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Inspection report

Date of Inspection: 2 July 2013
Date of Publication: 30 July 2013
Inspection Report published 30 July 2013 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 2 July 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.

Our judgement

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

Reasons for our judgement

On the December 2012 inspection we were told two staff were scheduled to be on duty at the home at all times and this usually included one senior carer and one junior carer. The home employed six full time members of staff and a part time cleaner who covered eight days over a 28 day period. On the day of this inspection we saw two further staff had been recruited, and the cleaner now covered 16 days over a 28 day period, but two staff had been off on maternity leave although one was due back to work in mid July but had worked some KIT days whilst on maternity leave. This shows there will be extra staff to cover the shifts from this date.

On the December 2012 inspection we were told staff duties included caring, cooking, ironing and cleaning duties which were undertaken by the care staff during the day. The manager/senior carer and management advisor of the home described how during the night there were no waking carers on duty. But a carer was scheduled to provide cover between 9pm and 8am.The carer slept on the top floor and people who used the services could alert the carers if assistance was needed by using a buzzer system. On the day of this inspection there was one carer who provided cover between 9pm and 8am and carried out checks to two people who used the service at midnight, 3am and 6am. Plus provided assistance if the call bell was pressed. We saw evidence these checks had been completed on a nightly basis. The provider may wish to note that the person who provided cover at night had worked 42 days without a day off and had covered one shift of 8 am to 9pm in between their rostered shifts of 9pm to 8am.

A check of the care plans showed two people who used the service required interventions at midnight, 3am and 6am. In the care records reviewed for people who used the service, all had sleeping assessments in place and staff described how many of the long-term people who used the service did not require assistance during the night.

The care records reviewed showed that a 'Night Checklist' was signed by the carer which also included checks of the security of the home. We saw evidence of the night checklist which had been signed by the carer.