Latest Snippet(s)
Positive
"The service provides a walkin and wait service for minor illnesses and minor injuries and is staffed primarily by health care assistants nurses advanced nurse practitioners and paramedics."
Neutral
"We noted that the peer review process identified learning for both the reviewee and the reviewer for example one nurse who reviewed another’s medication records learned more efficient and time saving methods of recording data."
Neutral
"• There was always a suitably qualified nurse on duty to deal with both adults and children."
Neutral
"There was always GP backup for any nurse queries and advice should they require this."
Neutral
"The service had identified a lead GP and lead nurse for clinical governance."
2019-04-09 Snippet(s)
Positive
"However the statistics reported did not differentiated if the patient was seen by a health care assistant for an observation or if the patient was seen by a nurse for clinical assessment."
Neutral
"The receptionist decided if the patient required immediate escalation to see a nurse based on the information provided."
Neutral
"The service had extended nurse prescribers to prescribe some medicines such as the morning after pill."
Neutral
"For patients still waiting a nurse triage system was in place."
Latest Snippet(s)
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."
Neutral
"This was achieved by regular performance monitoring and meetings with the strategic leads and CCG to report on performance."
2019-04-09 Snippet(s)
Positive
"We had concerns in relation to the governance oversight of the service and the monitoring systems and processes in place."
Latest Snippet(s)
Positive
"There is parking outside the centre including dedicated disabled spaces; there is no railway station in Skelmersdale."
Neutral
"For example there was disabled parking level access and all services were on the ground floor."
2019-04-09 Snippet(s)
Neutral
"• Car parking was available on the shopping centre car park for patients to use with parking restrictions maximum of five hours."
Latest Snippet(s)
Positive
"The provider is registered to deliver the following regulated activities; diagnostics and screening transport services triage and medical advice provided remotely and treatment of disease disorder or injury."
Positive
"The provider had introduced a contract with a local taxi firm to provide free transport to patients who did not require an emergency transfer but did need to attend the West Lancashire Urgent Treatment Centre."
Latest Snippet(s)
Positive
"• Leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Latest Snippet(s)
Positive
"Significant events and incidents were discussed at management meetings and where necessary at clinical governance meetings locally and regionally."
Latest Snippet(s)
Positive
"This included onetoone meetings appraisals biannually coaching and mentoring clinical supervision and support for revalidation."
Latest Snippet(s)
Positive
"This covered such topics as health and safety information governance and local procedures."
2019-04-09 Snippet(s)
Positive
"• The service did not maintain an accurate and complete list of risks relating to the health and safety of service users."
2019-04-09 Snippet(s)
Positive
"The service had a procedure in place for managing medicine storage in the event of a fridge failure."
2019-04-09 Snippet(s)
Neutral
"The Skelmersdale Walk in Centre does not provide an xray service."
Neutral
"The service did not provide xray services and patients were signposted to a sister location."
2019-04-09 Snippet(s)
Neutral
"The receptionist decided if the patient required immediate escalation to see a nurse based on the information provided."
2019-04-09 Snippet(s)
Neutral
"• At the time of inspection the clinical audit program at the location to review professional practice onward referral and prescribing performance was in development."
2019-04-09 Snippet(s)
Neutral
"• The service had a cleaning contract with an external cleaning company."
Neutral
"There were three cleaning schedules which covered cleaning duties for the sevenday period."
Neutral
"We saw cleaning rotas completed."
Neutral
"On inspection we saw cleaning had not taken place during two weekends in the last six months."