This was still being rolled out across all departments but we found there had been significant improvements in the availability of case notes. Multi-bedded bays predominate which exceed the current Health Building Notes (HBN) standard of four beds as a maximum. Clinically, the staff are of the highest calibre you will find anywhere. Figure 13shows the redevelopment profile. Tertiary (highly specialised) service capacity. In this section, we outline the condition of our estate and the impact this has on our ability to deliver the highest standards of care and experience for our patients and staff. 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. The urgent and emergency care and maternity service did not always provide care and treatment based on national guidance and evidence-based practice. Read our full Privacy Notice Consequently, staff and patients must make longer journeys than is desirable, leading to poor experiences of care and significant operational inefficiencies. Without it, services could fail, impacting on our populations health, economic prosperity and the sustainability of other providers which cannot absorb the additional demand. Royal Lancaster Infirmary Pendle Community Hospital Royal Preston Hospital Merseyside Aintree University Hospital Alder Hey Hospital Arrowe Park Hospital Broadgreen Hospital Clatterbridge Cancer Centre - Aintree Clatterbridge Cancer Centre - Liverpool Clatterbridge Cancer Centre - Wirral Clatterbridge Hospital Liverpool Heart and Chest Hospital Most clinical audit outcomes were comparable to expected national standards within surgery. The trust planned care to meet the needs of local people, took account of patients individual needs, and made it easy for people to give feedback. Our visiting information is updated regularly. Many of the wards and departments are very worn, with surfaces that are not intact and, as such, are unable to be adequately decontaminated. Within urgent and emergency care, there was not an effective governance process, some specific risks had not been identified on the risk register and other risks remained the same as they were when we last inspected 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. Let's make care better together. At Royal Lancaster Infirmary, there are 460 spaces for the 2,809 staff based there, with limited Park and Ride facilities. 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. Facilities at Furness General Hospital are generally more modern than at Royal Lancaster Infirmary and the site has good functional compliance. Dont make people do unnecessary travels because you can prescribe painkillers to get the patient off the chest. The need for investment is unequivocal to support the viability of services provided from this site and to provide the quality of care and experience our patients deserve. RLI also provides a range of planned care including: outpatients; diagnostics; therapies; maternity and day case and inpatient surgery. / 54.0425; -2.8003. Get all the latest news, sport and what's on stories sent to your inbox daily with the LancsLive newsletter here. In light of this, we suspended the ratings for Medical care including care for older people. 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 trust did not have an effective risk and governance system for the whole stroke pathway. 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. Figures 10 and 11detail this. There are also a range of consulting rooms for antenatal and postnatal clinics and a bereavement suite. Ward 23 provides general medical care and treatment. 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. Patients discharged from critical care should receive a ward follow up visit by critical care nurses within 36 hours of discharge, it was reported that this could not be provided consistently by staff in the unit and was affected by activity and staffing resources. Medical staff we spoke with discussed the historical shortfalls in anaesthetic staffing levels for out of hours cover. CT scanning staff had previously raised concerns about shortage of staff and their access to knowledge and skills competencies. Several services are provided in temporary buildings offering poor quality accommodation and others are past their useful life. The conditions related to the stroke pathway at the Royal Lancaster Hospital and the Furness General Hospital. The Royal Lancaster Infirmary is a part of the University Hospitals of Morecambe Bay NHS Foundation Trust. We also may change the frequency you receive our emails from us in order to keep you up to date and give you the best relevant information possible. Your information helps us decide when, where and what to inspect. Staff in the emergency department did not always reassess pain scores. Bassetlaw Hospital. 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. Furness General Hospital has estate running costs of 375/m2. LA1 4RP, In They were focused on the needs of patients receiving care. During this inspection we observed that recommendations from the review had been implemented and maintained. The six-facet survey (illustrated inFigure 14) shows that the majority of this relates to the physical condition of the estate. Ward area to increase by 220% to comply with HBN-04 guidance. Westmorland General Hospital Visitors' Centers Traveling? [4], The infirmary has its origins in a dispensary which opened on Castle Hill in 1781 and a fever hospital established in 1815. Supernumerary induction for new nursing staff was good with an organised approach to nurse appraisal and nursing achievement of competence in critical care skills. We have now reached a critical situation with the condition of some of the estate: the depth and extent of problems at Royal Lancaster Infirmary (University Hospitals of Morecambe Bay NHS Foundation Trust) and Royal Preston Hospital (Lancashire Teaching Hospitals NHS Foundation Trust) are unparalleled. 