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Archived: New Forest Homecare

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All reports

Inspection report

Date of Inspection: 26 March 2013
Date of Publication: 22 May 2013
Inspection Report published 22 May 2013 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 26 March 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

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

Reasons for our judgement

The agency provided information to the care workers who were working remotely to support them to do their jobs. We saw the care workers handbook that was given to all the staff when they joined the agency. It contained the agencies policies such as equal opportunities and the discrimination policy. It covered employment issues such as flexible working and maternity rights. The agency also provided staff with a health and safety handbook. We saw a receipt signed by a care worker for both handbooks. Care workers we spoke to confirmed to us that they had received the care workers handbook. The provider sent us the training matrix and we saw that staff had received training about the company handbook and on call arrangements.

The registered manager told us that the agency held care worker meetings every two months but they were having difficulty getting some staff to attend. The meetings gave an opportunity for staff who worked remotely to come together to share information. Minutes from one meeting that we saw included a discussion that training was mandatory for staff and that failure to attend updates would result in the staff member being unable to work for the agency. The agency also discussed mileage and thanked the staff for their hard work.

The registered manager told us that the agency provided mandatory training to all the staff which was refreshed yearly. The agency did not have a training summary to show us so that we could see that training was provided and in date. We were told that the agency kept details of training on individual care workers files which was difficult for us to see an overall picture of training provided. We asked the provider for a summary of all the training to be sent to us. We were sent a copy of the matrix and found that for all staff mandatory training had been undertaken and that this had been refreshed yearly. One care worker told us that they were going to undertake refresher training in moving and handling. Another care worker told us that they had not undertaken any recent training because they had been too busy working.

We were told by the registered manager that staff received an induction to their roles and they had time shadowing an experienced member of staff. The time the agency gave for shadowing varied. If the staff member was experienced then they would be given three days and for a staff member new to the role it would be two weeks. The provider sent us records that confirmed all staff had received an induction and shadowing time. We saw one care workers time sheet that they had signed and submitted to the agency for the time they had spent shadowing. We spoke to three care workers, they all told us that they had received an induction and shadowing time from the agency.

Staff also received more specialist training from time to time to meet people’s specific care needs. On one care workers file we saw a certificate that they had undertaken training to support a person with breathing difficulties. We were sent the staff training matrix and saw that staff had also received training in food hygiene, pressure ulcer care, palliative care, learning disabilities, dementia and person centred care.

The registered manager told us that they held regular supervisions with staff and appraisals. They were unable to show us evidence that these were taking place during our inspection because they were unsure where the office manager had kept them. We asked for a summary to be sent to us. The provider sent us a summary that confirmed staff had received supervisions and appraisals regularly. We did see a record on one staff members that two supervisions had been recorded as taking place. Two care workers told us that they had received supervisions from the agency. One care worker told us that they had not been employed by the agency long enough yet to have supervision.

Care workers we spoke to told us that they were able to easily contact the agency for advice. One care worker told us “Re