What is the Quality of Facilities at i-HEART 365 Service - Out of Hours Service

Positive

"For example palliative care patients protocols were in place to provide the appropriate support."

Positive

"Patients requiring palliative care medicines would be referred to the community nursing teams on Sunday evenings until Monday morning."

Neutral

"The areas where the provider should make improvements are: • Clarify the arrangements for accessing palliative care medicines on Sunday evenings until Monday morning and risk assess if a small stock of such medicines should be kept."

Positive

"For patients who request a same day home visit from their registered GP and meet certain criteria details will be passed onto the inhours visiting service to receive a visit from an emergency care practitioner or an advanced nurse practitioner."

Positive

"Performance was shared with staff and the local CCG as part of contract monitoring arrangements."

Neutral

"It is based on a combination of what we found when we inspected information from our ongoing monitoring of data about services and information given to us from the provider patients the public and other organisations."

Neutral

"There were arrangements for planning and monitoring the number and mix of staff needed."

Positive

"• Leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"There were arrangements and systems in place to support staff to respond to people with specific health care needs such as end of life care and those who had mental health needs."

Positive

"For example following individual end of life care pathways."

Positive

"This included onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."

Positive

"This covered such topics as safeguarding adults and children infection prevention and control and basic life support training."

Neutral

"Some medicine prescriptions were faxed to local pharmacy s to dispense."