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Inspection report

Date of Inspection: 27 April 2011
Date of Publication: 28 June 2011
Inspection Report published 28 June 2011 PDF

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There should be enough members of staff to keep people safe and meet their health and welfare needs (outcome 13)

Not met 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

Our judgement

People had not had their health and welfare needs met by sufficient numbers of appropriate staff. The provider had not made sure there were sufficient numbers of staff with the right knowledge, experience, qualifications and skills on duty to support people.

User experience

We had not spoken directly to people who used services in assessing this outcome.

Other evidence

In April the provider submitted a PCA document to the CQC which described how the home was compliant with the outcome and all of the elements that formed the outcome. The PCA was in the provider's own format and it stated that the home was not compliant and had a major concern. It said staff health checks had been done, staffing numbers had been maintained to meet peoples' needs and a professional body had been used to ensure staffing employment was followed. It said the home needed to do night staff health checks on an annual basis.

We discussed the staffing levels with management and with the staff and we viewed the staffing roster. We found that management and staff agreed there had been insufficient staffing at busy times throughout the day, namely teatime and at weekends, and especially during the night. The home had two care staff plus a senior or unregistered manager on duty throughout the day and one waking and one on-call staff at night.

In view of the fact that there had been two people in the home that required use of a hoist for their mobility it had been identified that there was a need for an absolute minimum of two staff on duty at all times, day and night, with a third or fourth during the day at busy times. This was to ensure people were only hoisted by two staff as was required of lifting and handling legislation. It was no longer appropriate to have one staff on night duty and a staff on call outside of the building. Two waking night staff and extra staff at busy times were required to meet the needs of people in the home. This was to be addressed as quickly as possible.

We were also told by staff that there had been a period of time when they did not know what the weekly roster should be because the provider had been compiling it on a weekly basis and no one had been given a regular shift pattern to work. The management team agreed to devise a rotating roster that met peoples' needs that staff could follow after consulting them about it so as to ensure continuity for staff and continuity of care for people in the home.