The care I was given at such a scary time was amazing. 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. RTX02 Royal Lancaster Infirmary - CQC 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. This is why patient experience and looking after the whole person is important. We visited urgent and emergency care, surgery and maternity core services as part of the inspection. The Royal Lancaster Infirmary (RLI) is a hospital in the city of Lancaster, England. From June 2020 to May 2021 there were 1643 babies delivered across the three maternity locations provided by the trust. Inspectors observed the patient becoming agitated when being asked questions and the consultant at times being abrupt with the patient. The hospital provides elective day case surgery for orthopaedic surgery, ophthalmology, ear, nose and throat (ENT), maxillofacial, urology and general surgery. Royal Lancaster Infirmary is a Hospital facility based in Lancaster. The trust had clear leadership for end of life care services that was supported at a senior level within the organisation. Ashton Road, Lancaster, Lancashire, LA1 5AZ This included the development of the bereavement service. There was a sense of purpose to get to bottom of the problem, and as a patient I felt cared for, listened to and treated with respect. Royal Lancaster Infirmary - Care Quality Commission - CQC Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. Emergency & urgent admissions. However there was poor access to sinks in the unit, which did not comply with health building note HBN 00-09, (infection control in the built environment; hand hygiene facilities, clinical wash-hand basin provision). Patients were cared for holistically and there was strong evidence of spiritual and emotional support being recognised for its importance within the trust. These remain well below the national average of 30% and 21%, respectively. We inspected against parts of the safe, effective, caring and well-led key questions. 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. I was delighted with my care. The infection risk wasn't controlled well and not all areas of the premises was visibly clean. Chequer Road Clinic. Oxygen supply is identified as a critical area of investment across the estate. 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 activities; Diagnostics and Screening and Treatment of Disorder, disease and Injury. 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. There's no need for the service to take further action. 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. We have lots more details on the project in our Information hub. FGH ED capacity is 25,000, but actual attendances are around 36,000. Test your knowledge. 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. (vi) Car parkingis consistently highlighted as a concern in our feedback from staff and patients. We visited Royal Lancaster Infirmary as part of our unannounced inspection during 20 to 22 April 2021. Figure 5below shows all hospital sites across our region. The Care Quality Commission carried out an unannounced inspection at the RLI, which is run by the University Hospitals of Morecambe Bay NHS Foundation Trust, in August after receiving reports that patients were being put at risk. A full condition survey has been carried out on each of the sites: these figures are shown inFigure 8below and indicate the investment that would be required to return the site to operationally sound. See the services we provide and find further information about each of them. All the staff of the A and E department were fantastic. 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. Infection prevention control measures . Loss of these services would have a deep impact on the health and wellbeing of the communities we serve. If you take the patient, get it done there and then, diagnose. 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. Our Services. 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. Dont make people do unnecessary travels because you can prescribe painkillers to get the patient off the chest. 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. Emotional support was given as part of the follow up appointment, post critical care admission and additional psychological support was assessed on an individual basis. 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. THEY ARE A BIT SKEWED AT PLACES, BUT I THINK YOU CAN SEE THE IMPORTANT BITS! Within surgery, the service performed worse than national standards for waiting times from referral to treatment. Molecular Diagnostics Ward 35 (Infectious Diseases Unit) Wards 19, 21 & 22 Level 1 University of Leicester Ophthalmology Undergraduate Teaching Centre. A low number of critical care elective admissions were cancelled and there was a low number of readmissions to the unit. [2] [3] It lies to the south of the city centre, between the A6 road and the Lancaster Canal. The conditions related to the stroke services at Royal Lancaster Infirmary and Furness General Hospital. It is staffed by the most dedicated bunch of nurses, healthcare workers, admin support staff & doctors. Visiting our hospitals. We are also pleased that the levels of care in those areas have already improved. During the inspection we found areas of concern that led to a further unannounced focused inspection in medicine for the stroke care pathway. Our hospitals are some of our regions most significant assets. The unit was visibly clean; standards of infection prevention and control were in line with trust policy. The weight of positive comments gave evidence of a caring and compassionate team. There is a powerful case for investment in new estate. 