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Liberty House Care Homes Limited Good

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Inspection report

Date of Inspection: 2 November 2013
Date of Publication: 28 November 2013
Inspection Report published 28 November 2013 PDF | 80.71 KB

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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 2 November 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 and talked with staff.

Our judgement

There were enough skilled and experienced staff to meet people's needs.

Reasons for our judgement

We spoke with two people who lived there about the staff. It was clear that they knew the staff well and thought highly of them. One person said, “The staff are very nice and kind”.

We saw that staff and the people living at the home had good relationships. We saw staff communicating with people non-verbally by using hand gestures and eye contact. We saw that people understood what the staff were communicating to them and staff understood what people wanted. For example, although the person did not speak a staff member knew that one person wanted to listen to their music. We saw that the person smiled and sang when the staff member played their music for them.

When we arrived at the home we found that there was only one staff member on duty to support five of the people who lived there. We were told that the staff member had been due at work at 09.00 hours but had phoned to say they were going to be late. At 11.15 hours the staff member had not arrived. Rotas we looked at highlighted that for the evening of our inspection and the evening following (Saturday and Sunday) there was only one staff member named to be on duty. We asked the staff member on duty to contact the registered manager who was also the home owner as we wanted them to explain to us why the home was short staffed. The manager came to the home to talk to us and by that time the delayed staff member had arrived to work. The manager told us that staff had not followed procedures as they had not made them aware that there was a staff shortage. We spoke with staff, people who lived there and sampled previous staff rotas. This determined that the home being short of staff was not a regular occurrence. By the end of our inspection the rota showed that adequate staff were to be provided Saturday and Sunday evening. The manager told us that they would produce a written protocol for staff to follow to inform them if there was a staff shortage.

All staff we spoke with told us that adequate staff were provided. One staff member said, "I think that the staffing numbers are adequate”. Another staff member said "There are usually enough staff to be flexible in being able to take people out. If we need extra staff for an activity then extra staff are brought into work." One person who lived there told us, “There are always two staff sometimes three or four”. This meant that staff were available to meet people’s needs and to keep them safe.

All staff we spoke with told us that they had received training on a range of subjects to equip them with the knowledge they needed to look after people in the way that they wanted to be looked after. We looked at training certificates for the staff on duty at the time of our inspection and found that they had been trained in subjects that included food hygiene, moving and handling and safeguarding. This meant that staff had been given training so that they could look after people safely and in the way that they wanted to be looked after.