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Archived: Keystone Healthcare Limited

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Inspection report

Date of Inspection: 18 November 2013
Date of Publication: 18 December 2013
Inspection Report published 18 December 2013 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 18 November 2013, talked with people who use the service and talked with carers and / or family members. We talked with staff.

Our judgement

There were enough qualified, skilled and experienced staff to meet people’s needs.

Reasons for our judgement

The manager told us there were twelve support workers employed at Keystone Healthcare, consisting of two part-time bank workers, five part-time workers and five full-time workers. They explained that all support workers received mandatory training when they began employment with the service and any additional training required. All staff members had annual refresher training in all mandatory areas. This meant staff had the necessary skills and knowledge to support the people using the service.

The manager, director and staff we spoke with all told us they felt there were enough staff to meet the needs of the people using the service. They said any gaps in the rotas were always covered; this was confirmed by the people we spoke with. The manager told us staff were flexible about covering calls at short notice. They said if no staff were available then the manager and care co-ordinator would go out and cover calls. The manager told us that if a support worker was going to be late to their call then office staff would ring the person using the service to explain this. This showed there were systems in place to maintain effective staffing levels and respond to changing circumstances in the service.

We looked at staff rotas and found that there was not always a five minute time gap between calls to allow for travelling time. The manager told us that there usually was but they had just taken on a new care package so had to fit that person’s calls in where possible for the first week. The manager assured us that there was usually a five minute gap between calls, in accordance with their policy. The provider may wish to note if calls are to be undertaken at the times agreed with people using the service, this policy should be followed to allow time for travel.

The two support workers we spoke with told us they felt supported by their manager and it was a good company to work for. They said the other team members were flexible and there was a good back-up. One of them told us “We have a really good staff team and all work together.”

During the visit we saw and heard evidence that staff were suitably skilled and qualified to understand and meet the needs of the people who used the service. For example, one of the support workers we spoke to told us that Keystone Healthcare had supported them through their National Vocational Qualification (NVQ) Level 2 in Health and Social Care. They said they were now working towards completing their NVQ Level 3 in Health and Social Care. This showed staff working at the agency also had the opportunity to obtain appropriate further qualifications.