DaVita (UK) Ltd - Hamilton

Updated 9 August 2022

Renal Services (UK) Ltd - Hamilton provide regular dialysis to NHS patients living in Leicester and the surrounding area. Renal Services (UK) Limited, an independent healthcare provider, has operated Renal Services (UK) Ltd – Hamilton dialysis centre since December 2019. This was the second inspection of the service since its registration with the CQC.

The location has a waiting area, two clinic rooms, 36 treatment stations including six side rooms.

The service can treat up to 180 patients and provide a total maximum of 540 dialysis sessions in a week. Clinics are undertaken for the patients treated at Renal Services (UK) Ltd - Hamilton and these are managed by the local NHS trust.

The unit is open Monday, Wednesday and Friday from 7am to 11.30 pm and Tuesday, Thursday and Saturday from 7am to 7pm. The local NHS trust commissions the dialysis service for patients who are established on regular dialysis. There are two consultants from the NHS trust attached to the service who lead the care and treatment for their patients using the dialysis service at Renal Services (UK) Ltd – Hamilton. The consultants prescribe treatments and there is a contract of what the trust commissions from the dialysis service.

The service is registered to provide the regulated activity of treatment of disease, disorder and injury.

The service has had a registered manager in place since registration.

This was an unannounced inspection.

Updated 9 August 2022

We carried out an inspection of Renal Services (UK) Ltd Hamilton using our comprehensive inspection methodology on 31 May 2022. The inspection was carried out following a previous inspection on 21 July 2021 from which the service was rated inadequate and placed in special measures. Although the service still needs to make some improvements to the safety and quality of care, enough progress has been made to remove the service from special measures.

We inspected the five key questions of: safe, effective, caring, responsive and well led.

This is the second inspection for this service.

Our rating of this location improved. 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, and managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
• 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. People could access the service when they needed it and did not have to wait too long for treatment.
• Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care.

However:

• Not all staff always followed infection control procedures and patient record keeping was not always in line with safe practice.
• Oversight of emergency equipment was not always safe as out of date items were found in the emergency trolley despite checks being carried out.
• Oxygen cylinder storage was not always safe.
• Visualisation of patients was not always safe. Staff needed to ensure they had a better visualisation of fistulas to prevent venous needle dislodgement.

Updated 9 August 2022

We carried out an inspection of Renal Services (UK) Ltd Hamilton using our comprehensive inspection methodology on 31 May 2022. The inspection was carried out following a previous inspection on 21 July 2021 from which the service was rated inadequate and placed in special measures. Although the service still needs to make some improvements to the safety and quality of care, enough progress has been made to remove the service from special measures.

We inspected the five key questions of: safe, effective, caring, responsive and well led.

This is the second inspection for this service.

Our rating of this location improved. 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, and managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
• 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. People could access the service when they needed it and did not have to wait too long for treatment.
• Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care.

However:

• Not all staff always followed infection control procedures and patient record keeping was not always in line with safe practice.
• Oversight of emergency equipment was not always safe as out of date items were found in the emergency trolley despite checks being carried out.
• Oxygen cylinder storage was not always safe.
• Visualisation of patients was not always safe. Staff needed to ensure they had a better visualisation of fistulas to prevent venous needle dislodgement.