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Archived: Farnham Dialysis Unit

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All reports

Inspection report

Date of Inspection: 8 January 2014
Date of Publication: 8 February 2014
Inspection Report published 08 February 2014 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 8 January 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service and talked with staff.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

People’s care needs were assessed and care and support were planned and delivered in line with their individual care needs.

We saw in two of the three care files we reviewed, that prior to people being accepted for care by the service, they had an initial assessment with the renal consultant and /or the haematology consultant.

A member of staff told us, “This initial assessment includes clinical details such as primary diagnosis and renal diagnosis, biopsy dates and, medical history. Hepatitis B and C and HIV status were obtained and documented as these conditions have an effect on the dialysis programme”.

This meant that people’s care needs had been fully assessed prior to care being offered by the service.

We saw in the three care files which we reviewed that service users’ care and treatment was planned on the following themes to ensure patient comfort and the smooth running of the service; ‘Patient management, Time management and Feedback on Patient Care'. A senior member of staff told us, “This is because we put patients first at the heart of everything we do”.

The registered manager explained that ‘Patient management’ is an educational tool developed with team leaders who are responsible for small group of staff. The registered manager said, “This tool enables senior staff and junior staff to learn together and work together for the benefit of the person being cared for”. They said, “For example, manual handling is carried out monthly, six weekly or six monthly depending on the person’s care needs and health conditions. Staff bring their patient reviews to their three monthly personal reviews to discuss patient progress and their learning and application progress”. We were told the service practiced the ‘named nurse’ system of delivering care. They said, “This ensured good patient management and patients are encouraged to share their experience of receiving care with staff”.

This meant the provider had strategies in place to reduce the risks of people receiving unsafe or inappropriate care, treatment and support.

One person we spoke with told us, “I am very pleased that I am able to have my treatment here rather than at St Helier which is too far from my home. This unit is very convenient and close to my home”. The registered manager told us, “All prospective people who wish to use this service must have a consultant nephrologist’s assessment and referral. This service only takes referrals from St Hillier Hospital and people must have had their first dialysis there”. The registered manager said, “One of the criteria for eligibility to undergo dialysis at this unit is that the person must have had their first dialysis at St Helier Hospital”. We were told that people had set times to come in for their dialysis over a six day per week period. The time blocks were 6:45 am– 12 MD; 12:30pm – 6:00pm and 6:15 pm – 11:30pm. We observed staff read the care notes of people prior to the start of their treatment. One person told us, “Yes I have a care plan and I know generally what’s in it. I was involved in the development of the care plan so that’s ok with me”. The person also told us, “I have a named nurse who discusses my care and treatment with me. I also discuss my needs with my renal consultant and /or my haematology consultant. I am always kept properly informed of any changes”.

This meant people’s care was planned in such a way as to meet their individual care needs

We asked the registered manager if the service provided care and support to people with specific cultural and / or religious needs. We were told that the service had facilitated a change to people’s appointment time to accommodate religious celebrations. This meant the service made reasonable adjustments to reflect people’s needs values and diversities.

We case tracked three people’s care and found that care treatment and support provided at this service was personal to the assessed care needs of the individual and was well managed. The documentati