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Moorlands Grange Requires improvement

All reports

Inspection report

Date of Inspection: 20 September 2013
Date of Publication: 26 October 2013
Inspection Report published 26 October 2013 PDF | 80.42 KB

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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 20 September 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

There were not enough qualified, skilled and experienced staff to meet people’s needs.

Reasons for our judgement

We were told by staff the service did not employ a staff member to provide regular, planned activities to people who used the service. We were told that a team of volunteers visited the home to provide activities. However, we were not shown any evidence of how this time was structured to meet people's needs. For example there was no timetable in place to show if any activities were planned for people who used the service.

We did see that the service had made plans for a gospel choir to visit the service at the end of September and this was advertised around the building. However, we saw no evidence of plans for activities which were to take place prior to this. The delivery of care, treatment and support should maintain people’s welfare by taking account of all their needs. This should include consideration of people’s mental, social, and emotional needs, including daytime activities.

We spoke with staff on duty regarding the staffing numbers used to provide care to people at night. We were told by staff that they felt extra staff were required during the night due to the dependency levels of people using the service.

We were told that three members of care staff were expected to provide care for up to 40 people throughout the night over two floors. This meant one staff member was based on each floor with a 'floating' member of staff who supported when required. Staff told us there were a number of people who required two staff to support them with both personal care and mobility. This meant that when one of these people was receiving support, one staff member was left to provide support for the remaining people who used the service. This meant that the health, safety and welfare of people using the service was being put at risk due to insufficient staff numbers during the night.