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High View Care Services Limited Good

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Inspection report

Date of Inspection: 12 September 2013
Date of Publication: 15 October 2013
Inspection Report published 15 October 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 12 September 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

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

Reasons for our judgement

There were enough qualified, skilled and experienced staff to meet people’s needs. The provider told us that staffing levels were planned to meet the needs of people. This included three care staff being available during the day in addition to the registered manager and the deputy manager. Night cover included one waking night staff and one sleep-in staff to ensure that there were enough staff available to support people in the event of an emergency. The staffing rota showed that the number of staff on each shift matched the numbers that had been identified as being required to meet people’s needs for example in August and September 2013. We found that where people were required to attend health appointments, additional staff were employed to provide support during these periods. We found that a behaviour support advisor was employed on full time basis to provide expert guidance for staff in managing challenging behaviour. Two drugs and alcohol counsellors worked with people two days a week to develop strategies that support their recovery. An activities co-ordinator responsible for organising stimulating activities such as visits to places of interest and a massage therapist were also available to provide appropriate support where required.

There were plans in place to cover staff shortages. The provider told us that the agency and bank staff were not used to cover staff shortages and that permanent staff from other High View Care Services were used to promote continuity of care. Staff we spoke with told us that they could work overtime if they wished to cover any staff shortages. The staffing rota we looked at showed that there was adequate permanent staff available to cover shifts when this was required and staff confirmed the current staffing level was sufficient to meet people’s needs. People we spoke with told us they felt staff had time to support them. The home manager informed us that staffing levels were taken into consideration prior to people moving into the home and that these could be adjusted to meet people’s needs.

Staff had appropriate skills and suitable qualifications to provide the service required. People we spoke with told us that they felt staff had the appropriate skills to support them. Training records we looked at showed that all staff had completed mandatory training in areas such as medication, safeguarding vulnerable adults, health and safety and infection control and food hygiene. Most staff had received brain injury, alcohol and coping with aggression training. Staff had also completed National Vocational Qualifications and Newly Qualified Social Worker programme level 2 or 3. The provider told us that staff were provided allocated study time which they used to improve their professional developments. Staff told us that these training courses had provided them with skills to support people where required.