North Ormesby Dialysis Unit

Updated 11 July 2023

North Ormesby Dialysis Unit is operated by Diaverum an independent healthcare provider. It is contracted by NHS England to provide renal dialysis to NHS patients over the age of 18. Patients are referred to the unit by the local NHS trust.

The service is on the site of North Ormesby Medical Village in Teesside. It is a 20 station unit (comprising of 14 stations in the main area, two side isolation rooms and a four bed bay) providing haemodialysis for stable patients with end stage renal disease/failure six days a week. There are no overnight facilities. There are two to three dialysis treatment sessions a day which includes a twilight treatment session on Monday, Wednesday and Friday. The main referring unit is a local NHS renal unit. Patients typically live in the nearby South Tees and surrounding area.

The provider registered this location in April 2022 and the service has a registered manager in post since this date.

We inspected this service using our comprehensive inspection methodology.

The service is registered with CQC to undertake the regulated activity of treatment of disease, disorder or injury.

We have not inspected this service before.

Updated 11 July 2023

We rated it as inadequate because early in the inspection process we found numerous significant concerns and issued two warning notices in relation to the safe care and treatment of patients and the management and oversight of the service. We have placed the service in special measures. We found the following concerns:

• The service did not always provide safe care. There was insufficient attention to safeguarding. The service did not always control infection risk well. Staff did not always assess, monitor or manage risks to people who use the service. Equipment was not always checked to ensure it was safe to use and medication was not managed safely. There was little evidence of learning following incidents.
• The service was not always well-led. Leaders did not always have the capacity to lead effectively. Risk was not always managed and oversight in relation to governance processes was not always robust. Policies were not always reviewed and actions plans in relation to poor audit outcomes were not always considered or developed. The service did not always operate effective procedures to evidence that all staff employed were fit and proper persons. The service did not always engage well with patients and the community.

However:

• Most staff had training in key skills and service had enough staff to care for patients and keep them safe. The clinic was visibly clean and the environment had recently been refurbished. Records were stored securely.
• Post inspection, the provider demonstrated a willingness to improve.

Updated 11 July 2023

We had not previously rated this service.

We rated this service as inadequate due to significant concerns across two domains.

See summary above for details.