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Princess Lodge Limited Requires improvement

All reports

Inspection report

Date of Inspection: 24 October 2013
Date of Publication: 4 December 2013
Inspection Report published 04 December 2013 PDF

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

Not met 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 24 October 2013, 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 talked with other authorities.

Our judgement

People were not cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.

Reasons for our judgement

We looked at how staff were trained, supported and supervised to provide safe and effective care. Four staff that we spoke with told us that they had not received regular training relevant to their jobs. The training matrix that we saw showed that not all staff had completed all required training to meet the needs of the people using the service. The training matrix we saw, only showed that the areas covered in training were food hygiene, safeguarding vulnerable adults, challenging behaviour, moving and handling, dementia care, infection control and first aid. This showed that other areas such as health and safety, fire safety, equality and diversity, mental capacity act were not covered. This meant that specific care needs of people using the service were at risk of not being met in a skilled or consistent manner by staff.

The deputy manager told us that they knew that there were a lot of gaps in staff training and they were working hard to ensure all staff were up to date with their training. The deputy manager showed us a plan in place to roll out training to cover all core skill areas and other areas such as tissue viability, pressure area care, dignity of care, team building, confidentiality and, end of life care. Most of the staff had not received training required to gain the skills and knowledge to safely care for people who lived at the home. This meant that staff may not be able to safely and appropriately support people to meet their needs.

We did not see any evidence of staff supervision, appraisal and induction. All four staff that we spoke with told us that they had not had any supervision or appraisal since they have started working in the home. The deputy manager said that there were no staff supervisions or appraisals in place. One staff member told us “I only had half a day induction and I was left to get on with it”. Some staff told us that they did not feel supported by management to get more skills and qualifications that were related to the work they did. This meant people were cared for by staff that did not have the skills, training and qualifications required to care for people and meet their needs.