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Manor Park Care Home Requires improvement

The provider of this service changed - see old profile

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Inspection report

Date of Inspection: 6 June 2013
Date of Publication: 30 August 2013
Inspection Report published 30 August 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 6 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 our last inspection we made a compliance action in this outcome as we found some people on the nursing and residential units did not have their care and welfare needs met due to the lack of staff. We found similar concerns at the time of this visit, however the provider took immediate action to increase the staffing levels during our inspection based on the dependency levels of the people currently living in the home. Manor Park Care Home will keep the Care Quality Commission (CQC) informed of any changes in staffing. The CQC will continue to monitor the staffing levels within this home.

We spoke with the deputy manager and asked for an update of the staffing arrangements across each of the three units in the home. On the day of the inspection there were 68 out of a possible 73 people living at Manor Park Care Home. The general nursing unit was staffed by one nurse and five carers. We were told there should have been two nurses on duty, but this was not the case due to staff sickness and no agency nurses available. The dementia nursing unit was staffed by one nurse with four carers. The residential unit was staffed by one senior carer with two carers.

We saw the master copies of the staff rotas showing the home had scheduled enough staff to work on each unit to meet people’s needs. However, it was not possible to verify whether this gave an accurate picture of the numbers of staff who had turned up to work or how the shifts had been changed to meet operational demands.

We spoke five relatives to gain their views about the staffing levels in Manor Park Care Home. People spoke positively about the attitude of the staff. For example, one relative commented: “The staff are lovely.” Another said: They are really good carers.” However, the provider may wish to note that most relatives spoken with commented about the staff being ‘over worked.’ For example, one relative told us: “Staffing levels are not so good. They don’t have the time.”

We discussed this with the quality assurance manager and the deputy manager. They told us the home was currently actively recruiting a new manager and care staff to increase the numbers of permanent staff in the home. They said agency staff was usually used when staffing numbers fell below requirements. They explained this was not always possible if sickness and absence was unplanned. We asked for assurance that staffing levels would not fall below agreed levels in future. The quality assurance manager reviewed the dependency levels of people living in the home and increased staffing levels on the general nursing unit with immediate effect. Manor Park Care Home agreed to keep the Care Quality Commission (CQC) informed of any changes in staffing. The CQC will continue to monitor the staffing levels within this home.