You are here

Inspection Summary


Overall summary & rating

Good

Updated 3 February 2016

One Life Hartlepool provides a 24-hour minor injuries service. This was inspected as part of the acute urgent and emergency care service and the outcome is reported here. The centre also provides a number of community services including speech and language therapy, audiology, podiatry, musculoskeletal and diabetes services. We reported on these services in the community adult services inspection report for the trust.

The trust gained foundation status in 2007. It has a workforce of approximately 5500 staff and serves a population of around 400,000 in Hartlepool, Stockton and parts of County Durham. The trust also provides services in a number of community facilities across the areas supported, including Peterlee Community Hospital and the One Life Hartlepool.

We inspected One Life Hartlepool as part of the comprehensive inspection of North Tees and Hartlepool NHS Foundation Trust, which included this centre and community services. We inspected One Life Hartlepool on 7-10 July.

Overall, we rated One Life Hartlepool as good. We rated it as good for safe, effective, caring, responsive and well-led services.

We rated emergency and urgent care as good.

Our key findings were as follows:

  • We found the minor injuries department to be very clean and equipment was well maintained.
  • In the last twelve months, the trust reported that there had been no incidents of MRSA (methicillin resistant staphylococcus aureus) or clostridium difficile in the minor injuries unit.
  • Patients were able to access suitable nutrition and hydration. For relatives and carers, sandwiches and drinks were available from vending machines and water from water fountains.
  • There were sufficient staff deployed to the unit to manage the volume of patients attending.

However, there were also areas of practice where the service needs to make improvements.

Importantly, the service should:

  • Consider reviewing the trust process for prescribing antibiotics in the Minor Injuries Unit to enable them to be prescribed after 10pm when only one qualified nurse is on duty.

Professor Sir Mike Richards

Chief Inspector of Hospitals

Inspection areas

Safe

Good

Updated 3 February 2016

Effective

Good

Updated 3 February 2016

Caring

Updated 3 February 2016

Responsive

Good

Updated 3 February 2016

Well-led

Good

Updated 3 February 2016

Checks on specific services

Urgent and emergency services

Good

Updated 3 February 2016

Overall, we rated the urgent and emergency services as good.

We found that the minor injuries unit (MIU) was safe. Patients were assessed and treated by appropriately qualified staff. There were processes in place to ensure that: incidents were reported and action taken; vulnerable adults and children were protected; and the department was clean, equipment safe to use and medication dispensed in line with trust policies.

We found that the care patients received was effective. There were policies in place to ensure best practice was followed, and audits took place to ensure staff compliance. Staff could access information and guidance easily using the intranet. Pain relief was given to patients in a timely manner and nutrition and hydration needs were met. Patients received care from competent staff with the relevant skills and knowledge and there was multidisciplinary working to ensure patients received the care and treatment they needed.

The MIU was responsive to the needs of patients. Patients did not have to wait excessively long times to be treated. Staff were able to access interpreters, specialist equipment and support for people with additional care needs such as those living with dementia, or a disability. Lessons were learned from complaints. The unit took part in the national friends and family initiative and had positive results.

The process to identify and monitor risks was under review across the department and the departmental risk register required updating as a number of the risks were overdue for review or had been resolved. However, the nature of risks directly related to the minor injuries unit were not the same as those affecting the accident and emergency department due to the difference in activity level and level of care provided. There was an open and honest culture and staff felt well supported and engaged.

Other CQC inspections of services

Community & mental health inspection reports for One Life Centre can be found at North Tees and Hartlepool NHS Foundation Trust.