Archived: Medrescue Headquarters

We carried out an unannounced inspection using our comprehensive methodology on 22 November 2022 and the provider's registration was cancelled on 5 March 2023.

We rated it as requires improvement because:

• The service did not always control infection risk well. We also saw that deep cleaning of vehicles was not completed in line with schedule.
• They did not always manage medicines well. There was a lack of controlled medicines oversight and effective audit process.
• Staff did not understand the service’s vision and values, or how to apply them in their work.
• The service’s audits did not always ensure leaders could monitor compliance fully.
• The service did not always correctly label sharps bins, these were also not stored in line with guidance.
• Staff could not always access the relevant clinical policies and procedures required to deliver safe care. Staff could not access clinical best practice policies they may require while delivering care.

However:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. Staff assessed risks to patients, acted on them and kept good care records. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment, and gave patients pain relief when they needed it. Managers made sure staff were competent. Staff worked well together for the benefit of patients.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
• Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities.
• Key services were available seven days a week.
• The service had enough suitable equipment including defibrillation equipment and manual handling aids.
• Leaders had not received any concerns from the NHS ambulance service or NHS hospital regarding transfer times for their patients in the 12 months prior to our inspection.

We rated this service as requires improvement in Safe, and Well led. We have rated Effective Caring and Responsive as good.