I was at Guys recently and saw their fantastic new build - loads of single rooms with all the privacy and advantage this gives to patients and visitors and they had overcome the issue of being able to see the patient from the central nurses bay. Infection prevention control measures . The site is landlocked with little space to extend. royal lancaster infirmary map of wards - iccleveland.org Your information helps us decide when, where and what to inspect. During our inspection we found that nurse staffing was good with sufficient staffing levels for provision of critical care. 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 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. No rating/under appeal/rating suspended Report review titled Great friendly service as unsuitable, by Valentina Sovar - Posted on 30 January 2023. 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. "We are grateful they have recognised the work being done and which has been undertaken since they inspected and have been continuing our work with the improvement team at NHS England/Improvement to improve the wards. 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. Some of the estate has limited functional suitability, which is challenging to address in old estate. Please contact the relevant ward/department before your visit. An additional five consultants at RLI and three consultants at FGH have been funded to ensure safe staffing levels and mitigate risks. In 2015 we reported there was no Critical Care Outreach Team across both units at UHMB. I TOOK OUT MY OLD PHONE WHILE I WAS THERE, TOOK SOME PICS \u0026 FASTENED THEM TOGETHER. ICNARC data did indicate that the unit position was comparable nationally with other units against the 8 hour reported target in the CMP. Bassetlaw Hospital. Millom Hospital 01229 402600. Unfortunately, the collision caused some damage to the hospital building near the Intensive Therapy Unit and Ward 37. "We also want to pay tribute to our colleagues working in the areas inspected who have worked tirelessly throughout the pandemic and now are continuing to improve the care offered.". The Trust employs 7,000 staff. 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. Ward 23 provides general medical care and treatment. Patients were not transferred out of the unit for non-clinical reasons. Improving the care offered to patients by employing two new doctors, two new physiotherapists and a new advanced nurse practitioner, Continuing to ensure every patient is reviewed three times per day with a view to discharging patients quickly. the service isn't performing as well as it should and we have told the service how it must improve. Have you got news for us? Since the conditions were imposed, the trust responded immediately and put actions in place to improve the service. The journey distance between the hospitals is 13.6 miles, with a 20-30 minute journey time by car. The Neurology ward is in a unit not physically connected to the main hospital site. Royal Lancaster Infirmary 01524 65944. 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 trust had introduced EPaCCS (electronic palliative care co-ordination system). Ward 37 is a medical ward at LRI with a specialist interest in respiratory medicine. Most but not all the buildings are linked by long passages, with some buildings separated from the main complex by public highways. Staff were clear about their roles and accountabilities. There was good provision of equipment in critical care with robust systems for medical device training. It is managed by the University Hospitals of Morecambe Bay NHS Foundation Trust. 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. 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. and caring, including bringing a cup of tea both for my daughter-in-law and myself. Visitor information - Manchester Royal Infirmary Escalating patients ready to leave our care with senior teams to ensure their care is transferred as quickly as possible. Royal Lancaster Infirmary's medical services rated inadequate 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. This included the development of the bereavement service. We have a once-in-a-lifetime opportunity to completely redesign our hospitals.. The conditions related to the stroke services at Royal Lancaster Infirmary and Furness General Hospital. Inspectors also found "significant amounts of dust" and staff admitted that recent outbreaks of Covid were avoidable. 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. Locations and Schedules - The Church of Jesus Christ of Latter-day Saints Coronavirus information. The topography of the RLI site provides some challenges around suitability and movement / accessibility between buildings and departments, particularly for patients of reduced mobility, but this was excluded from the six-facet survey. The hospital had capacity for 203 medical beds and 106 inpatient surgical beds. Ward 37 used to be ward 2 - Respiratory medicine | Care Opinion The regulator's findings included concerns that patients were being put at risk because of an insufficient number of doctors and nurses. It provides . Figure 18shows the medium to longer term development control plans for the RLI site. Figure 20shows the medium to long term development profile for the FGH site. Historic Sites (ii) There arehigh backlog maintenance costsacross all sites, with 157m for Royal Preston Hospital and 88m for Royal Lancaster Infirmary. 