You are here

All reports

Inspection report

Date of Inspection: 28 July 2014
Date of Publication: 3 September 2014
Inspection Report published 03 September 2014 PDF | 87.98 KB

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 28 July 2014, talked with people who use the service and talked with carers and / or family members. We talked with staff and reviewed information given to us by the provider.

Our judgement

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

Reasons for our judgement

The two people we spoke with told us staff were friendly and approachable and knew how to support them. The two relatives we spoke with told us they had no concerns about staffing levels and whenever they visited there appeared to be sufficient staff on duty. One relative said staff were “Patient, able, genuinely caring and always did their very best”. They also told us there were sufficient staff available to enable their relative to go on trips out at least six days per week. Another relative said most staff were “very good” but a few were not always aware of how to fully support their relative’s specific needs. For example, their relative’s autism meant they responded well to positive language. However some staff still used words such as “no” when re-directing them, which they felt may have increased their relative’s anxiety.

The deputy manager told us sufficient staff were employed for operational purposes and there was a good skill mix within the staff team. They said eight support workers had been recruited and were due to start their induction in the coming weeks. They said they covered short notice absences, such as sickness, through their permanent staff group. The three staff we spoke with confirmed this. One staff member said “I love this job, it’s the best job I have ever had”. Another staff member said “The management are really supportive and approachable, they have helped me a lot and are always there if you need them”.

Staff meetings were held at least every two months. This ensured staff were kept up to date with any changes in policies and procedures and any issues that might affect the running of the service or the care and support people received.

The deputy manager told us on employment all new members of staff completed an induction programme that took into account recognised standards within the care sector and was relevant to their workplace and their roles. They confirmed no staff were allowed to work unsupervised until they were confident and competent to do so. Staff also received ongoing training and development to ensure they had the required skills and knowledge to ensure people were provided with safe and appropriate support. We saw training records which confirmed this.

The deputy manager explained that minimum staffing numbers when everyone was in the home during the day was eight staff. We looked at the staffing rotas for July 2014 and saw minimum staffing levels were usually reflected. The deputy manager explained that where eight staff were not on duty this was because people were engaged in community activities where staff support was not required.

The deputy manager informed us that usual staffing levels from 11.00pm until 8.00am was one waking and one sleeping staff. They said the sleeping staff member did not go to bed until everyone was in bed and people were usually settled during the night. Our review of incident records and discussions with staff confirmed this. Each person had a door alarm so staff were alerted if people left their rooms during the night. This ensured people were kept safe and provided with support when required. They also had a buzzer to wake the sleeping staff if additional support was required and an on call number to contact if they needed further management support. The provider may find it useful note some staff told us when they had requested additional support during the night it had taken some time for this support to reach them. They told us this meant they could not always provide immediate support if more than one person woke up and required assistance.

The staff we spoke with told us there were clear lines of accountability in the home, for example they knew which people they were responsible for on each shift. The provider may find it useful to note that all of the staff we spoke with told us there were times when they felt there were not sufficient levels of staff on duty. One staff member said “90% of the time staffing levels are fine, but