• Ambulance service

Archived: Santa Pod Raceway

Overall: Inadequate read more about inspection ratings

Airfield Road, Podington, Wellingborough, Northamptonshire, NN29 7XA

Provided and run by:
Trak Bak Racing Limited

Important: We served a suspension notice on the registration of Trak Bak Racing Limited. This is because we believe that a person will or may be exposed to the risk of harm if we do not take this action.

All Inspections

07 June 2021

During an inspection looking at part of the service

We have placed this service in special measures due to their need to make significant improvements. We have also suspended the provider from providing regulated activity for a six month period. This means the service cannot continue to operate until it makes significant improvements. On 6 July 2021 we received an application from the provider to deregister from providing regulated activity. We are currently processing this application.

We inspected the service on 28 April and 4 May 2021, we were so concerned about its quality and safety that we suspended their registration for six weeks, preventing it from operating. We also issued a warning notice in relation to breaches of the regulations that we found.

On 7 June 2021 we carried out a focused inspection to see if the service complied with the regulations it was not meeting at our previous inspection. We gave 48 hours’ notice of the inspection due to the service’s opening times being variable and operating on different days and times of the week.

We found;

Our rating of this location stayed the same. We rated it as inadequate because:

  • There were still no reliable systems to ensure all staff were appropriately trained, qualified and competent to provide safe care. The safeguarding procedure was not available to review so there was no evidence it had been updated. There was minimal evidence the service was now assured fit and proper persons were employed to protect patients from abuse. The provider did not have robust processes to ensure infection risk was controlled well.
  • The provider could still not be assured care and treatment was in line with national guidance. There was still no evidence of audits being planned in line with the identified requirement in the service’s policies. Reviewed policies and procedures were not always correct. Staff were still not supported to develop their skills.
  • The provider still did not take into account peoples individual needs.
  • Leaders did not demonstrate they had the capability to ensure the care and treatment provided was safe and of high quality. There was no registered manager in place and no individual with capacity to oversee the improvement process was identified. Leaders did not demonstrate they had the understanding of the safety and business priorities and how to manage them. There were still no reliable and consistent systems to provide oversight of safety and quality of care delivered. There was still no consistent, embedded system for reviewing risks. Leaders were still not clear about their legal responsibilities of providing care under the regulated activities.

However:

  • The provider had made some practical improvements in the environment and equipment availability. Some cleaning and equipment checking processes had been improved.
  • The provider had introduced a process to make staff aware of any updates to legislation, standards and evidence-based guidelines.
  • A fleet manager was identified to ensure ambulances were appropriately serviced and had annual safety checks.
  • Remote access to Joint Royal Colleges Ambulance Liaison Committee (JRCALC) was put in place to allow staff access to guidelines at all times.
  • All staff we spoke with displayed a commitment to improve the service.

28 April 2021 - 4 May 2021

During an inspection looking at part of the service

We carried out an inspection of Santa Pod Raceway using our comprehensive inspection methodology on 28 April 2021 and 4 May 2021. The inspection was carried out due to concerns raised during routine engagement carried out with the service. We inspected the five key questions of: safe, effective, caring, responsive and well led. This is the first inspection for this service since it was registered with us in July 2020. Before the inspection we reviewed information we had about the provider.

Our inspection was a short noticed announced inspection to enable us to observe routine activity. Following our inspection, we issued a Section 31 urgent suspension for a six-week period due to concerns found on the day of inspection. Following review of evidence post inspection, we also issued a Section 29 Warning Notice due to further concerns identified.

As a result of our inspection findings, this service has been placed into special measures'.

We rated it as inadequate because:

We found;

There were no reliable systems to ensure all staff were appropriately trained, qualified and competent to provide safe care. The safeguarding procedures were not comprehensive and policies did not refer to up to date legislation and guidance. Recruitment practice within the service did not consistently adhere to the provider’s policy with regard to ensuring fit and proper persons were employed to protect patients from abuse. Equipment checks were not carried out consistently. Storage of medicines was not always in line with current legislation. The provider did not have robust processes to ensure infection risk was controlled well.

The provider could not be assured that care and treatment was in line with national guidance. There was no evidence of audits undertaken in line with the identified requirement in the service’s policies. Policies and procedure were not reviewed in line with their identified due date. Staff were not supported to develop their skills.

The provider did not take into account peoples individual needs. Patients could not give feedback easily.

Leaders did not have the capability to ensure the care and treatment provided was safe and of high quality. Governance systems and structures were not in place. Leaders showed little understanding of the safety and business priorities and how to manage them. There were no reliable and consistent systems to provide oversight of safety and quality of care delivered. There was no consistent, embedded system for gathering and reviewing feedback, incident reports or reviewing risks. Leaders were not clear about their legal responsibilities of providing care under the regulated activities.

However:

The provider had enough staff to provide cover. Staff felt respected and valued. People could access the service when they needed it.

The provider had a pathway to transport patients to the appropriate service based on their needs, including alternatives to the local acute hospital’s emergency department.

The patient care record in use was based on the Joint Royal Colleges Ambulances Liaison Committee (JRCALC) guidelines.

Staff told us the managers were visible and approachable and they could raise concerns without fear.