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. The FGH site has a reasonable amount of strategic expansion space available. 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. Patients were cared for holistically and there was strong evidence of spiritual and emotional support being recognised for its importance within the trust. 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. Pharmacy cover was good at RLI and met the standards outlined in GPICS (2015) with a critical care pharmacist and senior technician support. Surgery at the trust includes all main surgical specialties with the exception of cardiothoracic, neurosurgery, plastics and vascular which are provided by other local NHS foundation trusts. 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. The nurses and receptionists were great, doctor - cant tell. Royal Lancaster Infirmary has not yet replied. [5] These two institutions combined in premises in Thurnham Street in 1833. FGH also provides a range of planned care including: outpatients; diagnostics; therapies; maternity and day-case and inpatient surgery. (opens in new window) The trust did not operate an effective clinical escalation system to ensure stroke care and treatment was assessed and implemented in a timely way. We had noted in 2015 that the intensive care services, obstetrics, anaesthetics and emergency surgical services across the trust did not have enough anaesthetic staff to meet the required national recommendations and standards. 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. 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. The sustainability of this site is a vital consideration for the New Hospitals Programme. [7] The original building is now Grade II listed. Suspended ratings are being reviewed by us and will be published soon. Figure 11: Comparison of current theatre capacity compared to HBN 10-02, Figure 12: Example of increased ward space required to meet HBN space requirements within the existing ward block at Royal Preston Hospital. The Royal Lancaster Infirmary ( RLI) is a hospital in the city of Lancaster, England. 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. There were also insufficient doctors and nurses to keep patients safe from avoidable harm. We are also pleased that the levels of care in those areas have already improved. Contact our newsdesk on lancslive@reachplc.com. It provides . The hospital lacks an obvious main entrance, which can be confusing for patients and visitors. 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. Close menu, After checking in, quite rapidly took the blood sample and left. (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. During this inspection we rated this service as 'good' overall, with 'good' ratings in safe, effective, responsive and well-led, and a rating of 'outstanding' for caring because: Published [9] Springfield Hall was retained and used as an overnight nurses' home for the hospital. 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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. 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. Isaac Costa Privileged to be able to help Greta is originally from Slovakia. The geographic location of FGH is remote, meaning it is essential we accommodate the latest digital technologies and robotics to create an agile network of care across the region. In an open visit to Royal Lancaster Infirmary, LancsLive delved deep into the reality of the coronavirus pandemic for patients, families and those on the frontline risking their lives to save patients who otherwise would have no chance of survival. FY3 8NR. "The estate is falling down and we must tell the truth about that. Inspectors observed one consultant assessing a patient amongst other patients nearby. the service is performing badly and we've taken enforcement action against the provider of the service. Mandatory training was in place and attendance by the specialist palliative care nurses exceeded the trust target. Our ambition for our patients is 70% single room occupancy (HBN requirements are 50%). These createa significant risk of infection, in addition to providing a poor patient experience and lack of privacy. A genuine culture of listening, learning and improvement was evident amongst all staff we spoke with. / 54.0425; -2.8003. JUST PAUSE THE FILM IF YOU LIKE, THOUGH IT SHOULD LAST 1 MINUTE.UPDATE: 29TH NOVEMBER 2021, THEY STILL HAVE THIS MAP ON THE SIGN!! We observed three occasions of a rapid response to acute emergencies by the team. 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.. Finally the doctors were happy and I was able to leave, at ten past ten. Leading Dying Matters week, the trust had introduced death cafs with an aim to raise the profile end of life care. 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. Introduction to Vital Records. 