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Turning Point - Avondale Good

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Inspection report

Date of Inspection: 31 July 2013
Date of Publication: 4 September 2013
Inspection Report published 04 September 2013 PDF | 77.69 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 looked at the personal care or treatment records of people who use the service, carried out a visit on 31 July 2013, 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

We looked at the last two staffing rotas for the home and could see the numbers of staff allocated to work met the providers recommended staffing levels. We saw various shifts had been worked by regular bank staff employed to work in the home. This meant that people in the home had consistent care provided by people they knew. The recent staffing rota’s showed us staffing ratios for the home were; four care staff during the morning and afternoon, with two on duty each night. We were told by the manager that after a recent review of the night staffing situation they had introduced an additional shift from midnight until 07:00hrs to support the people in the home.

There was one senior member of care staff on duty each shift and the registered manager worked mainly during week days and was additional to the care staff. They would cover shifts for other staff if required at short notice. The manager told us they had not used any agency staff over the last year as they could rely either on a couple of bank staff or regular staff to cover any shortfall. She also told us there had been little staff turnover in the past twelve months and this was confirmed by the staff and relatives we spoke with. This meant people living in the home had a consistent staff team who they knew.

Staff we spoke with told us they thought there were enough staff to ensure people were given a good quality of life there. One member of staff told us, “of course there are times when we feel stretched but fortunately these are not often. I really enjoying working here and think we can make a genuine impact on all the people’s lives here”.

When we spoke with relatives, they told us that they were happy with the numbers of staff in the home and thought their training and experience levels were sufficient to meet the needs of their sons and daughters. One person told us “all the staff here care and we are so lucky to have found a home like this”.

We saw evidence of staff training relevant to meeting the needs of the people in the home, such as, understanding epilepsy, moving and handling, infection control. Staff we spoke with told us that they thought the level of training was “excellent” and “very appropriate” to help them understand the needs of the people in the home. They also told us they were able to go on specific training if a person developed a particular health need.