At Royal Lancaster Infirmary, there are 460 spaces for the 2,809 staff based there, with limited Park and Ride facilities. Within surgery, the service performed worse than national standards for waiting times from referral to treatment. From June 2020 to May 2021 there were 1643 babies delivered across the three maternity locations provided by the trust. The Huggett Suite, is based in the Centenary Building, and will provide the RLI with six acute stroke beds and an assessment bay. Figures 10 and 11detail this. Visited Accident and emergency services on February 2023, Report review titled Excellent Care as unsuitable, by Kelly Gannon - Posted on 01 March 2023. Whilst the services had plans in place to improve this, these measures had not been fully implemented and had not yet led to any significant improvement in the services. Our ambition for our patients is 70% single room occupancy (HBN requirements are 50%). 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. Isaac Costa Privileged to be able to help Greta is originally from Slovakia. 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. 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 (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. Ward areas are non-compliant with HBN requirements. In the last inspection of Royal Lancaster Infirmary, in July 2015, we rated end of life care services as 'good'. 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. Staff were proud of opportunities they had been involved in to drive forward service improvements and innovation. The service did not have effective governance processes and systems to manage risk, issues and performance. I was the taken to a cubicle and during the next few hours had various tests, medication to try to lower my blood pressure, and the scan results. To minimise risk, visitors must be immediate family members or carers. The improvement work undertaken so far includes: Additional building work on the existing wards in Medical Unit 2 is taking place to enhance the accommodation. Download the LancsLive app for free on iPhone here and Android here. 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. You can search for similar jobs on the employer's job board, or visit our national jobs board Health Jobs UK . 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. Entrance off Castle Street (via iron gates). (ix) Lack of decanting space: a modern hospital is designed with sufficient space to allow clinical units to be decanted during refurbishment or improvement. Ulverston Health Centre 01229 484045. The bereavement palliative care service had been nominated for a compassionate care award in 2015. Bosses at UHMBT have since said that improvements have been made and action is ongoing in response to the CQC's concerns. 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. The six-facet survey (illustrated inFigure 14) shows that the majority of this relates to the physical condition of the estate. 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. Report review titled Atrocious car parking as unsuitable, I would just like to thank all of the absolutely wonderful staff, who were extremely busy, but extremely professional and compassionate. Plus use our free tools to find new customers. Corridors remain too narrow, making it a challenge to safely move patients around the hospitals and navigate day-to-day hospital traffic. 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. Our ambition is to improve the environment for patients and staff, including increasing the single room provision. Home. Main Contact Telephone Number: 0141 211 4000. . Figure 18shows the medium to longer term development control plans for the RLI site. PR3 3WQ, In (vi) Car parkingis consistently highlighted as a concern in our feedback from staff and patients. My experience was of the same day emergency centre and ED traige and I felt listened to and well cared for. Very poor parking facilities and I was informed that there are no plans to improve the situation any time soon. Test your knowledge. Staff provided good care and treatment, gave patients enough to eat and drink. 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. 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). Molecular Diagnostics Ward 35 (Infectious Diseases Unit) Wards 19, 21 & 22 Level 1 University of Leicester Ophthalmology Undergraduate Teaching Centre. Furness General Hospital has estate running costs of 375/m2. Vital Records consist of births, adoptions, marriages, divorces, and deaths recorded on registers, certificates, and documents. University Hospitals of Morecambe Bay NHS Foundation Trust. The trust had clear leadership for end of life care services that was supported at a senior level within the organisation. "We know the current situation with the estate is unsatisfactory with reports of poor patient experience, low staff morale and increasing demand. The conditions related to the stroke services at Royal Lancaster Infirmary and Furness General Hospital. Good It is time to reflect and make radical changes. It is staffed by the most dedicated bunch of nurses, healthcare workers, admin support staff & doctors. and caring, including bringing a cup of tea both for my daughter-in-law and myself. Figure 10: Comparison of current day case theatre capacity and supporting functions with HBN 26 requirements. This was an improvement to findings in 2015 where we found that although nurse staffing levels had improved from the 2014 inspection findings, there was no supernumerary coordinator or funded practice educators in post. A full list of Coronavirus symptoms for adults and children are available on the NHS website here. Leading Dying Matters week, the trust had introduced death cafs with an aim to raise the profile end of life care. 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. Electricity supply does not currently meet national standards. Car parking is desperately insufficient across both sites. 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. 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. Outpatient and diagnostic services were delivered by caring, committed and compassionate staff. 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. The trust had 2,397 elective surgical admissions, 10,124 emergency admissions and 13,114 day surgery admissions between January 2020 and December 2020. 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. Call: 0141 451 5315 or 0141 451 5521. Loss of these services would have a deep impact on the health and wellbeing of the communities we serve. The unit was visibly clean; standards of infection prevention and control were in line with trust policy. "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. Oxygen supply is identified as a critical area of investment across the estate. 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. 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. Our visiting information is updated regularly. 