Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Filton Blood Centre North Bristol Park, Filton, Bristol, BS34 7QH Tel: 01179217200 Date of Inspections: 29 January 2014 Date of Publication: February 28 January 2014 2014 We inspected the following standards as part of a routine inspection. This is what we found: Respecting and involving people who use Met this standard services Consent to care and treatment Met this standard Care and welfare of people who use services Met this standard Cleanliness and infection control Met this standard Supporting workers Met this standard Assessing and monitoring the quality of service Met this standard provision | Inspection Report | Filton Blood Centre | February 2014 www.cqc.org.uk 1 Details about this location Registered Provider NHS Blood and Transplant Overview of the Filton Blood Centre in Bristol provides specialist scientific service and laboratory services, which the Commission do not regulate. The service collects whole blood and blood component products from voluntary donors and then delivers these to the NHS and other UK health services as directed. We regulate and inspect this part of the service. This inspection was carried out in the Southmead Blood Donor Centre, a permanent site based in the grounds of Southmead Hospital, and one mobile blood donor session. Type of services Acute services with overnight beds Blood and Transplant service Diagnostic and/or screening service Regulated activities Diagnostic and screening procedures Management of supply of blood and blood derived products Treatment of disease, disorder or injury | Inspection Report | Filton Blood Centre | February 2014 www.cqc.org.uk 2 Contents When you read this report, you may find it useful to read the sections towards the back called 'About CQC inspections' and 'How we define our judgements'. Page Summary of this inspection: Why we carried out this inspection 4 How we carried out this inspection 4 What people told us and what we found 4 More information about the provider 5 Our judgements for each standard inspected: Respecting and involving people who use services 6 Consent to care and treatment 8 Care and welfare of people who use services 9 Cleanliness and infection control 11 Supporting workers 13 Assessing and monitoring the quality of service provision 15 About CQC Inspections 17 How we define our judgements 18 Glossary of terms we use in this report 20 Contact us 22 | Inspection Report | Filton Blood Centre | February 2014 www.cqc.org.uk 3 Summary of this inspection Why we carried out this inspection This was a routine inspection to check that essential standards of quality and safety referred to on the front page were being met. We sometimes describe this as a scheduled inspection. This was an announced inspection. How we carried out this inspection We looked at the personal care or treatment records of people who use the service, carried out a visit on 28 January 2014 and 29 January 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with staff and reviewed information given to us by the provider. What people told us and what we found This inspection looked at the services provided from the Blood Donor Centre based within Southmead Hospital and one mobile blood donor session in the community. We were checking that the donor care processes for people who were donating blood (referred to as donors) was safe. We spoke with 12 donors, eight donor carers, three qualified nurses and other senior managers. We found that donors were involved in making decisions about donating, consented to donate and were well looked after during the donation procedure. The health and welfare of donors was paramount and donors were provided with sufficient post-donation information to know what to do if they were unwell. There were stringent procedures in place to ensure that recipients of whole blood and blood component products were not placed at risk of receiving unsafe products. There were standard operating procedures for all staff to follow for the entire whole blood or blood component donation process. This ensured that infection prevention and control measures were in place. Blood donation was carried out in premises that were fit for purpose. Donors were looked after by donor carers and qualified nurses who were well trained and supported to do their job. NHS Blood and Transplant had robust measures in place to monitor the quality and safety of the service and used donor feedback to review and amend service delivery. You can see our judgements on the front page of this report. | Inspection Report | Filton Blood Centre | February 2014 www.cqc.org.uk 4 More information about the provider Please see our website www.cqc.org.uk for more information, including our most recent judgements against the essential standards. You can contact us using the telephone number on the back of the report if you have additional questions. There is a glossary at the back of this report which has definitions for words and phrases we use in the report. | Inspection Report | Filton Blood Centre | February 2014 www.cqc.org.uk 5 Our judgements for each standard inspected Respecting and involving people who use services Met this standard People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run Our judgement The provider was meeting this standard. People were fully informed about the way the service was provided and delivered. People were provided with sufficient information to make an informed choice about participating in donation services. Reasons for our judgement We spoke with five donors at the donor centre and seven donors who attended the mobile blood donation session. Those attending the donor centre were regular platelet donors. They told us "I made the decision to change from being a blood donor so that I could help more patients and donate more often", "I know the drill but every visit the staff check that I am happy to donate. The staff are very professional and courteous" and "I have had to cancel some appointments but the staff are very good at re-arranging my appointments". The donors who attended the mobile blood donation session either had timed appointments to donate or had 'walked-in' to donate. All donors were welcomed and given the Welcome Booklet to read. Those who had never donated before were registered and an explanation was given as to what would happen. New donors were given another booklet to read which explained the blood donation pathway. We found that donors were informed and understood the procedures that were taking place. There was a range of leaflets available for them to provide additional information about the procedures. We saw leaflets in respect of the tests that would be carried out on donated blood, sickle cell & blood donation, over-volume donation, platelet donation and the frequency of male donation. There were also leaflets in respect of feeling faint, bruising, the haemoglobin and iron, finger prick test (explaining why decisions may be made that donation cannot go ahead) and an 'after you have given blood' card. This card gave donors advice about drinking plenty of fluids, not undertaking any strenuous exercise and instructions to leave the donor site plaster in place for a minimum of six hours. We saw these after-care cards being given to donors at the mobile blood donor session. Donor carers and qualified nurses told us that it was always important to explain clearly what was going to happen, even for regular donors. They said "There is a lot of written | Inspection Report | Filton Blood Centre | February 2014 www.cqc.org.uk 6 information for donors but we answer questions when we can", "If I have any queries during a donors health screen, I can ask the nurse to speak to the donor" and "Donors are volunteers, therefore it is very important that they are respected and seen on time". | Inspection Report | Filton Blood Centre | February 2014 www.cqc.org.uk 7 Consent to care and treatment Met this standard Before people are given any examination, care, treatment or support, they should be asked if they agree to it Our judgement The provider was meeting this standard. Before people proceeded with donation they were asked for their consent and the provider acted in accordance with their wishes. Reasons for our judgement All donors had to provide written consent before donation of whole blood or blood components could proceed. Those donors who attended the donor centre had to complete and sign their donor health check (DHC) form upon arrival. Whole blood donors in the centre and those donors who attended a booked appointment at a mobile blood donation session, had to hand their completed forms in on arrival. The mobile session had supplies of spare DHC forms for those donors who did not have an appointment or who were new donors. Each donor had a private and confidential health screening consultation and were asked further questions based upon the information they had provided on the DHC. Donors had to again give written consent, signed in the presence of a member of NHS Blood and Transplant staff. Donors consented to say they had read and understood the welcome booklet, were not at risk of infection, agreed to their blood being tested, were aware of the donation process and agreed to their blood being used for the benefit of others. All donors we spoke with, (apart from those who were new blood donors) were fully aware of the nature of the procedures that were going to happen.