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Archived: Albany Park

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Inspection report

Date of Inspection: 26 October 2012
Date of Publication: 15 November 2012
Inspection Report published 15 November 2012 PDF | 75.73 KB

There should be enough members of staff to keep people safe and meet their health and welfare needs (outcome 13)

Not met 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 26 October 2012, 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 not always enough qualified, skilled and experienced staff to meet people’s needs as the staffing level at night had not been reviewed to make sure that sufficient staff were available to respond to people's changing levels of dependency.

Reasons for our judgement

Staff and people said that there were sufficient staff available throughout the day. However, they said that sufficient staff were not available at night. The manager explained that she had recently reviewed the staffing level and increased the number of carers to eight during the day. This was to respond to the increased number of people who had high dependency needs. The rota showed that the staffing level was being maintained during the day and staff confirmed this. The manager had introduced senior care workers so that staff had the necessary support when carrying out their duties. We observed that staff had time to meet people’s needs.

The rota showed that there were three carers and one nurse on duty at night. People said they had to wait for attention when the night staff were on duty. We asked the manager about the dependency levels of people using the service. There were forty people using the service. Of these thirty-seven needed the assistance of two staff, as they used a hoist to help them move day and night. Twenty-two people had high dependency needs, and all people using the service needed assistance with their personal care. The manager explained that the staffing level at night had not been reviewed. Incident records for September and October 2012 showed that there had been three falls. There had been ten occasions when people's medical needs had become more acute and their general practitioner’s had been consulted. Staff told us that this created a high volume of work for the night staff. Staff said that the current staffing level at night did not provide sufficient cover to meet people's needs. People may be at risk of not receiving the care and treatment they need as the staffing level at night had not been reviewed to ensure that sufficient staff were available to respond to people's changing levels of dependency.

We observed staff knew how to meet the needs of people. Training records showed that staff were receiving regular training that gave them the skills to meet people's needs. Staff said that the training they had received had helped them to meet the needs of people. They said they had the necessary support from the manager and senior staff to meet the needs of people safely.