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Harcombe Valley Care Limited Good

All reports

Inspection report

Date of Inspection: 15 January 2014
Date of Publication: 22 February 2014
Inspection Report published 22 February 2014 PDF

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent 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 15 January 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff and reviewed information given to us by the provider.

Our judgement

People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.

Reasons for our judgement

Staff received appropriate professional development. Staff were able, from time to time, to obtain further relevant qualifications.

The provider had worked continuously to maintain and improve high standards of care by creating an environment where clinical excellence could do well.

We were told that all staff were recruited locally using the local press to advertise when required. We saw evidence that there were enough staff to ensure agency staff was never used. Management were always available and ready to fill in any gaps.

All staff followed induction training and had a lead in period when they went on visits with either the manager or a senior carer until they were properly trained. Spot supervision checks were carried out on a regular basis.

New staff received one to one training with the training co-ordinator on all policies and procedures, ensuring they had full understanding, with any new updates passed to the staff, and monitored to ensure they were put into practice. For example a recent audit of the communications books had highlighted some minor areas to be changed. We saw evidence that staff had been informed of these and the changes required had been implemented.

The training co-ordinator responded to any requests for extra training which was provided in house or by other health professionals. For example a need for stoma care training had been highlighted and this had been provided by the stoma care nurse. We were told by staff members that this was a very interesting and worthwhile training session. One member of staff found a recent training session from the optician particularly useful, especially in understanding how lighting affected people’s ability to see clearly. This ensured peoples special needs could be supported.

All staff felt they had very good support from management, that they were approachable and available at all times. The staff told us they had flexible working patterns which meant they could ensure a good work-life balance, with sufficient time to plan work. Supervision was given in several ways, formal six monthly appraisals, spot checks and supervision and ongoing support available, staff told us they had no worries about talking to management or senior carers. They felt their own input into care plans was important and listened to.

A new method of communication had also been started, which one member of staff told us they found very useful, in the form of a weekly memo from the office to all staff, with any new information noted. This was felt a good way to keep staff who worked out in the community in touch. Staff said they could contact the office anytime, there was always someone to talk to.

Staff told us that they never went out to a new client without being fully informed of the care plan, and about the person themselves. This meant they were confident when meeting them, although the initial visits were always with a senior carer. Staff told us that they received good feedback from the people that used the service, and their relatives, saying they were very happy with the service given and that made the carer “feel appreciated, worthwhile”

All staff spoken to said they received a lot of training and that they could ask for anything they might require. We were told that further training, such as QCF Diploma level 3 could be available. We saw evidence of the training completed by all staff during 2013 and the planned training programme for 2014. This meant that staff were supported with their professional development.

Staff were well supported and this meant that people were cared for by staff who had received the appropriate training to deliver care safely and to the correct standard