You are here

Archived: Bevan House

All reports

Inspection report

Date of Inspection: 14 October 2011
Date of Publication: 14 November 2011
Inspection Report published 14 November 2011 PDF | 87.24 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 reviewed all the information we hold about this provider, carried out a visit on 14/10/2011, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

We found that the registered provider had not met the compliance action set at our last review of compliance because some staff was still working excessively long hours placing them in the position where they may experience fatigue. However the operations manager submitted a revised roster to the Care Quality Commission on the 17th of October for the period 17th October to 6th of November 2011. This indicated that staff would not be working excessively long hours.

User experience

On this occasion we did not speak to people about this outcome area.

Other evidence

At our last review of compliance we found that some staff worked excessively long hours, this placed them in the position where they may experience fatigue. Their ability to make sound and rationale judgments could have been adversely affected and could ultimately have had a negative impact on the standard of care and support they were able to provide to people who used the service.

The improvement plan stated that the rota had been reviewed by the acting manager and would be ongoing.

The operations manager and the acting manager told us that they had recently employed one new member of staff, one member of staff had moved back to Unicorn House, another member of staff had left employment and another member of staff was on annual leave and they were not sure if this person would return to work at the home.

The acting manager showed us the staffing roster; the roster showed that between the 18th September and the 5th of October one member of staff had worked seventeen shifts at the home with only one day off during that time. They told us that they had not covered the person on annual leaves shifts. These shifts were being covered by the staff team.

The staffing roster also showed that some staff had worked late shifts followed by sleepovers then early and late shifts the next day and some staff had worked early shifts followed by late shifts, sleepovers and early shifts the following day.

Following discussion with the operations manager and the acting manager they contacted an employment agency and arranged for agency staff to cover the annual leave shifts. The operations manager submitted a revised roster to the Care Quality Commission on the 17th of October for the period 17th October to 6th of November 2011. This indicated that staff would not be working excessively long hours.