14, 15 and 16 November 2019
During a routine inspection
This service is rated as Good overall. (Previous inspection November 2018 – Good)
The key questions are rated as:
- Are services safe? Good
- Are services effective? Good
- Are services caring? Good
- Are services responsive? Good
- Are services well-led? Good
We carried out an announced comprehensive inspection at i-HEART 365 Service – Out of Hours Service on 14, 15 and 16 November 2019 due to registration changes since the last inspection. The service, under their old registration had been rated as inadequate at an inspection in February 2018 but then as good during a follow-up inspection in November 2018.
At this inspection we found:
- The service had good systems to manage risk so that safety incidents were less likely to happen. When they did happen, the service learned from them and improved their processes.
- The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated people with compassion, kindness, dignity and respect.
- Patients were able to access care and treatment from the service within an appropriate timescale for their needs.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
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.
- Review the alternative arrangements for faxing prescriptions to pharmacies in order to comply with electronic prescribing guidelines.