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OBS Medics Base Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 14 April 2021

This is the first time we have rated this service. We rated it as requires improvement because:

  • Not all staff had received training in key skills. At the time of our inspection, mandatory training compliance was 66%. Staff did not collect safety information or use it to improve the service. There was limited evidence the service managed safety incidents well and learned lessons from them. However, staff understood how to protect patients from abuse. The service mostly controlled infection risk well and had enough staff to care for patients. The service managed medicines well.
  • Managers did not monitor the effectiveness of the service. There was limited evidence to demonstrate patients were supported to make decisions about their care. However, the service provided care and treatment based on national guidance and evidence-based practice. Managers ensured that staff were competent to carry out their role. Staff provided good care gave patients enough to drink and had access to policies and procedures based on legislation and national guidance.
  • There was limited evidence that systems and processes were in place to take account of a patient’s individual needs. However, staff told us how they treated patients with compassion, kindness and respected their privacy and dignity.
  • The service planned care to meet the needs of local people. However, there were limited systems and processes in place to take account of patients’ individual needs and to enable people to give feedback. The were no measures in place, such as key performance indicators to enable senior staff to monitor response or journey times.
  • Leaders did not effectively identify, address and mitigate all risks the service faced. The service’s vision and strategy was in its infancy at the time of our inspection. There was limited evidence of regular staff and leader engagement. The service had limited systems and processes in place to engage patients and the community to plan and manage services.

Inspection areas

Safe

Requires improvement

Updated 14 April 2021

Effective

Requires improvement

Updated 14 April 2021

Caring

Insufficient evidence to rate

Updated 14 April 2021

Responsive

Requires improvement

Updated 14 April 2021

Well-led

Inadequate

Updated 14 April 2021

Checks on specific services

Patient transport services

Requires improvement

Updated 14 April 2021

This is the first time we have rated this service. We rated it as requires improvement because:

  • Not all staff had received training in key skills. At the time of our inspection, mandatory training compliance was 66%. Staff did not collect safety information or use it to improve the service. There was limited evidence the service managed safety incidents well and learned lessons from them. However, staff understood how to protect patients from abuse. The service mostly controlled infection risk well and had enough staff to care for patients. The service managed medicines well.
  • Managers did not monitor the effectiveness of the service. There was limited evidence to demonstrate patients were supported to make decisions about their care. However, the service provided care and treatment based on national guidance and evidence-based practice. Managers ensured that staff were competent to carry out their role. Staff provided good care gave patients enough to drink and had access to policies and procedures based on legislation and national guidance.
  • There was limited evidence that systems and processes were in place to take account of a patient’s individual needs. However, staff told us how they treated patients with compassion, kindness and respected their privacy and dignity.
  • The service planned care to meet the needs of local people. However, there were limited systems and processes in place to take account of patients’ individual needs and to enable people to give feedback. The were no measures in place, such as key performance indicators to enable senior staff to monitor response or journey times.
  • Leaders did not effectively identify, address and mitigate all risks the service faced. The service’s vision and strategy was in its infancy at the time of our inspection. There was limited evidence of regular staff and leader engagement. The service had limited systems and processes in place to engage patients and the community to plan and manage services.