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Kings Lodge Nursing Home Good

All reports

Inspection report

Date of Inspection: 10 September 2014
Date of Publication: 31 October 2014
Inspection Report published 31 October 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 10 September 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.

We spoke to health professionals.

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

We carried out an inspection at Kings Lodge Nursing Home on 28 January 2014 where we found that people were cared for by staff who were not supported to deliver care and treatment safely and to an appropriate level.

Following our inspection the provider sent us information advising that they were compliant. They told us that changes had been made to ensure that people were cared for by staff who were supported appropriately. We found that the service was complaint with this essential standard.

At the last inspection we were told that staff was not up to date and that staff had not attended the training necessary to support people. We had looked at the training matrix, which showed that some staff had received training, including infection control and safeguarding. However, 26 staff had not attended moving and handling training.

At this inspection we looked at the training programme and saw that all but one of the staff had completed induction training, and staff had attended other relevant training, including fire safety, infection control, food hygiene, dementia awareness, health and safety, first aid, MUST training, communication and person centred care plans. Staff spoken with said they felt they had attended the training they needed to support people and provide the care they needed and wanted. However, the provider may wish to note that interaction between people and some staff was limited when they were providing support. For example, when people were assisted to sit at the tables for supper they were not introduced to the people they were sitting with, and there was very little conversation between staff and the people they assisted with their meal. We discussed this with the manager and operations manager who said that they were aware that additional training was required for some staff to ensure they interacted appropriately with people. We looked at the training programme and saw that communication training was on the programme, but a date had not been set.

The management structure at Kings Lodge Nursing Home had changed since the last inspection. A new manager had been appointed in April 2014, and they were supported by an operations manager who was appointed in June 2014. The manager said that a number of changes had been made, in addition to the care planning system, the training programme had been reviewed and a system of supervision and staff support had been introduced. This meant that they had introduced systems that would support staff to provide the care that people wanted and needed

Staff said the management was always available if they wanted to, “discuss anything,” staff meetings had taken place, and supervision provided an additional opportunity to discuss issues with senior staff. This showed that staff were supported to raise issues and were confident that they would be addressed.