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Folkestone Nursing Home Good

All reports

Inspection report

Date of Inspection: 5 September 2013
Date of Publication: 9 October 2013
Inspection Report published 09 October 2013 PDF

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 5 September 2013, 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 carers and / or family members and talked with staff.

Our judgement

There were enough qualified, skilled and experienced staff to meet people’s needs. However, their deployment should be reviewed.

Reasons for our judgement

At our last inspection in May 2013 we were concerned that there was no dependency tool in use to determine the number of staff needed at all times to meet people’s needs. We were also concerned that some staff had not received training essential to their job role.

At this inspection we looked at the newly implemented dependency tool. This measured people’s physical needs in relation to their healthcare but did not include people’s social and emotional needs, which were seen to vary from almost self-sufficient to a level of high dependency.

We looked at the staff rota for those people residing on the ground floor and saw that there were two members of staff on duty between 8am and 8pm attending to the needs of 13 people. This included some identified two to one support for people with personal care and/or moving and handling needs. Staff told us that a staff member from another floor acted as an additional member of staff when they needed to undertake two to one support. Although there appeared to be sufficient numbers of staff to meet people’s physical needs we noted that one person required a high level of supervision throughout their waking hours which had not been factored into the staff rota.

We saw evidence that some training which had been arranged for staff had been cancelled due to staff holidays. This included moving and handling, fire safety and infection control. The provider may wish to note that in order to demonstrate that staff have the appropriate skills and knowledge this training should be rescheduled without delay.

We discussed staffing with the acting manager who told us that there were currently vacancies for permanent nurses which they were hoping to recruit into. Staff said they were always busy but felt they were sufficiently staffed to offer a safe service.