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Archived: Kingsmead Lodge

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Inspection report

Date of Inspection: 4 August 2014
Date of Publication: 4 September 2014
Inspection Report published 04 September 2014 PDF | 89.46 KB

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 4 August 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.

Our judgement

People were cared for by staff who were supported to deliver care and treatment safely and to the appropriate standard.

Reasons for our judgement

Staff we spoke with said they received good training from the service and felt well supported by the manager and a good staff team who worked effectively together. However most staff told us they would have welcomed more support and involvement in the home from the owners of the company with whom they had little or no contact at present. One person said such contact would help them feel more valued.

The manager told us that newly appointed staff underwent a comprehensive five day induction programme at the provider’s head office and were also required to complete a workbook on the skills needed for care to a satisfactory standard. Each new recruit was attached to a mentor who provided support and guidance to them during their six month probationary period. They also shadowed the work of their mentor or a more experienced staff member for at least twelve weeks and had monthly probation reviews with the manager and their mentor to consider their progress and their ability to work independently. We looked at three staff files and the staff training record and saw evidence of a comprehensive induction programme and certificates confirming further advanced training. Staff told us they had completed the mandatory training and were also encouraged to attend training relevant to their roles and the needs of the people they supported. The list of training programmes included health and safety, infection control, safeguarding, manual handling and epilepsy. Nurses kept their clinical knowledge up to date so they could provide people with an appropriate standard of safe nursing care. One nurse told us that they had recently attended courses on continence, palliative care and epilepsy and was just completing specialist training in venepuncture. This showed that the service was committed to staff’s continuing professional development.

The manager told us that all staff received an annual appraisal together with formal supervision sessions about six times each year or sooner if required. We saw records of supervision sessions of three staff and noted that good practice was commended, areas of concern raised, training needs considered and support and advice provided if necessary. Staff we spoke with confirmed that they received regular supervision but said they could always approach the senior staff or team leader at any time if they needed help or advice.

In addition we looked at the minutes of the two most recent staff meetings which were held every two months. We saw that the meetings gave staff an opportunity to raise issues such as those related to the management of the service, their clinical practice and staffing. For example we saw that a request for a staff representative for the provider’s Employee Forum was made and the most effective ways for staff to respond to the early signs of stress in people using the service were discussed. This meant that arrangements were in place for staff to contribute to the operation of the service and to reflect on their practice to ensure they delivered the care that people needed.

From our observations and discussions with staff during our visit we found them to have the knowledge and skills needed to support the people living in the home effectively and safely. Relatives we spoke with confirmed that they believed the staff were good at their jobs. One person said “I watch the staff caring for my relative and they have such patience, are really caring and all enjoy their work”. Another said “On the whole the staff are excellent, they work well as a team and create a good atmosphere”. This meant that people were supported by staff who had the skills to perform their duties effectively.