Background to this inspection
Updated
17 November 2015
Spiral Health CIC (Community Interest Company) provides Nurse Led Therapy units and the Royal Preston hospital site is one of three facilities in the North West. The others are based at Bispham Hospital near Blackpool and Rossall Hospital near Fleetwood.
Spiral Health is a Community Interest Company and is a not-for-profit organisation.
The Spiral CIC Preston service is situated at the Royal Preston hospital on the Avondale Unit and was registered with the Care Quality Commission (CQC) on 3 March 2015.
There are 24 beds at the nurse led Preston unit.
We inspected the provider’s performance in the key questions: Is the service safe and well led?
Updated
17 November 2015
There were sufficient staff on duty and the skill mix met the need of patients. Staff were given opportunities to improve their clinical competencies and skills.
Nursing staff and allied health care professionals were positive about the culture of the service and demonstrated that they provided person centred care.
Patient feedback was positive, particularly in relation to diet, medication, and the availability of staff.
The provider took action when concerns were raised and risks highlighted.
However, we found that more diligence was required in respect of completing and recording audits and making sure changes concerned with quality were embedded.
We found gaps in safety concerning the disposal of medication. The provider had not ensured that senior operational staff followed the medication policy because nursing staff did not manage service user’s medication correctly on admission and discharge. Medication was not disposed of efficiently. Medication audits were aimed at ensuring the safe administration of medication, however the safe disposal and storage of medication was overlooked. ineffectual because they had not highlighted that the policy was not being adhered to.
The senior management team were in the process of reviewing governance systems to ensure the safe and effective running of the service.
Medical care (including older people’s care)
Updated
17 November 2015