2 May 2012
During an inspection looking at part of the service
We spoke to six people who lived at the home, three staff and the manager/provider.
Following the last visit the home submitted an action plan that detailed that all the outstanding issues and compliance actions had been addressed but we found that this was not the case and some issues remain outstanding as detailed in this report.
A senior member of staff had been working supernumerary to care staff and was working through the action plan and reviewing the care plans and setting up management systems.
We saw that staff were kind and courteous to people but the way in which some records were kept were not respectful or appropriate.
Care plans had been updated but were still brief and did not always reflect people's current needs in a way that gave staff adequate advice and guidance. People were not involved in care planning or asked their opinion on how their care was delivered.
The home was clean, tidy and free from unpleasant odours. Improvements had been made to reduce the risk of cross infection.Some areas of the home were well kept but some areas needed redecorating and refurbishment.
The training programme was limited and did not include the manager/provider. It was positive to see that staff were now offered formal supervision of their practice but this had not included identifying learning and development needs.
There were no systems in place for the manager/provider to monitor the quality of the service provided.
Records were not all kept in a way that maintained people's confidentiality. Some records were not completed and others not reviewed when people's circumstances changed.
The manager/provider was not in day to charge management control of the home but had delegated many tasks to a senior carer. The manager/provider had not set up effective systems to monitor the quality of the service.