31 May 2022
During a routine inspection
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- Oversight of emergency equipment was not always safe as out of date items were found in the emergency trolley despite checks being carried out.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.