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Inspection report

Date of Inspection: 2 October 2013
Date of Publication: 29 October 2013
Inspection Report published 29 October 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 2 October 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

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

Reasons for our judgement

During our inspection there were a variety of staff on duty. We saw staff rotas which showed five care assistants, cook, cleaner and registered manager on duty.

We asked people who used the service whether they felt there were enough staff at the home to effectively meet their needs.” One person who used the service told us, “I think there are enough staff here, but I think one of the better ones is leaving.” Another person told us, “If I ring my bell, staff come quickly, I am never left alone.”

The relatives we spoke with told us they felt there enough staff on during the day but expressed concern that there were not enough staff on duty at night should an emergency arise. We checked the rotas and spoke with the registered manager about this. They told us that they currently had two staff members who worked at night and that the people who worked this shift were experienced and appropriately trained. They also told us that they had at least one other person on call for emergencies should the staff require further assistance.

The registered manager told us that the number of staff throughout the twenty four hour period met the needs of the 27 people accommodated at the home but would allocate more should the needs of the people who used the service require it.

We asked staff whether they felt there were enough staff to enable them to carry out their role effectively and meet people’s needs. One staff member told us, “We are not rushed; we have enough staff to do the role. If there was an emergency or urgent need for more staff then the manager would put more staff on.” Another staff member told us, “I don’t feel that rushed, but there is a time limit to get things done.” This meant that the registered manager was satisfied there were sufficient numbers of qualified, skilled and experienced staff to meet the care and support needs of people who used the service at all times

We saw staff had attended training in a number of areas the manager deemed relevant for their role, these included; moving and handling, dementia awareness and mental capacity. We asked a member of staff whether they felt they had received the right training that enabled them to carry out their role effectively, they told us, "I am well trained and I love training. We must keep up to date with things as things change so quickly.”

The staff we spoke with were knowledgeable and could describe the needs of people when asked. Staff told us they were able to access people’s care plans at any time should they be required for additional reference.

We asked the manager how they ensured that on the change of shift, staff were aware of any issues relating to people who used the service. They told us that they or the senior carer conducted a handover between shifts. We also saw a handover book that listed any issues that may affect the level of care that someone needed on the next shift. This meant that staff starting a new shift were aware of the most up to date information that enabled them to provide the appropriate level of care for each person.

We asked people whether they thought the service was well led. A staff member told us, “The manager leads us well. They are very caring, approachable and help us out if we need it.” A relative of a person who used the service told us, “There seems to be a lot of communication between the team. I think the manager is a good manager; they made me feel that the home would meet my family member’s needs. I know that they are safe, that is my priority.”