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Archived: Ashton House Nursing Home

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Inspection report

Date of Inspection: 14 February 2014
Date of Publication: 7 March 2014
Inspection Report published 07 March 2014 PDF | 79.11 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 14 February 2014, 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

We were told that there were usually enough staff in place but the registered manager used their own bank staff and regular agency staff if required. We were told by the general manager that the provider had a ratio formula that they used in order to ensure that the appropriate number of staff were on duty. This was confirmed to us by looking at staff rotas. We also saw from the rotas that there was an adequate skill mix of staff who had the right level of knowledge and skills. All care assistants held at least an NVQ level two or were working towards this. Senior care assistants were encouraged to continue with their study to NVQ level three. The registered nurses were encouraged to continue with their continuous professional development (CPD). We were informed that an annual appraisal process would be commenced this year. We found that staff had supervision sessions every three months and that these were documented. We were told by a nurse that ' they were very keen on training here'. This meant that people were supported by appropriately qualified staff.

We looked at the staff training records which showed us that all staff had completed induction, mandatory training as well as specialist training in end of life care, dementia and nutrition. We saw that the provider had a twelve month plan of training in place for all staff. This meant that people were supported by skilled and experienced staff.

The provider carried out spot checks on the care that was delivered to the people.

We found that the provider had a structured induction package in place for new staff. This was based on the Skills for Care website which used common induction standards. These were incorporated into the providers' induction package where care skills were logged and assessed by the manager. The induction also included mandatory training. New staff were supernumerary for one week and were allocated a 'buddy mentor' to work with and to provide support.

The provider gave each new staff member an Employee Safety Handbook and an Employee Handbook. We saw both of these and they included induction checklists.