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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

There should be enough members of staff to keep people safe and meet their health and welfare needs (outcome 13)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by sufficient numbers of appropriate staff.

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

People who used the service benefit from sufficient staff to meet their needs.

Reasons for our judgement

The manager informed us that were eight registered nurses, one dialysis assistant, two health care assistants and a secretary at the service. He told us that the service was currently advertising for a health care assistant to cover for a staff member on maternity leave. He said the service provided treatment to approximately 62 patients but was not operating at full capacity. We discussed the current rota in place at the service and he told us that the nurses operated to a ratio of one nurse per 4.5 patients. The staffing ratio for the location had been set out contractually with the NHS trust. He also told us that the secretary worked Monday to Fridays until one o'clock.

People we spoke with did not have any concerns about the staffing levels but commented on how hard the staff worked at the service. The relative we spoke with told us that if people were receiving dialysis in the later sessions in the day that it was sometimes difficult to gain access to the building. He told us that the reception area was not staffed after one o'clock and people had to wait until a staff member from the dialysis unit was available to open the door. He understood that the external door needed to be locked to maintain security but on several occasions he had been kept waiting for a long time before a staff member was available to come to reception.

We observed that in the dialysis unit that after one o'clock staff had to stop what they were doing to answer telephone enquiries. The provider may find it useful to note that when visitors were sat in the reception waiting area that they would get up and let people into the building if the reception desk was not staffed.

We looked at two staff member's training records. We saw that each staff member had an individual training plan in place. The manager told us that Fresenius had a training education manager and that the team manager was the service's training coordinator. The manager showed us the e-learning facility that was available for staff to use to complete their training.

One staff member we spoke with told us that they worked shifts according to the number of patients and that each nurse had a group of patients they looked after.