You are here

All reports

Inspection report

Date of Inspection: 25 June 2013
Date of Publication: 20 July 2013
Inspection Report published 20 July 2013 PDF | 81.8 KB

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 25 June 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.

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

At the time of our inspection there were 48 people living in Marnel Lodge. We looked at the rota and saw that there were two nurses and ten care staff on duty in the morning. There were two nurses and seven care staff in the afternoon. At night there were two nurses and three care staff on duty. We looked at the rota for the last month and saw that in the majority of cases where necessary the provider had used agency staff to fill gaps. The provider may find it useful to note that on two occasions we found that there were one or two care staff short of a full compliment.

Staff members we spoke with told us that they thought there were enough staff. They said there were occasions when people calling in sick meant they were short of staff but this was usually covered by agency staff.

People living at and visiting Marnel Lodge told us that they thought there were enough staff. One relative said “I am here every day and never struggle to find a member of staff to help”. Friends of one person said “the staff here are great, amazing.” One person living in Marnel Lodge told us that they always got help when they needed it. They said “I don’t call for help, they are just there”. We observed that people were offered assistance in a timely manner. Call bells were answered quickly and staff had time to spend talking to people as well as assisting them with their care and support.

The manager told us that basic staffing levels were calculated by the number of people living in the home. They explained, however, that if a person had high needs then this would be separately assessed. A time in motion study was completed to determine the number of extra hours they needed support for. We saw that this had been completed and documented in one of the support files we looked at.

We spoke with the training manager for the home. They showed us the induction package and training requirements for staff. They explained that training was monitored weekly and all staff had to complete training in safeguarding, fire safety, infection control and moving and handling before working on duty. The quality of people’s work was continually monitored throughout their induction. This meant that there were enough qualified, skilled and experienced staff to meet people’s needs.