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Inspection report

Date of Inspection: 26 October 2012
Date of Publication: 8 December 2012
Inspection Report published 8 December 2012 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 26 October 2012, 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 people who use the service, 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

The home had a deputy manager, four senior staff, ten care staff, and six night staff. In the morning shift, there was one senior carer and four care staff. In the afternoon shift, there was one senior carer and three care staff. During the night there were two care staff with senior staff on call.

There were enough qualified, skilled and experienced staff to meet people’s needs. We saw there were volunteers working at the home, who were being supported by other staff. Staff we spoke with were able to describe how they would support people and manage behaviour that challenged. We found that staff were prompt and professional at looking after people, providing reassure, supporting people throughout the day, and in dealing with behaviour that challenges. All staff we spoke with told us they felt there were enough staff working at the home. People we spoke with were complimentary about staff. One person said, "Staff help straight away, they are wonderful."

We found that the managers were using an electronic system to capture the work carried out by staff and also to monitor people’s care needs. This involved staff electronically capturing the care they delivered for people, even during the night. The manager was then able to produce data and charts to show the level of care individual people needed, whether their needs had changed, and what care staff had delivered at different times of the day. One manager told us, “This helps us see any changes.” This meant that systems were in place to continuously monitor staffing levels and the provision of care.

We saw that different staff had opportunities to attend different training and share this knowledge with each other. We saw training certificates for a majority of medical and health conditions that people had at the home. For example, eye care, stroke, dementia awareness, and diabetes. One staff said, “We had dementia training recently and that really made us think about what we can do better, the owner has already said we can make the suggested changes to improve things.”

We were told that a dietician had recently visited the home to explain how staff could decrease use of food supplements and encourage people to eat. This would help staff understand nutrition and use alternative techniques to supplements. One staff said, “It does really help see things differently.” We saw staff encouraging people to eat and offering people alternatives at mealtimes to increase their intake. This meant that staff were offered opportunities to ensure they gained experience and knowledge on a range of topics.