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Nethermoor House Requires improvement

All reports

Inspection report

Date of Inspection: 27 October 2011
Date of Publication: 25 November 2011
Inspection Report published 25 November 2011 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

Our judgement

Staff are not provided in sufficient numbers and do not have the training and support to make sure people's needs are fully met.

User experience

We observed that the staff on duty got on well with the people living at the service. The expert by experience observed a genuine affection by the staff for the people living there and that people appeared fond of the staff. The expert observed a care worker interacting with a person who had advanced dementia. The care worker stroked her face and the resident responded by stroking the care worker’s face. There was an obvious affection between the two.

We felt that the staff on duty knew people well and knew their needs. However we observed several times when people needed to wait for care. For example we observed one person waiting for the toilet and another waiting some time to be moved to an easy chair. One person said “It’s under staffed but they are good”.

Other evidence

The manager told us they were short staffed and they were in the process of recruiting staff. She told us that they at times used agency staff to make up the shortfall. She told us that she was working with the care staff to make sure that care staffing levels were maintained. This had affected her ability to maintain the management tasks.

The manager had put in place a system for individual staff supervision and staff meetings to support staff to work effectively with people. However these processes had not been maintained due to the manager undertaking care tasks.

The service could not evidence that all staff had received the necessary training to support and protect people. This included food hygiene, safeguarding, fire safety and moving and handling. Some staff told us they had received training in working with people with dementia care needs but again the service could not evidence who had attended this training.