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St Anne's Community Services - Phoenix Court Good

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Inspection report

Date of Inspection: 13 November 2013
Date of Publication: 11 January 2014

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 13 November 2013, 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, talked with carers and / or family members, talked with staff and reviewed information sent to us by commissioners of services.

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.

As part of this inspection we looked at the staffing levels, checked the rota and spoke with staff and the registered manager.

At the time of our visit the service had seven people in residence. Information given to us by staff indicated that staffing levels had recently been increased to meet the complex needs of the people who used the service.

We were told and saw evidence that four staff were on duty during the day. The staff rota showed that the registered manager worked supernumerary to the care staff from Monday to Friday. One nurse and three care staff were on the rota to work each shift. Through the night there were two members of staff on duty.

Staff told us that if a person who used the service was unwell and needed to go to hospital a staff member would accompany this person to hospital and stay with them during their hospital stay.

Staff we spoke with told us “There are regular meetings between staff where there is opportunity to discuss particular staffing concerns should they arise.

Staff said most staff members had worked at the home for a long time although we were told two people had recently retired and two staff had moved to a different location. One staff member told us ‘there are not enough staff’,’ another said “we have no named nurse system in place at present.’ due to staffing levels. We observed only one member of staff providing care on each floor when one person who used the service needed to be escorted by two members of staff in the minibus to visit his father. We spoke to the registered manager who told us this issue had been raised with the local clinical commissioning group and funding was being sought to facilitate extra care hours to support community visits. This showed us that the care and welfare of people who used the service was being addressed.

We spoke to the team leader about the use of agency staff and the lack of a named nurse they told us that new permanent staff were due to join the team within the next few weeks. They told us a small pool of regular agency staff were used to ensure these staff became familiar with the needs of the people who used the service. We saw documented evidence that new starters were being recruited. We were told that each person who used the service had a key worker in place this ensured that experienced staff were able to recognise, meet and monitor people’s needs.