Motorsport Vision – Snetterton Circuit is operated by Motorsport Vision Limited. MSV is an independent ambulance service near Norwich, Norfolk. The service assesses and provides emergency medical treatment to visitors, staff and event participants at Snetterton Circuit. The service has two emergency ambulances to allow for the transfer of patients to hospital, and one rapid response vehicle (for on-site use only).
We inspected this service using our comprehensive inspection methodology. We carried out a short noticed announced part of the inspection on 12 September 2018 along with a short notice announced visit to the service on 25 September 2018.
To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.
Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.
The main service provided by this hospital was emergency and urgent care through the provision of first and medical cover for events. The service also transports patients from the circuit site to hospital in the event of a medical emergency. This falls under the scope of regulation.
Services we rate
Our rating of this service was good overall.
We found the following areas of good practice:
- Staff were knowledgeable around incident reporting processes and the duty of candour.
- Staff were clear in their responsibilities to identify and report safeguarding concerns.
- The service was taking effective steps to prevent and control the spread of infection.
- Equipment and vehicles were well maintained.
- Medical records were complete and demonstrated timely assessment of pain and subsequent administration of pain relief.
- The service provide care that was based on national guidance.
- Staff assessed pain levels in a timely manner with evidence of regular analgesia.
- Staff described steps they would take to ensure a patient’s dignity and privacy was respected.
- The service had systems in place to offer staff support in the event of witnessing traumatic events.
- The service was planned in advance to meet the needs of visitors, participants at events and circuit staff.
- The service met the individual needs of patients.
- Patients could access the service in a timely and efficient manner with rapid on scene arrival times.
- The service had systems and processes in place to handle and respond to complaints.
- Staff described an open and honest culture within the service, stating they felt ‘respected and valued in their role’.
- The service had a clear leadership structure in place.
- Staff knew the service’s vision and were passionate about providing the best emergency pre-hospital care possible.
- All staff described an open and transparent culture within the service.
However, we found the following issues that the service provider needs to improve:
- There was a lack of documented staff engagement and minutes of any meetings were not documented to demonstrate that key issues or concerns had been shared with staff.
- The level of safeguarding training that staff had completed was not recorded.
- Some policies and risk assessment had not been regularly reviewed in line with company recommendations. A local risk register should also be maintained for service oversight.
- Patient feedback should be monitored and recorded to improve the service.
Following this inspection, we told the provider that it should make other improvements, even though a regulation had not been breached, to help the service improve. Details are at the end of the report.
Heidi Smoult
Deputy Chief Inspector of Hospitals