Basingstoke Dialysis Unit

Updated 10 October 2022

Basingstoke Dialysis unit is operated by B. Braun Avitum UK Limited. The service is situated in Basingstoke, Hampshire and provides a dialysis service under a contract with one of the local NHS trusts. All the patients are NHS funded. The service is nurse led and there are 24 dialysis stations. There are two rooms which can accommodate patients who required isolation if they are suspected of having an infection.

Basingstoke dialysis unit does not provide a service for people under 16 years. The dialysis unit operates Monday to Saturday and offers two sessions daily.

The provider is currently registered to provide the following regulated activity.

• Diagnostic and screening procedures
• Treatment of disease, disorder or injury.

Under these regulated activities the service provided:

Haemodialysis.

The service had a registered manager in post at the time of the inspection.

Our inspection was unannounced (staff did not know we were coming). This is the first time we have inspected this service following their registration in 2020.

Updated 10 October 2022

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 safety well.
• Staff assessed risks to patients, acted on them and kept good care records. They mostly 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. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Key services were available to suit patients' needs.
• 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.
• 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. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

However:

• The service did not always control infection risks well to prevent cross infection in line with policies and guidance.
• The service processesor checking emergency equipment was not always effective as expired resuscitation item was not replaced, and the resuscitation trolley was not maintained securely.
• The service did not always manage the Control of Substances Hazardous to Health (COSHH) well, as substances were not securely kept which may pose risks of unauthorised access by people.
• The service did not always maintain medicines safely.
• The clinical staff did not receive safeguarding training relevant to their roles.

Updated 10 October 2022