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Inspection report

Date of Inspection: 18 October 2013
Date of Publication: 3 December 2013
Inspection Report published 03 December 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 18 October 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with staff and reviewed information given to us by the provider.

Our judgement

There were enough staff with the right skills at the service to meet people's needs.

Reasons for our judgement

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

We looked at the staff rotas which confirmed that suitable staffing arrangements were in place. There was a minimum of two staff on duty in the morning, three in the afternoon/ evening with one waking and one ‘sleep in’ staff during the night. The manager and deputy generally worked between 9.00am and 5.00pm and told us they were available to support people using the service. Rotas were accurate and showed that these staffing levels were consistently maintained. We noted that staffing levels were flexible and planned according to people’s assessed needs and preferences. On the day of our inspection, there was an additional member of staff to support one person with their hydrotherapy session.

Most of the staff team had worked at Hylton House for several years which meant that people experienced consistent care. There had been minimal staff turnover in the last twelve months and we were told that there were no vacancies at the time of our inspection. The home rarely used agency staff and unexpected absences such as sickness and emergencies were covered by existing staff or bank staff. The manager told us they had recently recruited four part time members of staff for the bank system.

Staff participated in regular training to ensure that their skills and knowledge were relevant and up to date. We were shown details of the training staff had completed which included training that was specific for meeting people’s needs. Examples included training on dysphagia, colostomy care, nutrition and hydration and using hoists. This showed that people were being supported by suitably trained and qualified staff. We observed staff using their skills, such as appropriate moving and handling techniques and various communication methods, throughout our visit.

There were systems in place to assess the competency of the staff and to make sure they had the skills to perform their duties. We saw that staff had monthly supervision and that observational checks of their practice were carried out by the manager.