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. They did not always use special feeding and hydration techniques when necessary. When we inspected this time the department continued to work with vacancies but a new rota system enabled the department to make improvements. This included the development of the bereavement service. THEY ARE A BIT SKEWED AT PLACES, BUT I THINK YOU CAN SEE THE IMPORTANT BITS! 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. Patients attending the outpatient and diagnostic imaging departments received effective care and treatment. The trust had clear leadership for end of life care services that was supported at a senior level within the organisation. Poor availability to park at this hospital. The Neurology ward is in a unit not physically connected to the main hospital site. Nurse skill mix in the critical care unit was not compromised to cover the theatre recovery activity, as had been previously reported. [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]. Entrance . Hospital Ward United Kingdom England Lancashire Lancaster Make sure your information is up to date. Since the last inspection we found that there had been some improvements in staffing. The infection risk wasn't controlled well and not all areas of the premises was visibly clean. Patients will be allowed a maximum of two visitors at a time between the hours of 2pm - 7pm daily. 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. In particular, the Critical Care Unit / High Dependency Unit. There was active involvement strategically from the deputy chief nurse and executive leadership at board level. Due to the nature of this ward, it has a large amount of very poorly patients. Royal Lancaster Infirmary is a Hospital facility based in Lancaster. Official information from NHS about Royal Lancaster Infirmary including contact details, directions, opening hours and service/treatment details My experience was of the same day emergency centre and ED traige and I felt listened to and well cared for. Figure 20: Development Control Plans for the FGH site. Ward 23 at the Royal Lancaster Infirmary is located in Medical Unit 2. The weight of positive comments gave evidence of a caring and compassionate team. 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. Incident reporting was good with low incidence of harm and infection. Blackpool, Across all wards we found there was a lot of equipment around the communal areas with large hoists blocking access to the electrical cupboards. Car parking is desperately insufficient across both sites. Figure 5below shows all hospital sites across our region. 28% of beds are single rooms with 11% en-suites, compared to an HBN requirement of 50%. 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. Figure 20shows the medium to long term development profile for the FGH site. the service is performing well and meeting our expectations. Supporting people with Learning Disabilities, Autism and complex needs, NHS England Steps to keep you safe during your hospital stay, The Morecambe Bay Investigation (Kirkup Report), Trust Board and Council of Governor Meetings, UHMBT Improvement Plan - Recovery Support Programme, We are UHMBT - Purpose, Visions, Values and Strategy, Contact our Corporate Communications Team. (01539) 716689, Provided and run by: Over a third of these costs are related to the sites basic functional suitability due to changes or expansions in service provision within buildings designed for another purpose. We have lots more details on the project in our Information hub. Significant backlog maintenance, which requires attention. This has resulted in operations being cancelled and damage to clinical equipment. Id rather diagnose myself using google and come to the hospital to get it sorted or let nurse do it, doctors just Ive no words, disappointed. 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. The trust had recently introduced a Hospital Home. Inspectors also found "significant amounts of dust" and staff admitted that recent outbreaks of Covid were avoidable. Contact a ward or department. The Breast Screening Service at this hospital had been the subject of an external review by an independent body. I was visited by two doctors who explained the problem which was preventing me from being discharged. Staff treated patients with compassion and kindness and took account of their individual needs and helped them understand their conditions. The current model is unsustainable. The unit was visibly clean; standards of infection prevention and control were in line with trust policy. Go to the 5th floor. The need for investment is unequivocal to support the viability of services provided from this site and to provide the quality of care and experience our patients deserve. Some of the land is currently used inefficiently. Dementia 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. A full list of Coronavirus symptoms for adults and children are available on the NHS website here. 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. Have you got news for us? If you are having difficulty getting through to the ward, you can contact the hospital switchboard on 0161 276 1234. (i)The age of our estate: Over 65% of clinical facilities date from 1970s to 1990s and as a result experience serious dilapidation. 