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Inspection report

Date of Inspection: 21 July 2014
Date of Publication: 26 September 2014
Inspection Report published 26 September 2014 PDF | 87.78 KB

Overview

Inspection carried out on 21 July 2014

During an inspection in response to concerns

Prior to this visit we received information of concern. The concerns were there were not always enough staff on duty and this meant the needs of people living in the home were not always being met. We also received concerns about safeguarding at the home, care and welfare of people living at the home, respecting and involving people at the home and staff practice around moving and handling. We arrived for our inspection at 7am so we could see the staffing levels that were available during night shifts.

This visit was carried out by two inspectors.

We asked our five questions; Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people who lived at the home, their relatives, staff members and from looking at records. If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

We found the home was clean and equipment was well maintained. However, there were some issues with the availability of equipment.

Staff rotas showed us there were times where the home had less staff members on shift than was required. There were many shifts when staff absences had not been covered.

We found care records were comprehensive and up to date. However, we did find some issues with a lack of relevant information being included in some records we looked at.

Is the service effective?

People’s care records were assessed with their involvement or with the involvement of relatives and other healthcare professionals.

We found that people’s care records were mostly up to date and contained correct information.

Is the service caring?

People were supported by kind and attentive staff. We saw care assistants showed patience and gave encouragement when supporting people. People we spoke with said staff were kind and caring.

People’s preferences, interests, aspirations and diverse needs had been recorded in some care records, but not others.

Is the service responsive?

People did not partake in many activities at the home. On the day of our visit we observed people sitting in lounges with little to no interaction from staff members for a considerable length of time, mainly due to the lack of staff availability. People who lived at the home told us they would like more activities.

Is the service well-led?

Staff told us they were clear about their roles and responsibilities. People who lived at the home and some staff we spoke with said they felt carers were ‘stretched’ and did not have a lot of time to carry out their duties.

We looked at staff personnel files and found that staff members were up to date with most of their training. However, we did find issues with a lack of supervision taking place for staff.