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Inspection report

Date of Inspection: 22 May 2012
Date of Publication: 21 June 2012
Inspection Report published 21 June 2012 PDF

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

Meeting 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

Our judgement

People were cared for by staff that were supported to deliver care and treatment safely and to an appropriate standard.

The provider was meeting this standard.

User experience

One person we spoke to who needed assistance to transfer from their wheelchair to their bed told us that two staff helped them and how they felt confident that staff were skilled and trained to assist them safely.

We observed staff interacting with service users throughout our visit. This showed staffed had good communication skills and demonstrated positive regard for people who lived at the home, At lunchtime, we saw that some people were assisted to eat their meal safely and at a pace suited to their needs.

Other evidence

Staff received appropriate professional development.

The manager showed us a training matrix which showed all the training that staff undertook. This included mandatory training such as health and safety, moving and handling, infection control as well as a broad range of other training to meet individual people’s needs which included training on Parkinson’s, cerebral palsy and dementia. We met with the trainer who showed us the wide range of training and further development opportunities available for staff within their learning and development centre.

All staff we spoke to confirmed they had good opportunities to access training and development and many staff we met had undertaken further training and qualifications. Most staff had completed qualifications in care and undertaken a range of specialist and mandatory training in order to meet the needs of people they were caring for. We heard how each member of staff had an annual appraisal where their development needs were identified. We sampled three staff files which confirmed records were kept of appraisals. The home had a comprehensive database which included records of all training undertaken by individual staff, which was regularly monitored to ensure staff attended regular training updates as required. This showed the service was committed to ongoing training, development and support for all staff.

The provider might find it useful to note that we found a variety of different practices in relation to supervision in different areas of the home. In one unit, we were told about one to one clinical supervision implemented for nursing staff and how supervision for other staff groups was due to be discussed at the next staff meeting. In two units, we were told how day to day issues about people’s ongoing care were discussed with staff at each handover, where any concerns could be raised. We were told how any issues in relation to individual staff would be dealt with by the unit manager. Most of the supervision arrangements described to us were not documented although we saw that documentation to record supervision was provided. All staff we spoke to told us that their managers were approachable and they felt they could talk to them about any personal or work concerns although most staff we spoke to did not report receiving one to one supervision. Whilst there was no evidence of any risk to people, the expectations for supervision in relation to all groups of staff within the home needed to be further clarified to ensure all staff had the opportunity to receive regular support through supervision.

The provider safeguards high standards of care by creating an environment where clinical excellence can do well.

Each unit had individual staff meetings and we looked at minutes of meetings which demonstrated how staff were involved in discussions and decision making about people’s care and developments in the home.

One staff member who referred to a work colleague said ‘they are absolutely brilliant at palliative care, they know just what to do’. We were told about several schemes the home was involved in which provided assurance that staff were working to national best practice standards in specialist areas of care.

In addition to staff working in the unit, the home had a care worker apprenticeship scheme, provided practice placements for student nurses, physiotherapists and GP trainees. We spoke to an apprentice who told us about the range of training and experience they had gained since starting their apprenticeship. This staff member was hoping to undertake their nurse training in the future. This involvement in training helped the home keep up to date with changes and developments in practice.