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Archived: Sheffield Dialysis Unit

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Inspection report

Date of Inspection: 23 January 2013
Date of Publication: 1 February 2013
Inspection Report published 1 February 2013 PDF | 81.26 KB

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 23 January 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

Peoples' needs were assessed and care and treatment was planned and delivered in line with their individual care plan.

Reasons for our judgement

Patients we spoke with made positive comments about the staff and were satisfied with the quality of care and treatment that they had received. Their comments included: "Staff are brilliant." "Staff are friendly and approachable." "Staff always introduce themselves." "Every morning the secretary comes around and speaks to everybody." "The secretary is a right grafter." "The clinical manager joins in as well." Patients also told us how they valued how the secretary had rearranged patient's transport arrangements during the recent adverse weather conditions. During the inspection we observed the secretary responding to a patient's transport difficulties and arranging four wheel drive transport for them and advising staff that the patient would be late for their dialysis session.

We also spoke with one relative who was very satisfied with the care and treatment their relative had received. Their comments included: "My wife really likes it here because it is calm." "Everybody is friendly." "We can request to see a doctor whenever we want to."

We looked at a sample of three patient records. We saw that the records contained a range of information including: current dialysis prescription, blood volume monitoring form, patient agreement, manual handling assessment, monthly blood results and a care plan. The care plan included details of patient and nurse agreed problems, the goal, the agreed action plan, review date and whether the goal had been met. We saw evidence that the care plans had been regularly reviewed. We also saw within the new patient admission form that it covered a range of areas including the following: diet and fluids, rest and sleep, work and social activity and family relationships and key supporters. We also saw within the records a copy of the "monthly checks" which were given to patients. Three patients we spoke with told us that they liked receiving the copy of their monthly checks so they could see how they were getting on in detail.

We were informed by the manager that two doctors from the Northern General Hospital came to the service twice a month. He told us that each doctor held a monthly renal clinic at the service and all their patients' treatment were reviewed monthly at a multi disciplinary team meeting at the service. If changes were made to a patient's treatment the service would notify them straight away. The person's named nurse would contact the patient and if they had any concerns that they could request an appointment with a doctor. We saw several posters displayed at the service saying; "Any patient who would like to see a doctor would you please ask the nurse in charge on duty."

We spoke to a member of staff about the arrangements in place to respond to emergencies or any concerns about a patient's condition. They told us that a doctor was on call at the Northern General Hospital if they needed advice and in the case of an emergency an ambulance would be called and the patient would be taken to hospital. One patient we spoke with told us that they had experienced an emergency in the past at the service and that staff had called an ambulance for them. He said he had no concerns about the arrangements in place to deal with emergencies in the service.