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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

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent 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

People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.

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 staff had not completed training required to meet people’s needs and did not receive supervisions and job reviews. During this inspection we saw that improvements had been made to support staff so that they were enabled to provide care and support that meet people's needs.

All people we spoke with told us they did not have any concerns with the ability of staff to meet their needs. All of the relatives that we spoke with complimented the skills and ability of staff to perform their duties. One of the relatives said, "Staff are good at looking after people." We observed that staff delivered care safely to ensure that people were supported to meet their needs appropriately.

The records we looked at showed that most of the staff were up to date with their training and where staff needed update a plan was in place. All staff spoken with told us they felt they had received the training they needed to be able to carry out their roles effectively. Most staff said they had received further training, particularly around specific individual needs. We saw that staff had received training in areas such as dementia and behaviour that challenged the service. This meant that the provider was able to identify areas where staff needed additional support and provide training to enable staff to meet people's needs. One member of staff said, "I get good support here and the training I need.” This showed that people were cared for by staff who were supported to meet the specific needs of the people they were caring for.

Some of the staff we spoke with said they had received supervision sessions, and attended staff meetings and we saw evidence to support this. We saw records of schedules for all staff supervision and job reviews. The manager told us they had not been able to do all supervisions and job reviews for all staff since they had been in post for a month. The manager told us that staff were free to discuss their concerns at any time. One staff said, “The manager is very supportive, we can approach the manager anytime to discuss any issues.” The manager told us that individual training needs were identified through supervision sessions and staff meetings. We looked at records of supervisions and staff meetings and these reflected discussions of training needs and how they could be achieved. This meant that people were supported by staff that were given feedback on their performance which helped them to meet people’s needs safely.

Some of the staff told us that an induction programme was in place for all new staff that had started work at the home. This induction included a period of supervised practice before staff were assessed as competent to provide care to people on their own. The manager told us that every new member of staff were always accompanied by an experienced staff as an extra member of the team. We saw records of these staff induction programmes. This meant that the provider ensured that staff received appropriate support before they began to provide care and support to people.