Norwest Ambulance

Updated 18 January 2023

Norwest Ambulance is a registered location of Norwest Ambulance Limited. The provider has been registered since November 2019 to provide the regulated activities Treatment of Disease Disorder or Injury, and Transport Services, Triage and Medical Advice provided remotely. This included provision for children under 18 years old. The service provides emergency and urgent care ambulance services, under contract with an NHS ambulance service provider. The service also provided a very limited range of non-emergency patient transport as well as event medical services across the North West. Event medical services are not in scope of registration and regulation under the Health and Social Care Act 2008.

This was the first inspection since the provider’s registration in 2019.

The main service provided by this service was Urgent and Emergency Care. Where our findings on Urgent and Emergency Care – for example, management arrangements – also apply to other services, we do not repeat the information but cross-refer to the Urgent and Emergency Care service.

Updated 18 January 2023

We rated this service as good because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff kept good care records. The service managed safety incidents well and learned lessons from them. Staff collected safety information and used it to improve the service.
• Staff provided good care and treatment and gave patients pain relief when they needed it. The service met agreed response times. Managers monitored the effectiveness of the service and made sure staff were competent.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
• The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

However:

• Staff identified but were not always able to act quickly or in line with service policy when patients were at risk of deterioration.
• The service did not always manage medicines well.

Updated 18 January 2023

Patient Transport Services is a small proportion of the provider’s activity. The main service was Emergency and Urgent Care. Where arrangements were the same, we have reported findings in the Emergency and Urgent Care section.

We rated this service as good because it was effective, responsive, and had good leadership, although safe requires improvement. We had insufficient evidence to rate the domain for caring.

Updated 18 January 2023

The main service was Urgent and Emergency Care. Where arrangements were the same, we have reported findings in the Urgent and Emergency Care section.

We rated this service as good because it was effective, caring, responsive and had good leadership, although safe requires improvement.

See the overall summary for details