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Inspection report

Date of Inspection: 5 December 2013
Date of Publication: 28 January 2014
Inspection Report published 28 January 2014 PDF | 83.31 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 5 December 2013, talked with people who use the service and talked with carers and / or family members. We talked with staff.

Our judgement

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

Reasons for our judgement

The manager informed us that an analysis of numbers of care staff required covering the Christmas holiday period had been undertaken. This had led to a limit on staff allowed to take annual leave, to ensure that there was adequate staff cover. The reablement service had a member of staff whose function was to ensure adequate staff cover, staff available and hours required to meet the requirements of the care packages. When the people using the service have reached their planned goals, the reablement team handed over (where required) to an external care agency. If the care package was complex, agency staff could shadow the reablement staff so that they became familiar with the person’s needs.

There were arrangements in place to deal with foreseeable emergencies such as staff sickness. The service manager informed us that if and when care workers rang in sick, “seniors could cover calls if necessary.”

The manager was able to explain to us what would happen in the event of bad weather, such as a major snow fall. The list of reablement clients would be looked at and either the people using the service or their relatives would be contacted to ask if they could manage until the full service can be resumed. The list of people requiring an urgent service would be looked at in relation to the location of care workers and if necessary staff could then walk to the person’s home to offer care support.

The service uses a system called ‘Care Free’ and care workers logged in and out of people’s home using their phones. The system allowed a central person in the reablement office to monitor where care staff were, this helped when planning the rota and ensuring that care staff were used most efficiently.

We saw evidence that staff employed by the service were sufficiently qualified with the correct knowledge, skills and experience to meet the range of people’s needs. We looked at the Statement of Purpose and this listed all care staff as having completed NVQ Level 2 or 3 in care (National Vocational Qualifications). Seven staff were also trusted assessors. Trusted assessors could issue prescriptions through local pharmacists for simple pieces of equipment, that people who used the service might require, such as commodes, chair raisers etc.