You are here

We are carrying out a review of quality at Event Medical Services. We will publish a report when our review is complete. Find out more about our inspection reports.

Reports


Inspection carried out on 10 April 2019

During an inspection to make sure that the improvements required had been made

Event Medical Services is operated by Event Medical Services Limited. The service provides emergency and urgent care at events, including for sporting and music events. Event Medical Services can also transport patients from events to hospitals.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some exemptions from regulation by CQC which relate to particular types of service and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Event Medical Services provides services to patients taking part in or attending a sport or cultural event. These types of arrangements are exempt by law from CQC regulation. Therefore, at Event Medical Services the services provided to patients taking part in or attending a sport or cultural event were not inspected.

Event Medical Services can also transport patients from events to hospitals. Arrangements to provide these services were inspected. We inspected this service using our comprehensive inspection methodology. We carried out a focused, unannounced inspection on 10 April 2019, following specific concerns identified.

Due to this being a focused inspection, we did not inspect all five domains (safe, effective, caring, responsive and well led) and we did not rate the service. We inspected the safe, effective and well-led domains, specifically key lines of enquiry relating to: mandatory training; safeguarding; cleanliness, infection control and hygiene; staffing; medicines; competent staff; culture within the service; governance; and management of risk, issues and performance.

We inspected the service’s headquarters, including the garage, storage areas and two ambulances. We reviewed staff files, training records, rotas, and company policies and procedures. We spoke with two of the company directors.

We found the following areas where the service provider needed to improve:

  • The service did not have robust arrangements in place to ensure staff were fit and proper for their role, with the right skills, training and experience to keep people safe from avoidable harm and to provide the right care and treatment. Appropriate records were not kept and there was no process in place for managers to review performance of events staff.

  • We were not fully assured the service had staff with the right qualifications, skills, training and experience to keep people safe from avoidable harm and to provide the right care and treatment. The service did not provide specific mandatory training for staff employed to work at events and managers did not always check all staff met mandatory training requirements to deliver a safe service.

  • We were not assured that the safeguarding arrangements in place were effective or that safeguarding concerns were appropriately reported and referred.

  • We were not assured the service systematically improved service quality and safeguarded high standards of care. We found the service had failed to comply with its own policies and some policies and records were insufficient.

  • We were not assured that risks to the service, patients and staff, were properly identified, monitored and mitigated.

However we also found the following areas of good practice:

  • The ambulance vehicles we inspected were clean and well maintained. The service controlled infection risk and had an infection prevention and control policy in place.

  • The service had a medicines policy which it followed when giving, recording and storing medicines.

Following this inspection, we told the provider that it must take some actions to comply with the regulations and that it should make other improvements, even though a regulation had not been breached, to help the service improve.

We also issued the provider with one requirement notice relating to emergency and urgent care, Regulation 19 Fit and Proper Persons, for the purposes of a regulated activity of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Details are at the end of the report.

Ann Ford

Interim Deputy Chief Inspector of Hospitals (North), on behalf of the Chief Inspector of Hospitals

Inspection carried out on 29 May 2018

During an inspection to make sure that the improvements required had been made

Event Medical Services is operated by Event Medical Services Ltd. The service provides transport of patients from events.

We inspected this service using our comprehensive inspection methodology. We carried out the announced part of the inspection on 29 May 2018 and a follow-up phone interview on 5 June 2018.

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led?

Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

The main service provided by this service was urgent and emergency care.

Services we do not rate

We regulate independent ambulance services but we do not currently have a legal duty to rate them. We highlight good practice and issues that service providers need to improve and take regulatory action as necessary.

We found the following issues that the service provider needs to improve:

  • We were concerned with the prescription, storage and monitoring of medicines.

  • We had concerns about the storage and quality patient report forms. There was no system of routine audit in place to ensure documentation was appropriate.

  • The ambulance station was cluttered with no clear system to ensure equipment which was not in use was cleaned and separated.There was no clearly defined sluice area with running water.

  • Levels of mandatory training by staff employed directly by the service were poor.

  • Complaint processes were not easily accessible and no information about complaints was displayed on emergency vehicles.

  • We were concerned with the completeness of the deep cleaning of ambulances by an external company.

  • The storage of oxygen, chemicals and flammable liquids was not in line with best practice guidance.

  • There was no formal risk register in place, however, the management team could all describe the risks to the service

However, we also found the following areas of good practice:

  • New staff members underwent a comprehensive induction programme. There were additional checks in place for staff who had substantive employment within NHS services. Training was provided for staff dealing with patients with additional needs.

  • There was an additional assessment to measure mental capacity, this was used alongside the patient report form.

  • The provider used an additional patient record to assess for mental capacity.

Following this inspection, we told the provider that it must take some actions to comply with the regulations and that it should make other improvements. We also issued the provider with three requirement notices that affected Event Medical Services Limited. Details are at the end of the report.

Ellen Armistead

Deputy Chief Inspector of Hospitals (The North), on behalf of the Chief Inspector of Hospitals