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. The overall quality of the estate is good there is no medium to long term need for redevelopment or replacement of the site that is as pressing in absolute terms as at RPH and RLI. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Key services were available seven days a week. 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. In 2015 we reported there was no Critical Care Outreach Team across both units at UHMB. 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 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. Have you got news for us? 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. Report review titled Amazing team as unsuitable, by Anonymous - Posted on 08 December 2022. The services could not always demonstrate how they used findings to make improvements and achieve good outcomes for patients. The bereavement palliative care service had been nominated for a compassionate care award in 2015. Figures 10 and 11detail this. 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 + If integral shower and toilet facilities were available for each multi-bed bay or single room, then partial closures would be possible, increasing our bed capacity and ability to cope with outbreaks. Suspended ratings are being reviewed by us and will be published soon. Many of the patient toilet facilities are inadequate partition-style facilities, with two or three toilets in one room. 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I was referred from Westmorland General hospital for a 9am appointment and was seen quickly and the doctor and nurse who saw me were really friendly and excellent. South Cumbria and Lancashire hospitals ease visitor restrictions This provides a poor patient experience, and the reduced amount of ward space available has resulted in this location for the regional Neurology ward., Figure 13: Development Control Plan for Royal Preston Hospital: long term. Figure 8:Backlog maintenance and investment required. Royal Lancaster Infirmary Hospital Map, Address and Location Given todays standards, the cubicle would be deemed non- compliant and not fit for purpose. Ward 23 at the Royal Lancaster Infirmary is located in Medical Unit 2. 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. Report review titled Great friendly service as unsuitable, by Valentina Sovar - Posted on 30 January 2023. lifecycle costs over maintenance, Site is configured over a challenging topography access is particularly challenging for those with a disability and transport to some parts of the hospital (separate ward blocks) is only possible by ambulance at 500,000 per year cost to the Trust, The estate fails to meet many HBN standards single room provision is only 50% of the recommended standard and less than a third of our ambition for 70% single rooms. Staff had access to specialist advice and support 24 hours a day from a consultant on-call team for end of life care. The age profile of the sites is shown inFigures 6 and 7. 01539 732288. Significant backlog maintenance, which requires attention. Dementia Care. " Being in hospital isn't pleasant, away from home, family and routine, and most patients do not want to be there. Nurse skill mix in the critical care unit was not compromised to cover the theatre recovery activity, as had been previously reported. New acute stroke unit opens to patients after major investment Royal Lancaster Infirmary (UHMBT): 8 hectare site, gross internal floor area of 55,882 square metres, . Patients received timely access to critical care treatment and consultant led care was delivered 24/7. the service isn't performing as well as it should and we have told the service how it must improve. The site is landlocked with little space to extend. 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. 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). The Royal Preston Hospital site has been independently assessed as 80% requiring demolition or redevelopment, significantly limiting opportunity for refurbishment. Bassetlaw Hospital. Something went wrong, please try again later. (iv) Corridors are also elongated, at times creating atravel distance of 1kmfor our patients and staff. 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. Patients will be allowed a maximum of two visitors at a time between the hours of 2pm - 7pm daily. Royal Lancaster Infirmary - Wikipedia 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.. Hospital maps - NWAS - North West Ambulance Service Unfortunately, the collision caused some damage to the hospital building near the Intensive Therapy Unit and Ward 37. Governance arrangements were embedded in the directorate. United States Vital Records has additional research guidance on researching and using vital records.A copy or an extract of most original records can be purchased from the Georgia State Department of Health or the County Clerk's office . 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. When we inspected this time the department continued to work with vacancies but a new rota system enabled the department to make improvements. 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 the urgent and emergency care service there were not always enough staff with the right qualifications, skills, training and experience to provide care and treatment to children and staffing of childrens nurses was not in line with national guidance. Ward 23 at the Royal Lancaster Infirmary is located in Medical Unit 2. There was an estates strategy which outlined the plans for unit upgrade and expansion. Any other browser may experience partial or no support. Menu This was still being rolled out across all departments but we found there had been significant improvements in the availability of case notes. Nurses, doctors, ward managers and infection control professionals shared their harrowing . During the two-day inspection the CQC found that staff did not always understand how to protect patients from abuse and the service did not always work well with other agencies to do so. Critical care training had been increased for staff in theatres. This includes an element of physical condition and lifecycle works, which are required to return the estate to condition B as per the six-facet survey. 