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Archived: Tranquility House Requires improvement

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Inspection report

Date of Inspection: 29 October 2013
Date of Publication: 29 November 2013
Inspection Report published 29 November 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 29 October 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

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 had received training and were supported to achieve qualifications that were appropriate to their roles. For example, records showed that staff had undertaken training in safe moving and handling practice, nutritional care, health and safety, fire safety awareness, safeguarding vulnerable adults, infection control and mental capacity awareness. However, the provider may find it useful to note that records also showed that some of the training had not been updated for some time. This meant that some staff may not have received training in up-to-date practice. The manager told us that they were aware that some training required updating and that they were about to book a range of training sessions with a new training provider.

We saw that staff were able to undertake some specialist training to help them support people with specific needs, for example, end of life care. We also saw that specific medication training had been undertaken by staff who had responsibility for administering people’s medicines.

We spoke with some of the staff who told us that they had received a range of training to support them in their roles. One member of staff told us they had recently started work at the home and had undergone their induction training. They told us that this had included a written workbook that covered all essential areas of care practice. Senior staff had supervised them in completing this, as well as ensuring they undertook practical observation and shadowing sessions with experienced staff until they were ready to work alone. We looked at their training records and saw that their induction had been recorded, and signed by senior staff as successfully completed.

Staff were supported to achieve formal qualifications in care. We saw that out of a total of 12 care staff, 5 had achieved an NVQ qualification at level two and 4 had achieved an NVQ at level 3. Another member of staff had just completed their NVQ and was awaiting their results and a new member of staff was about to start their NVQ course.

The staff we spoke with told us that they had staff meetings and that they felt able to raise any issues or concerns regarding the service that the home provided and that they felt listened to by the manager. We saw the meeting notes from a recent staff meeting, where they had discussed a range of issues, including care practice and training.

Staff told us that they received one-to-one supervision sessions. We looked at the supervision folder and saw that the manager had introduced supervision arrangements for all staff, which included appraisal of their performance. One member of staff told us that they felt they had the opportunity to receive feedback and guidance and to check anything with senior staff whilst they were on duty, on a day-to-day basis.

All the staff we spoke with told us that they felt supported in their roles and that the manager was very approachable. One member of staff told us “you won’t find another manager like them”.