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Thornfield Care Home - Lymington Good

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Inspection report

Date of Inspection: 21 October 2011
Date of Publication: 28 November 2011
Inspection Report published 28 November 2011 PDF | 49.26 KB

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Not met this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent staff.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 21/10/2011, checked the provider's records, observed how people were being cared for, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

Staff received supervision and ongoing training to support them to meet people’s needs. However, we had concerns that some staff may not be able to communicate effectively with all of the people who use the service and other staff, to ensure that the care and support of people was not compromised. Overall, we found that improvements were needed for this essential standard.

User experience

People told us that they felt that the staff had the qualities and skills to perform their work well. They told us that staff were responsive and caring.

A person using the service told us that there were “no problems regarding language barriers”. They said that the “staff are kind and responsible; even when the bosses are away”. However, we had concerns that some staff may not be able to communicate effectively with all of the people who use the service and other staff, to ensure that the care and support of people is not compromised.

Other evidence

We found that it was not possible to converse with some staff about the basic requirements of care work, as English was not their first language. They did not demonstrate that they had a good understanding of the communication needs of people who use the service.

Some staff told us that they would like to improve their English speaking skills. We saw staff appraisal records for 2010, which identified areas for further training and development. This included communication and the “need to improve in reading and writing English in order to fully understand the care plan, policies and procedures.” Another appraisal record also referred to language skills and a “substantial amount of training required as regards to record keeping”. We saw that induction records were kept and one of these stated that the staff member was “going to school to improve English”. There was a lack of current records to show how staff development and competency in this area was being monitored and supported by the provider.

The Deputy Manager told us how she observed staff working as part of her supervisory role. For example, to ensure that appropriate mobility aids were used and that staff approached people in the right way and explained what they were doing, when providing personal care. We also saw some examples of this in supervision records.

We saw a sample of staff records, which showed that induction and further training, including refresher training, was provided. Staff we spoke with confirmed that they were receiving ongoing training, including moving and handling and dementia awareness.

The provider supplied us with information after our visit which told us that some staff needed to improve their verbal communication skills. These staff are allocated to work with a senior member of staff. The provider said they would support staff through regular supervision and spend time talking with staff to improve their command of the English language. They would encourage staff to take further English courses and they would talk with people using the service and relatives to obtain feedback.