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Temple Grove Care Home Outstanding

All reports

Inspection report

Date of Inspection: 13 January 2014
Date of Publication: 11 April 2014
Inspection Report published 11 April 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 13 January 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff, were accompanied by a pharmacist and were accompanied by a specialist advisor.

Our judgement

Staff were not fully supported to provide safe and adequate care for people who had complex needs.

Reasons for our judgement

The staff we spoke with were positive about the support they received. One staff member told us they enjoyed working at the home and that there was a good team of staff. Another said they "Love it here" They added that the recent management changes and change of purpose of the home had been a daunting time but that they had confidence with the current management team and that things were working well. Other comments by staff included "A good team. Really good", Teamwork is fantastic" and "The manager has an open door and is supportive".

Staff told us that they received the training they needed to carry out their roles effectively. They told us that this included mandatory training such as manual handling and safeguarding. We were shown a training matrix which gave details of training received by 45 care staff and 13 nursing staff. This showed that the majority staff had received mandatory training in areas such as infection control, fire safety, moving and handling. The training matrix showed that ten staff had completed medication training over the last year, however not all staff were involved in the administration of medication. A staff member said that induction for new staff was very organised and that this took place over two weeks with a mentor.

We asked staff what preparation they received in anticipation of the complex care needs of people who used the service. Staff told us that they received specialist training such as palliative care, tracheostomy and dementia care. One staff member said that they knew end of life care training was available but had not completed it.

We noted that the training matrix showed that five members of staff had completed training in using syringe drivers in 2013 and two staff had received training in catheter care. We saw that not all staff had received training in end of life care and dysphagia. However, staff who had not completed this training had been asked to attend specialist sessions in the future.

We were shown a supervision planner by the manager which showed that staff received supervision every two or three months. One member of staff confirmed that they had formal one to one supervisions and an appraisal once a year. They added that they had team meetings every month. The manager told us that the last team meeting was in November 2013, however the minutes of team meetings were not available at the time of inspection.