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Inspection report

Date of Inspection: 5 August 2014
Date of Publication: 9 September 2014
Inspection Report published 09 September 2014 PDF

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 5 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

There were enough qualified, skilled and experienced staff to meet people’s needs.

Reasons for our judgement

There were enough qualified, skilled and experienced staff to meet people’s needs. On the day of the inspection we saw there was one registered nurse and two healthcare assistants on duty to care for the 16 people using the service. In addition there were housekeeping and catering staff on duty. We spoke with the members of staff and the registered manager about the staffing arrangements. Staff we spoke with told us the registered manager who was a registered nurse also worked with the team and supervised them. The healthcare assistants told us they felt they had sufficient staff on duty to meet the care needs of people using the service but some days were busier than others. The registered manager advised there was always a registered nurse on each of the three shifts over a 24 hour period. During the daytime there were two healthcare assistants on duty and one at night. The rotas we saw showed this staffing level had consistently been achieved.

We noted there was a calm quiet atmosphere and that call bells and requests for attention were attended to promptly. The registered manager supervised the staff during meal times and ensured each person received the necessary support to have their meals and drinks.

We asked the registered manager what arrangements were in place to ensure continuity of service if a member of staff was absent. The manager explained they preferred to reorganise the shifts with the permanent staff rather than use temporary staff who would not be familiar with the needs of people using the service. We saw there were contact numbers available to staff on duty if additional temporary staff were required. When we looked at the staffing rotas over the previous year we were able to see that a consistent level of staff had been maintained using contracted staff.