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 were positive and motivated and without exception delivered care that was kind and promoted peoples dignity, and focused on the individual needs of people. We rated it as requires improvement because: Download full inspection report for Royal Lancaster Infirmary - PDF - (opens in new window), Published there are some services which we cant rate, while some might be under appeal from the provider. I have a kidney stone and I was to the emergency because I didnt felt well and the stone is blocked and apparently for some people its not so important the patient situation because I just got some treatment for men and this medicine they are not recommended for women but the doctor didnt care and I Breastfeeding and still he didnt care what medication is given me he just told me is fine. Royal Lancaster Infirmary 01524 65944. 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. In order to make a booking, visitors must call the main hospital switchboards as below between 10am - 12pm, Monday - Friday, to be put through to the relevant ward or department: Royal Lancaster Infirmary: 01524 65944. Corridors remain too narrow, making it a challenge to safely move patients around the hospitals and navigate day-to-day hospital traffic. You can reach them on 01539 715577. Following the inspection, the trust began working with external providers to minimise the risk to patients. Since the conditions were imposed, the trust responded immediately and put actions in place to improve the service. 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. I TOOK OUT MY OLD PHONE WHILE I WAS THERE, TOOK SOME PICS \u0026 FASTENED THEM TOGETHER. 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. Retford Hospital. the service isn't performing as well as it should and we have told the service how it must improve. During the inspection we found areas of concern that led to a further unannounced focused inspection in medicine for the stroke care pathway. LTHTr operates from two main sites: LTHTrs two sites offer good accessibility via motorway links from the M6, M61, M65 and M55. 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. In light of this, we suspended the ratings for Medical care including care for older people. Figure 10: Comparison of current day case theatre capacity and supporting functions with HBN 26 requirements. 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 staff on the ward will advise you how many visitors are allowed, what time visiting is and details of any restrictions for that ward. Capacity in clinical areas is constrained: this impacts on distancing and infection control, adding clinical risk. The conditions related to the stroke services at Royal Lancaster Infirmary and Furness General Hospital. There were examples of innovation across the service. As always you can unsubscribe at any time. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding [2] [3] It lies to the south of the city centre, between the A6 road and the Lancaster Canal. This is the investment required to return the estate to an operationally sound condition. Inspectors found crumbling walls, rusty bins and dirty wards during an inspection at the Royal Lancaster Infirmary. We are carrying out a review of quality at Royal Lancaster Infirmary. " Being in hospital isn't pleasant, away from home, family and routine, and most patients do not want to be there. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Unfortunately, the collision caused some damage to the hospital building near the Intensive Therapy Unit and Ward 37. Escalating patients ready to leave our care with senior teams to ensure their care is transferred as quickly as possible. Preparation room: currently 7.6 square metres (HBN recommends 12 square metres). Bosses at UHMBT have since said that improvements have been made and action is ongoing in response to the CQC's concerns. All questions asked were supposed to refer to that date. the service is performing badly and we've taken enforcement action against the provider of the service. Staff were proud of opportunities they had been involved in to drive forward service improvements and innovation. It is time to reflect and make radical changes. We have set out the results of these surveys on a site- by-site basis around some common key themes. The services could not always demonstrate how they used findings to make improvements and achieve good outcomes for patients. The hospital provides elective day case surgery for orthopaedic surgery, ophthalmology, ear, nose and throat (ENT), maxillofacial, urology and general surgery. 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. Staff we spoke with told us that isolation of patients was risk assessed and documented. Report review titled Amazing team as unsuitable, by Anonymous - Posted on 08 December 2022. Single room capacity is important as it: We want a future hospital that has an ample car park with easy access to the department to be attended, with signposting that is easy to follow.. The Royal Lancaster Infirmary is a part of the University Hospitals of Morecambe Bay NHS Foundation Trust. 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. I should like to express my particular thanks to Dr Julia Marshall for taking the time to talk to me and explain the problems. the service is performing exceptionally well. There's no need for the service to take further action. Royal Lancaster Infirmary has not yet replied. Any other browser may experience partial or no support. The inspectors also raised significant concerns about the leadership of ongoing safeguarding concerns. Patients were overwhelmingly positive about the way staff looked after them.