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. Patients were at the centre of decisions about care and treatment. We found that ICNARC data showed that patient outcomes were comparable or better than expected when compared with other units nationally, this included unit mortality. Departments and services - Royal Lancaster Infirmary - NHS 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. 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. Endoscopy and maternity theatres are also further from the Critical Care Unit than HBN standards would ordinarily mandate. We are carrying out a review of quality at Royal Lancaster Infirmary. [5] These two institutions combined in premises in Thurnham Street in 1833. 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. The inspectors also raised significant concerns about the leadership of ongoing safeguarding concerns. 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.. 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. Menu A genuine culture of listening, learning and improvement was evident amongst all staff we spoke with. (opens in new window), Read section 7: Delivering the Lancashire and South Cumbria Clinical Strategy, Section 5: Lancashire and South Cumbria Health and Care Partnership >>, Section 7: Delivering the Lancashire and South Cumbria Clinical Strategy >>, Section 8: Our infrastructure does not support our future digital technology ambitions >>, Section 9: Our infrastructure impedes our ability to recruit and retain our workforce >>, Section 10: Our infrastructure impacts our use of resources >>, Demand exceeds capacity across all clinical areas, and aged buildings lack flexible capacity leading to congestion and overcrowding, Non-compliance with Health Building Notes space and single room provision (19%), Poor clinical adjacencies and lengthy circulation spaces, Some tertiary services have developed and expanded without fully being able to meet all the estate requirements, Independent appraisal has confirmed 80% of the site requires redevelopment or demolition over the medium to long term. Backlog maintenance totals 157m and is the highest of all sites. Suspended ratings are being reviewed by us and will be published soon. 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. I was brought in by ambulance from Westmorland General with extremely high blood pressure. Call: 0141 451 5315 or 0141 451 5521. Royal Lancaster Infirmary has not yet replied. . Finally the doctors were happy and I was able to leave, at ten past ten. Ward areas are non-compliant with HBN requirements. 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. Download the LancsLive app for free on iPhone here and Android here. 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. there are some services which we cant rate, while some might be under appeal from the provider. "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. These createa significant risk of infection, in addition to providing a poor patient experience and lack of privacy. the service is performing exceptionally well. 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 + Let's make care better together. Visiting times Inpatients Phone number directory Parking and Facilities Return to Wards 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. 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). " Being in hospital isn't pleasant, away from home, family and routine, and most patients do not want to be there. They expect to remain at the site into the morning, 10 key money changes coming in May including tax credits, Ofgem price cap decision and Tesco deliveries, Big changes are coming for Brits this month including cost of living payments, 200 energy help and interest rates, Nine ovarian cancer warning signs that women should not ignore, The expert has revealed a list of nine symptoms that could be associated with the disease at a later stage making it harder to treat, Asylum seeker mum slams hotel as kids won't eat the 'unsuitable' food, Hyre and her two children, aged 16 and 14, "don't eat anything" from the food provided, Seaside town facing a summer without its most famous attraction as traders break down, Day-trippers and holiday makers arriving in the town may be surprised by the closure, Jon Dahl Tomasson on Blackburn Rovers fightback, play-off battle and goal-scoring problems, Reaction from the Blackburn Rovers head coach after their 1-1 draw with Luton Town at Ewood Park, Blackburn Rovers suffer another groundhog day as Luton Town draw sets up season finale, Blackburn Rovers drew 1-1 with Luton Town at Ewood Park, Single mum distraught after 'lifeline' car used to get her disabled son to hospital is stolen from outside her home, Connie Cushnaghan had her car stolen from outside her home and has had to pay 800 so far to have it recovered and repaired, Attempted murder arrest after Preston stabbing leaves man with serious injuries, Police believe the 22-year-old victim was stabbed at an address on Ribbleton Avenue before being found on Blackpool Road, How much do you know about King Charles III? The service controlled infection risk well. Staff had access to specialist advice and support 24 hours a day from a consultant on-call team for end of life care. Hospital maps - NWAS - North West Ambulance Service 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. Visiting our hospitals. During this inspection we rated the end of life care service as 'outstanding' because: Published Consultants did not always lead daily ward rounds on all wards and inspectors observed two episodes of care where staff were not discreet and responsive when caring for patients. 