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Howard Goble House Requires improvement

All reports

Inspection report

Date of Inspection: 5 February 2013
Date of Publication: 27 February 2013
Inspection Report published 27 February 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 5 February 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

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

Reasons for our judgement

Some staff and people we spoke with said there were not always sufficient staff on duty to take them out into the community on an ad hoc basis as much as they would like to, although planned activities and appointments were always kept. The manager told us that there had been recent vacancies for permanent staff due to some changes made by the provider, but these posts were being recruited to at the time of our inspection. The manager said that extra staff were booked to ensure planned activities could be attended, and that they would consider the shift patterns of staff to see if a change in some shift timings might increase the availability of staff to take people in to the community on an ad hoc basis. We could not monitor the effects of this at the time of our inspection.

We saw that bank staff were used by the provider in order to meet their required levels of staffing. The manager explained that bank staff worked permanently on the provider's bank and the majority of the staff knew the people using the service very well. We spoke with three permanent bank staff at the inspection. One staff member told us that they had known a person using the service for seven years and was able to describe the care and support this person needed in detail, in line with the person's care plan. Another staff member had been employed on a permanent basis at the home for several years before working for the bank in order to gain flexibility. This staff member knew the people using the service well and was aware of their preferences and effective ways to support them. Therefore we found that most staff who worked at the home were experienced in supporting the people using the service despite not being permanent staff.

Permanent staff were suitably qualified. The provider told us that all but one of their permanent staff had obtained a relevant NVQ qualification.