are 31 minutes (WGH to RLI), 51 minutes (WGH to FGH) and 1 hour 15 minutes (FGH to RLI). Read our full Privacy Notice Lancashire Teaching Hospital | Site Maps the service is performing exceptionally well. 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. The trust engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually. This results in patients requiring an ambulance transfer within the grounds of the Royal Preston Hospital to move from the Neurology ward to the main hospital building. Current 28 bed ward: 600 square metres; Across all wards we found there was a lot of equipment around the communal areas with large hoists blocking access to the electrical cupboards. What you need to know before and after your appointment. Leading Dying Matters week, the trust had introduced death cafs with an aim to raise the profile end of life care. We saw evidence of proactive executive involvement in terms of the development of the end of life care strategy. It is time to reflect and make radical changes. The rationale behind these space requirements is to enhance flexibility in accommodating new technology. FGH also provides a range of planned care including: outpatients; diagnostics; therapies; maternity and day-case and inpatient surgery. During this inspection we observed that recommendations from the review had been implemented and maintained. The use of patient diaries had been embedded in practice since our last inspection. Purely a parking review. Episodes of flooding are unpredictable, and result in some occasions of clinical care being delayed., Figure 9: Results of the six-facet survey for Royal Preston Hospital illustrates the physical condition, functional suitability and quality of the estate a significant proportion is characterised as poor in all three of these categories. Case study - Louise & Marina's story - Royal Voluntary Service
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