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). Consequently, staff and patients must make longer journeys than is desirable, leading to poor experiences of care and significant operational inefficiencies. This presented a health and safety hazard to staff and patients. 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. Our ambition is to improve the environment for patients and staff, including increasing the single room provision. There is an opportunity to reduce the percentage of the site currently set aside for non-patient facing activities to increase and improve the estate for patients. We had reported in 2015 that medicines were not stored securely in the unit; however this had improved with provision of new storage cabinets and performance of a regular safe storage of medicines audit. Ashton Road, Lancaster, Lancashire, LA1 5AZ At all times the staff were courteous 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 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. The need for new hospitals is unequivocal. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding by Melanie Sykes - Posted on 22 March 2023. Virology Wards 36, 37 & 38 Immunology Department (behind offices) (Pepper)101711388. The nurses and receptionists were great, doctor - cant tell. We found that access to new appointments throughout the departments had improved. Ratings and reviews - Royal Lancaster Infirmary - NHS Ward 23 - University Hospitals of Morecambe Bay NHS Foundation Trust (i)The age of our estate: Over 65% of clinical facilities date from 1970s to 1990s and as a result experience serious dilapidation. 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. Measures are still in place for infection prevention which include: social distancing, hand hygiene and wearing surgical masks. 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. Since the last inspection we found that there had been some improvements in staffing. 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. Critical care training had been increased for staff in theatres. This page is not available in other languages. Our rating of this location stayed the same. The six-facet survey (illustrated inFigure 14) shows that the majority of this relates to the physical condition of the estate. We don't rate every type of service. This has resulted in operations being cancelled and damage to clinical equipment. 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). The risks associated to loss of service if equipment was broken and needed replacement were on the risk register. Georgia Vital Records FamilySearch Mandatory training was in place and attendance by the specialist palliative care nurses exceeded the trust target. (vii) The sitesdo not comply with Health Building Notes standardsfor space and single room provision. The trust did not have a dedicated CCOR team and this continued to be on the risk register, however during our inspection we noted good provision of principles in line with GPICS (2015), NICE CG50 and against the seven core elements of Comprehensive Critical Care Outreach,(C3O 2011). The trust had recently introduced a Hospital Home. The team in critical care services were well-led. Tertiary services have developed and expanded at LTHTr without being fully able to meet all the estate requirements of these highly specialised services. We saw evidence of proactive executive involvement in terms of the development of the end of life care strategy. [4], The infirmary has its origins in a dispensary which opened on Castle Hill in 1781 and a fever hospital established in 1815. 28% of beds are single rooms with 11% en-suites, compared to an HBN requirement of 50%. Staff felt respected, supported and valued. The Royal Lancaster Infirmary is a part of the University Hospitals of Morecambe Bay NHS Foundation Trust. The hospital lacks an obvious main entrance, which can be confusing for patients and visitors. Read frequently asked questions, the latest news about the programme and stories from people in the region. The CQC has sent a letter of intent to the hospital trust under powers which allow the regulator to suspend its registration, Don't miss out - sign up for our free daily newsletter today. 20 August 2021, In Staff we spoke with told us that there was an educational model of outreach embedded across the trust. 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. Home. 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. Staff in the medical service did not always assess swallowing abilities in a timely manner. New Hospitals Programme :: Section 6: Our hospitals Many of the wards and departments are very worn, with surfaces that are not intact and, as such, are unable to be adequately decontaminated. This is why patient experience and looking after the whole person is important. Medical care (including older peoples care). DNACPR (do not attempt cardio-pulmonary resuscitation) records were generally completed well and the trust was making use of audits and learning from incidents to drive improvements. Clinically, the staff are of the highest calibre you will find anywhere. RTX02 Royal Lancaster Infirmary - CQC 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. 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. Figure 6: The age profile of Royal Preston Hospital site, Figure 7:The age profile of Royal Lancaster Infirmary site.