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. The hospital lacks an obvious main entrance, which can be confusing for patients and visitors. Glasgow Royal Infirmary can be located at 84 Castle Street Glasgow, G4 0SF. ICNARC data did indicate that the unit position was comparable nationally with other units against the 8 hour reported target in the CMP. Staff had access to specialist advice and support 24 hours a day from a consultant on-call team for end of life care. A genuine culture of listening, learning and improvement was evident amongst all staff we spoke with. I dread getting an appointment at this hospital. Patients in North Lancashire and South Cumbria will now benefit from a brand new stroke unit at the Royal Lancaster Infirmary (RLI), thanks to a major investment of over 1m. 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. In 2015 we reported that the unit had limited space and during this inspection we noted again that the unit would not meet current national standards for new buildings and environment. Limited potential to redevelop the current site in a way that is practically achievable and compliant with the Governments New Hospital Programme. Entrance . Upgrading technical clinical areas (such as operating theatres and endoscopy units) may require modular replacements unit at very considerable cost causing further parking and accessibility issues. This presented a health and safety hazard to staff and patients. Chequer Road Clinic. 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. Close menu, After checking in, quite rapidly took the blood sample and left. The urgent and emergency care and maternity service did not always provide care and treatment based on national guidance and evidence-based practice. The staff throughout the hospital knew how to make referrals and people were appropriately referred to and assessed by the specialist palliative care team in a timely manner, therefore individual needs were met. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding Most staff used equipment and control measures to protect patients, themselves and others from infection however, inspectors did observe equipment and areas that were dirty. " Being in hospital isn't pleasant, away from home, family and routine, and most patients do not want to be there. 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 . 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. Navigation. Operating theatre: currently 35.6 to 43 square metres (HBN recommends 55 square metres), Anaesthetic room: currently 16 square metres (HBN recommends 19 square metres), Scrub up and gowning three person room: currently 8 square metres (HBN recommends 7 square metres). 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. Tertiary (highly specialised) service capacity. 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. The site is congested, with limited development space available and gaining planning consent could be challenging. The nurses and receptionists were great, doctor - cant tell. This included the development of the bereavement service. 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. [5] These two institutions combined in premises in Thurnham Street in 1833. Since the conditions were imposed, the trust responded immediately and put actions in place to improve the service. Consequently, staff and patients must make longer journeys than is desirable, leading to poor experiences of care and significant operational inefficiencies. However, this was well understood by the executive team and clinical staff. LTHTr operates from two main sites: LTHTrs two sites offer good accessibility via motorway links from the M6, M61, M65 and M55. 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. Care was planned and delivered in a way that took account of patients needs and wishes. [2] [3] It lies to the south of the city centre, between the A6 road and the Lancaster Canal. Pharmacy cover was good at RLI and met the standards outlined in GPICS (2015) with a critical care pharmacist and senior technician support. Told to park on a street over a mile away and walk in. This is the investment required to return the estate to an operationally sound condition. At least one standard in this area was not being met when we inspected the service and Key services were available seven days a week. Incident reporting was good with low incidence of harm and infection. 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. Location: Based in Centre Block. There were examples of innovation across the service. Thank you. 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. The mortuary was clean and well maintained, infection control risks were managed with clear reporting procedures in place. This area also houses some of the UKs major strategic national assets. [6], A new maternity unit opened in 1979, the pathology building was added in 1994 and the new centenary building opened in 1996. There was on-going progress towards a harm free culture. 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. 9 February 2017. Staff in the medical service did not always assess swallowing abilities in a timely manner. In Royal Preston Hospital we have episodes of flooding into clinical areas due to the age and condition of some parts of our hospital. I was triaged quickly and then had a brain scan. the service is performing well and meeting our expectations. Read frequently asked questions, the latest news about the programme and stories from people in the region. 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. THEY ARE A BIT SKEWED AT PLACES, BUT I THINK YOU CAN SEE THE IMPORTANT BITS! Dementia Care. 20 square metres would be the minimum standard for a resus bay in addition to having a larger cubicle for bariatric patients. Measures are still in place for infection prevention which include: social distancing, hand hygiene and wearing surgical masks. Thank you. RLI also provides a range of planned care including: outpatients; diagnostics; therapies; maternity and day case and inpatient surgery. 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. We will publish a report when our review is complete. In a report published this week the CQC revealed they have since sent a letter of intent under Section 31 of the Health and Social Care Act, which allows the commission to suspend the registration of a hospital. Care and treatment was evidence based and followed national guidance. Ward 23 at the Royal Lancaster Infirmary is located in Medical Unit 2. This often results in sewage leaks due to inadequate plumbing capacity. Our ability to manage demand has been constrained by the inflexibility of the estate. [4], The infirmary has its origins in a dispensary which opened on Castle Hill in 1781 and a fever hospital established in 1815. Operating suite floor areas are non-compliant for all areas: Theatres at RLI are well below the HBN recommended size of 55sqm and space requirements for an anaesthetic room, preparation room, scrub up and gown or dirty utility are not met. 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. (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. However, this inspection was a focused inspection and no new rating could be made. Since the last inspection we found that there had been some improvements in staffing. We inspected against parts of the safe, effective, caring and well-led key questions. Inspectors found crumbling walls, rusty bins and dirty wards during an inspection at the Royal Lancaster Infirmary. 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.