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Inspection carried out on 09 April 2019

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

YorMed Ambulance Station is operated by YorMed Limited. The service provides a patient transport service and event medical cover.

We carried out a focused unannounced inspection on 09 April 2019 in response to some information of concern, received by the Care Quality Commission (CQC) regarding the patient transport service.

A focused inspection differs to a comprehensive inspection, as it is more targeted looking

at specific concerns rather than gathering a holistic view across a service or provider.

In our comprehensive inspections, 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?

Focused inspections do not usually look at all five key questions; they focus on the areas indicated by the information that triggers the focused inspection. Although they are smaller in scale, focused inspections broadly follow the same process as a comprehensive inspection.

We inspected but did not rate the safe, effective and well-led domains. We did not inspect caring and responsive. The focus of our inspection related to mandatory training, safeguarding, cleanliness, infection prevention and control, hygiene, staffing, the safe management of medicines, staff competence, the culture within the service and governance processes including the management of risk, issues and performance.

The service has one location. We looked at the vehicle storage, preparation and storage areas and two ambulances. We reviewed 13 staff files, training records, rotas, and provider policies and procedures. We spoke with five members of staff which included permanent and bank staff and the managing director who was also the Registered Manager.

The main service provided by this service was patient transport services.

Due to the focused nature of the inspection we did not rate the service or inspect all key lines of enquiry within each domain.

On 08 May 2019 we served two warning notices under section 29 of the Health and Social Care Act 2008. The warning notices related to Regulation 17, (1)(2) The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Good governance and Regulation 19 (1), (2)(a) – Fit and proper persons employed. The warning notices require the provider to take action to ensure systems and processes are established to ensure effective governance arrangements and effective staff recruitment and training are in place. We have given the provider one month to make the necessary improvements.

Ellen Armistead

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