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Archived: Haddon Court Nursing Home Requires improvement

All reports

Inspection report

Date of Inspection: 8 August 2011
Date of Publication: 24 August 2011
Inspection Report published 24 August 2011 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

Our judgement

There are sufficient numbers of qualified, skilled and experienced persons employed at the home.

User experience

We did not have specific evidence about what people told us in this outcome area.

Other evidence

Following our last review at the service on 12/05/2011, we had the following concern:

"There should be a reassessment of the needs of the people who use the service and the numbers and skills of the staff that are needed in order to provide safe and effective care and support to people".

This was because during our observations we found that staff were very busy carrying out personal care tasks which left little time to spend with individuals. Staff moved from one task to another, little consideration was given to giving people quality time and asking them about their choices and preferences. We believe this was partly due to staffing numbers, but also staff’s lack of skill in dealing with people that had dementia (as described in outcome 1).

Following the last inspection the provider sent us an action plan detailing the action taken in response to the inspection report. The provider told us:

"The manager has reviewed the staff rota’s and amended the rota to reflect the changing needs of the residents".

At this inspection the manager told us that dependency levels are reviewed each month at the same time that the care plans are reviewed. This information is then forwarded to the provider who advises on the number of staff required to make sure that people's individual needs are met.

Since the last inspection 10 new members of staff had been employed. The home was benefiting from increased numbers of carer's, domestics, nurses and an administrator. The manager said that agency staff were still being used but much less frequently. On the day of the inspection 2 staff had phoned in sick and the manager had to cover the home using agency staff.

Numbers of ancillary staff had increased to 4 on each day. The manager was also working full time in her management role.