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Inspection report

Date of Inspection: 8 February 2014
Date of Publication: 29 March 2014
Inspection Report published 29 March 2014 PDF | 76.33 KB

People should be cared for by staff who are properly qualified and able to do their job (outcome 12)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by staff who are fit, appropriately qualified and are physically and mentally able to do their job.

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 8 February 2014, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

People were cared for, or supported by, suitably qualified, skilled and experienced staff.

Reasons for our judgement

We reviewed staff files and found that the relevant documents were in place. Appropriate checks had been made during the recruitment process. These included an application form; a job description and person specification: a contract of employment; employment references; an induction checklist and proof of identity and Criminal Records Bureau (CRB) checks. In the case of nursing staff, their Nursing and Midwifery Council annual registration and Hepatitis B status records were up to date.

We saw that all members of the nursing team were receiving annual appraisals and a process for regular supervision sessions was to be introduced shortly.

We checked the staff's training records and found they were up to date.They included the necessary mandatory sessions such as basic life support; fire and safeguarding. Other training had been arranged to reflect their individual training needs specific to their respective roles.Staff were also able to talk as a group about the functioning of the unit at these training sessions.

The staff said they felt well supported by their peers and by the clinical director. They also enjoyed a positive working relationship with the various surgeons who visited the unit on a sessional basis.

We saw that arrangements were in place to deal with unexpected circumstances such as sickness, other absence and emergencies.