High rates of central venous catheter related infections in a renal unit highlighted a need to address catheter site care in these patients. However, a literature review found no surveillance tools that were designed to identify infections in all ethnic groups. Since the trust served an ethnically diverse population, the nursing team devised the multiracial visual inspection catheter tool observation record (MR VICTOR). It is a unique visual tool, which uses pictures and a scoring system to assess levels of infection in different skin colours. This article outlines the process of developing the tool, its audit, challenges in implementing this change in practice and the benefits.