DaVita (UK) Ltd - Colliers Wood

We had not previously rated this location. We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse.
• Staff treated patients with compassion and kindness and respected their privacy and dignity. Patients told us staff were caring, kind and maintained their dignity at all times.
• The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback.
• Services were sufficiently flexible to meet the needs of patients. People could access the service when they needed.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued by their local managers.
• Multi-disciplinary teamwork between the service and the NHS provider who commissions the service was effective.

However:

• There were long wait times for patients to be connected and taken off dialysis machines. The clinic does not have a staggered appointment system.
• While there were infection control measures in place, we saw a patient’s garment touching and contaminating the central venous catheter (CVC) whilst being connected to the dialysis machine. We saw sharps bins not labelled and waste bins used without clinical waste bags within them.
• Patient records were not fully completed with staff signatures.
• We saw an expired medicine on the resuscitation trolley.
• One of the fridges in the clinic, did not have a record of temperature checks, even though its stored samples to be taken to laboratory for analysis.