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Inspection report

Date of Inspection: 13 November 2013
Date of Publication: 11 December 2013
Inspection Report published 11 December 2013 PDF | 78.78 KB

There should be enough members of staff to keep people safe and meet their health and welfare needs (outcome 13)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by sufficient numbers of appropriate staff.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 13 November 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

There were enough qualified, skilled and experienced staff to meet people's needs.

Reasons for our judgement

During our visit we viewed staffing rotas for the previous four weeks. We were told that there was currently one full time vacant registered nurse post and that roles were advertised via the local job centre, press and through the use of agencies. We were told of a temporary acting management structure that included a clinical and non-clinical lead. We were also told that a new manager had been appointed and was due to commence in post before the end of the year.

We viewed a file that detailed the use of agency staff and saw from rotas that the use of agency staff was kept to a minimum where possible with a maximum of one or two shifts being covered in this way each week. We saw that agency staff profiles were in use and that these contained information about mandatory training updates and Disclosure and Barring Service (DBS) records. We saw evidence of a system in place to monitor the quality of agency staff.

We saw evidence that each shift included one or two registered nurses and up to six care workers. We were told there was a member of staff responsible for activities on duty every day including weekends.

We were told that nursing staff had experience in a variety of contexts, including community care, acute nursing and previous nursing home experience. We saw from training records that a high proportion of care workers had undertaken a National Vocational Qualification in care at level two or level three.

Staff we spoke to told us that they had the opportunity to develop professionally and we saw evidence of staff having attended training courses in addition to identified mandatory training. We were told that staff had attended training in dementia care, end of life care, tissue viability and other clinical training. We were told that non care staff had also attended training in dementia care and safeguarding.

We saw there were enough qualified, skilled and experience staff to meet people's needs. We were told by staff that staffing levels were of a good standard and that workers were able to care for people appropriately. We were told that staffing numbers and skill mixes were based on levels of need and dependency and that there was flexibility to meet changing needs.

One member of staff told us "the shifts are covered well, we have a good mix of staff skills and we have time to spend with people to give them good levels of care." A relative told us "we have come to know the staff really well, there are always familiar faces around and I feel really happy with the care they give."