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Preston Private Requires improvement

All reports

Inspection report

Date of Inspection: 30 June 2014
Date of Publication: 9 August 2014
Inspection Report published 09 August 2014 PDF

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 30 June 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff, talked with commissioners of services and were accompanied by a specialist advisor.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

We were supported on this inspection by an expert-by-experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

Our judgement

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

Reasons for our judgement

We looked at how the service was being staffed. We did this to make sure there was enough staff on duty at all times, to support people who lived at the home. We looked at the staff rotas and spoke with the manager about staffing arrangements. The registered manager told us she reported on a monthly basis the staffing levels required to meet people’s needs and dependency levels.

We spent time in areas of the home, including the lounge and the dining areas. This helped us to observe the daily routines and gain an insight into how staff spent time supporting people. We saw staff members were responsive to the needs of the people they were supporting. Staff spent time with people if they were upset or agitated and call bells were responded to quickly when people required assistance. However during our observations we found at times there was limited interaction with people especially in the morning period. In the afternoon we saw staff engaged in activities with people on each of the four units.

The majority of people we spoke with expressed concerns about current staffing levels at the home and how this impacted on their care. One person told us they felt insecure when there were shortages of staff on night shift. Another person told us they received their medication at various times when there was not enough of staff on duty. Another person told us, “I would like to go out more such as to the shops, but they haven’t got the staff to go with me.”

The staff members we spoke with also expressed concerns about current staffing levels. One staff member told us, “I don’t feel we get enough time with residents. Some of the residents have complex needs and we just don’t get enough one to one time with them.” Another person told us, “We are having to work such long hours to cover shifts and morale is low.”

We spoke with the registered manager about our concerns. They told us they were actively recruiting to increase staffing levels at the home. This was confirmed by the operations director.