Great Bridge Kidney Treatment Centre

Updated 19 August 2019

Great Bridge Kidney Treatment Centre is operated by Diaverum Facilities Management Limited. The service opened in 2014. It provides haemodialysis services for adult patients from a local NHS foundation trust who are living with end-stage kidney failure. The service has 24 dialysis stations including four isolation rooms.

The nurse-led centre was supported by renal consultants employed by the NHS trust. The centre’s manager was responsible for the day to day management of the centre and dealt with all daily nursing and patient queries. The nursing director for Diaverum Facilities Management Limited has overall responsibility for nursing staff.

The centre primarily serves adults from one NHS trust. It also accepts referrals from outside the area for adults who may be visiting the area on holiday.

The centre’s manager had been registered with the CQC since December 2016.

Great Bridge Kidney Treatment Centre is registered to provide the following regulated activities:

• Treatment of disease, disorder or injury.

Great Bridge Kidney Treatment Centre was previously inspected in May and June 2017 using our comprehensive inspection methodology. The inspection in 2017 was not rated as at the time CQC had the power to inspect but not rate dialysis services.

Updated 19 August 2019

Great Bridge Kidney Treatment Centre is operated by Diaverum Facilities Management Limited. It was awarded the contract as part of a partnership agreement with the local NHS trust. It provides haemodialysis services for adult patients living with end-stage kidney failure. The centre has 24 dialysis stations including four isolation rooms.

The nurse-led centre was supported by renal consultants employed by the NHS trust. The centre’s manager was responsible for the day to day management of the centre and dealt with all daily nursing and patient queries. The nursing director for Diaverum Facilities Management Limited has overall responsibility for nursing staff.

We inspected this service using our comprehensive inspection methodology. We carried out an unannounced inspection on the 2 April 2019.

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.

Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

Services we rate

Although this service has been inspected previously it was not rated. This is the first rated inspection for Great Bridge Kidney Treatment Centre.

We rated it as Requires improvement overall because:

• The service had suitable premises and looked after them well. However, did not ensure that spare essential equipment was provided for the safe delivery of dialysis.

• Staff kept detailed records of patients’ care and treatment. However, not all paper records had been updated with the most recent information available in the electronic versions.

• The service did not always manage patient safety incidents well. Staff recognised incidents and reported them appropriately. Managers did not always thoroughly investigate incidents and lessons learned were not always shared with the whole team and the wider service.

• Leaders had the integrity, skills and abilities to run the service. However, they did not always understand or manage the priorities and issues the service faced.

• The provider had a vision, values and a strategy for what it wanted to achieve. The vision and values had been adopted at local level however, we saw no local level strategic plans.

• Processes were in place to provide a systematic approach to governance however, we found the documentation and completion of these processes to be limited.

• The service had systems for identifying risks however, these were not always effective.

• The service did not always have documented evidence that staff had learnt from when things went well and when they went wrong. However, the service was committed to promoting training, research and innovation.

However

• The service had enough nursing staff with the right qualifications, skills, training and experience to keep people safe from avoidable harm and to provide the right care and treatment.

• The service provided mandatory training in key skills to all staff and made sure everyone completed it.

• Staff completed risk assessments for each patient.

• Staff understood how to protect patients from abuse and the service worked well with other agencies to do so. Staff had training on how to recognise and report abuse, and they knew how to apply it.

• The service provided care and treatment based on national guidance and evidence of its effectiveness.

• Staff cared for patients with compassion. Feedback from patients confirmed that staff treated them well and with kindness.

• The centre planned and provided services in a way that met the needs of local people.

Following this inspection, we told the provider that it must take some actions to comply with the regulations and that it should make other improvements. We also issued the provider with three requirement notices.

Nigel Acheson

Deputy Chief Inspector of Hospitals

Updated 19 August 2019

This was single speciality service which we rated overall as requires improvement. We rated the domains safe and well led as requires improvement and the domains effective, caring and responsive as good.