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. Suspended ratings are being reviewed by us and will be published soon. The Royal Lancaster Infirmary is a part of the University Hospitals of Morecambe Bay NHS Foundation Trust. / 54.0425; -2.8003. 20 August 2021, In Your information helps us decide when, where and what to inspect. However, this inspection was a focused inspection and no new rating could be made. Royal Lancaster Infirmary has not yet replied. In the maternity service leaders did not consistently use reliable information systems to enable them to run services well. Figure 13shows the redevelopment profile. 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. We cannot deliver 20th century, let alone 21st century care in these conditions., Figure 5: Map of NHS hospitals across Lancashire and South Cumbria. To keep updated, follow LancsLive on Facebook and @LiveLancs on Twitter. Without it, services could fail, impacting on our populations health, economic prosperity and the sustainability of other providers which cannot absorb the additional demand. Visitor information - Manchester Royal Infirmary Figure 16: An existing ward at RLI compared with an HBN compliant ward, Figure 17: Results of the six-facet survey for Royal Lancaster Infirmary the physical condition of a high proportion of the estates is rated poor. The risks associated to loss of service if equipment was broken and needed replacement were on the risk register. The service controlled infection risk well. Inadequate Entrance off Castle Street (via iron gates). 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). Over a three-month period, we had 130 ambulance transfers out of hours, 28 of these patients either had diagnosed dementia, undiagnosed dementia, delirium or cognitive impairment and 11 of the total had a definite diagnosis of dementia.. [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]. Location: Based in Centre Block. I was triaged quickly and then had a brain scan. 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. there are some services which we cant rate, while some might be under appeal from the provider. 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. Locate and visit one of the Church's many visitors' centers. "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. Royal Lancaster Infirmary 01524 65944. 22 July 2022, Published For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them. Lri Map Ward List Nov 2017 | PDF | Emergency Department | Hospital - Scribd Children and young peoples services were a small proportion of hospital activity. 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. Ward search form. 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. Close menu, After checking in, quite rapidly took the blood sample and left. Patients were at the centre of decisions about care and treatment. Royal Lancaster Infirmary has not yet replied. Endoscopy and maternity theatres are also further from the Critical Care Unit than HBN standards would ordinarily mandate. By 1900, there were a total of forty-five states in the Union, with Utah being the latest addition and Alaska, Arizona, Hawaii, New Mexico, and Oklahoma enumerated as territories. Corridors remain too narrow, making it a challenge to safely move patients around the hospitals and navigate day-to-day hospital traffic. the service is performing exceptionally well. Community midwifery services provide antenatal, intrapartum and postnatal care including birth at home and enhanced and specialist midwives provide care to vulnerable women. Patients in the emergency department did not always have their privacy and dignity maintained. The service had previously experienced issues with effective team working and had challenges in building team resilience and communication. 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. Supernumerary induction for new nursing staff was good with an organised approach to nurse appraisal and nursing achievement of competence in critical care skills. Poor availability to park at this hospital. 9 February 2017. 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. Isaac Costa Privileged to be able to help Greta is originally from Slovakia. "We were aware of the issues within the wards inspected and had shared the improvements we were implementing and working on with the CQC during their inspection. The regulator's findings included concerns that patients were being put at risk because of an insufficient number of doctors and nurses. 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!! Current 28 bed ward: 600 square metres; There are approximately 2,000 car parking spaces at Royal Preston Hospital. Ward 21 - Acute Medicine, Rheumatology. royal lancaster infirmary map of wards - iccleveland.org Figure 6: The age profile of Royal Preston Hospital site, Figure 7:The age profile of Royal Lancaster Infirmary site. 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. Figure 20: Development Control Plans for the FGH site. the service is performing well and meeting our expectations. [2][3] 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. Very poor parking facilities and I was informed that there are no plans to improve the situation any time soon. Get all the latest news, sport and what's on stories sent to your inbox daily with the LancsLive newsletter here. No rating/under appeal/rating suspended