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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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The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

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 systems were in place to assess and monitor the quality of service provision so that people who use services will benefit from safe quality care, treatment and support due to effective decision making and the management of risks to their health, welfare and safety. No gaps in assurance or areas of concern were identified during the assessment of this outcome for this location.

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 self assessment outlined a range of monitoring measures and audits are undertaken to continually assess the quality of service provision and action are identified to improve.

In addition, the provider also submitted a sample of completed audit in relation to health and safety, infection control and patient survey action plan that demonstrated actions are taken to modify and improve practice where these have been identified.

On the site visit conducted 11 May 2011 the unit manager showed examples of monthly managers reports along with other ways that monitor service provision.

We have no information that suggests there are areas of non compliance with this outcome.