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Inspection report

Date of Inspection: 27 February 2013
Date of Publication: 8 May 2013
Inspection Report published 8 May 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 27 February 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 and talked with staff.

Our judgement

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

Reasons for our judgement

The registered manager told us that staff were required to read all organisational policies and procedures and were required to re-visit these on a yearly basis. We saw evidence that staff had signed to confirm they had read, understood and accepted these.

The provider told us that all new staff undertook an induction programme and worked alongside an experienced member of staff for a time, before being approved to work independently with people who used the service. The provider told us that, in line with current vetting and barring requirements, all staff had enhanced criminal record bureau (CRB) and protection of vulnerable adults (PoVA) checks before they commenced employment. Two written references were obtained for all new staff. We looked at recruitment processes and a sample of personnel files and found appropriate systems and records in place which adhered to recognised standards of good practice.

We looked at staff supervision records which were up-to-date. Staff we spoke with told us they had regular supervision and personal development appraisals with their manager which ensured that staff practices and standards of care were regularly monitored and evaluated.

Staff we spoke with confirmed they received appropriate training and regular supervision. One staff member we spoke with told us, “I love it here, we have a great team and all get on really well.”

All of the relatives we spoke with expressed positive comments about the professionalism, politeness and respect of the staff and management of the service. One relative told us, “I have to say, the manager is brilliant.”

The provider told us all staff were fully trained to National Vocational Qualification (NVQ) standards relative to their individual roles and responsibilities. We looked at the service training plan and staff training records which showed that the provider had developed a robust approach to training and development. Information had been provided to all staff about training requirements, courses available and developmental opportunities. We saw that staff had undertaken a range of training which the provider had identified as mandatory, such as moving and handling, food hygiene, fire safety, and health and safety.

Staff we spoke with told us the provider was good in terms of providing training and development opportunities and ensuring that staff training was kept up-to-date. All of the staff we spoke with told us they enjoyed the training and development opportunities provided. Staff told us that training included training on dignity awareness, the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) which we evidenced from looking at training records. Further, more specialist training such as providing end of life care was also provided for staff who had agreed they wanted to provide this level of care and support for people.

The provider told us that all staff undertook mandatory training in equality, diversity and human rights to help them identify and challenge any discriminatory practice.

Information sent to us by the provider showed that all senior support workers had at least NVQ level 3 Health & Social Care. Also that the registered manager had NVQ level 4 Health & Social Care, the Registered Manager’s Award and Diploma Level 5 and 7 in Management. The deputy manager had NVQ level 4 Health & Social Care.

We found that staff training requirements were well managed and up-to-date.

We looked at staff rotas and time sheets over the last three months and the provider’s audits of staffing levels. We found that staff rotas were planned in advance with consideration given to the staffing levels necessary to provide individualised support for people who used the service. We saw that a senior staff member was present on every shift, supported by a number of care staff.

The provider told us that additional staff was provided when one-to-one support for people who used the service was required. Also that, any sh