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Princess Lodge Limited Requires improvement

All reports

Inspection report

Date of Inspection: 6 February 2014
Date of Publication: 12 March 2014
Inspection Report published 12 March 2014 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 6 February 2014, 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, talked with staff and reviewed information given to us by the provider.

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.

Our judgement

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

Reasons for our judgement

We assessed this outcome area in our last inspection in October 2013 and we found that the provider was not meeting this standard, we set compliance actions and told the provider to improve. We found that staffing levels did not meet the needs of the people using the service, we saw that people were left for periods of time without staff being available to them. Staff were not always available to observe all of the people who lived at the home. During this inspection we saw that improvements had been made. New staff had been recruited to replace any staff that had left and to balance the staffing levels required. This meant that the staffing levels remained at an appropriate level to meet people's care needs.

At this inspection we looked at the staffing rota over a four week period. We saw that overall the staffing levels on each shift were consistent with the number of staff including nursing staff that the manager told us was required to meet people’s care needs safely. This showed that sufficient numbers of staff were available on each shift to meet people's needs in a safe and timely manner. The manager told us that any shortfalls in staffing levels were addressed by using internal staff, including the manager and clinical lead when needed. This was confirmed by some of the staff. This meant that people were always looked after by staff who knew them very well.

We spent some time observing the support people received from staff. We observed that in the afternoon staff had some time to talk with people and responded to requests that they had made. During a meal time we saw that people who required assistance were supported by staff to ensure they received an adequate meal on time. All of the people that we spoke with were happy with the staffing levels and told us that they did not have to wait excessively for staff to respond to their needs. One person told us, "If I need help staff respond on time.” This meant that there was enough staff available to meet people's assessed needs in a timely manner.

Most of the staff that we spoke with told us that staffing levels were appropriate to meet people's care needs. Other staff commented that they could do with more staff in the morning. This was discussed with the manager who showed us that they had a system in place to monitor staffing levels. They had a needs analysis and dependency tool which assessed the number of staff needed. All of the relatives we spoke with felt that improvements had been made and there were enough staff. One relative said, “The staffing level is better now.”