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Archived: Sheffield Dialysis Unit

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Inspection report

Date of Inspection: 11 May 2011
Date of Publication: 2 June 2011
Inspection Report published 2 June 2011 PDF | 148.1 KB

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Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent staff.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 11/05/2011, checked the provider's records, observed how people were being cared for, looked at records of people who use services, reviewed information from people who use the service, talked to staff and talked to people who use services.

Our judgement

We found that staff had undertaken training and received an individual appraisal. We identified no other information to suggest that the location is not compliant with this outcome.

User experience

It was not possible to gain the direct views of people who use the service for this outcome.

Other evidence

The provider declared compliance with this outcome at this location at registration with CQC October 2010 and our quality and risk profile (QRP) was checked.

As part of the assessment of this location the provider submitted a ‘provider compliance assessment’ record for this outcome, which outlined in detail how it is currently meeting each part of the outcome. The provider’s last ‘health and safety audit’ completed 8 September 2010, demonstrated that the location had been internally assessed compliant against training relevant to health and safety, including manual handling training and fire awareness training.

The provider also submitted additional evidence relevant to the outcome, for example, it’s ‘UK 2011 training plan’ which demonstrated a range of study days and mandatory training events are made available for staff at either regional or clinic level. A document entitled ‘non-conformity report training 11 Oct 2010’ was also submitted which explained a root cause analysis approach had been performed in relation to a previous lapse in the recording of training undertaken by staff, though actions had been put in place to rectify this issue.

On the site visit we found that all staff members had undertaken mandatory training in key areas. A selection of individual staff member training files was reviewed, which demonstrated what individual training had taken place. The unit manager showed evidence that all staff members had received an annual appraisal this year. Discussion with some staff members showed that they had undertaken some training and development along with receiving an appraisal.

We identified no other information to suggest that the location is not compliant with this outcome though some areas of concern have been identified as part of outcome 13 that could be relevant to aspects of this outcome.