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Archived: Liskeard Community Hospital

This service was previously managed by a different provider - see old profile

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Inspection report

Date of Inspection: 20 November 2013
Date of Publication: 28 December 2013
Inspection Report published 28 December 2013 PDF | 79.21 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 20 November 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

The matron, ward sisters and staff nurses we spoke with told us they thought staffing levels were fine at the time of the inspection. Patients we spoke with told us they did not have to wait long if they called for assistance. One said “I’m always been checked on” and “I can get help with my food and drinks if I need it”.

The matron told us they had recently had some new nursing and care staff start which meant they had a good mix of newly qualified staff and experienced staff. We were told the minor injuries unit and outpatients department had regular staff and were usually able to cover for holidays or sickness periods from within their own staff group.

The matron showed us the electronic rota system in place. She said it identified uncovered shifts on the wards clearly and as they were usually completed eight weeks in advance they had time to cover any vacant shifts from within their own staff group or from the bank. She added that a dependency tool was completed each day by the ward manager to determine the level of nursing care and support needed. If necessary the matron then moved staff around the wards to where there was the most need.

When we were on the wards we saw a number of doctors and other health care professionals such as physiotherapists and members of the social services emergency intervention team who were involved in discharge planning for some patients. The matron told us the wards had a consultant visit twice a week. She said the hospital now had one full-time acute GP and a further half time GP covering the ward from 9am to 5pm Monday to Friday. Out of hours GP services were provided by the Cornwall wide out of hour’s service that had a base at the hospital. She said that the regular acute GPs they now worked with meant better consistency for the patients and the staff.

The nurses, care workers and health care professionals were supported by administrative, catering, domestic and maintenance staff. The matron told us the hospital also had student nurses working on the wards who always seemed to enjoy their placement at the hospital.

The training records we saw showed that staff throughout the hospital had completed mandatory training such as infection control, moving and handling and safeguarding adults. We saw that where a staff member had not yet completed the training they had been enrolled on the next available session. We saw that staff also had training relevant to their role, for example the dementia link nurse would go on dementia awareness training and the tissue viability lead nurse would attend tissue viability update days.