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Archived: Dimak Healthcare

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Inspection report

Date of Inspection: 5, 18 October 2011
Date of Publication: 15 December 2011
Inspection Report published 15 December 2011 PDF

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent staff.

How this check was done

Our judgement

The staff team have adequate training and support to enable them to understand and meet the basic needs of people using the service. However, the lack of NVQ training could prevent staff from further developing their skills to benefit people using the service.

User experience

People we spoke with were complimentary about the staff and told us that they thought the staff were competent and knowledgeable about the care they provided. One person said “The carers do their job well. They know what they are doing.” People told us that when new carers began to work for Dimak Healthcare they always visited with more experienced staff at first to help them to learn the job.

Other evidence

Following our last inspection we had concerns that staff did not receive enough training and support to ensure they had the appropriate skills to meet people's needs.

During this inspection we looked at the training records for three recently appointed staff. We found that the range of training that staff received before commencing visits to people in their own homes was variable. The manager told us that as a minimum staff would receive awareness training in health and safety before going out to visit someone in their own home. This initial training was taught via a DVD and the manager said he supplemented this by discussions and a question and answer session. This initial training briefly covered topics such as safeguarding, infection control and risk assessments. Other topics were covered within the six to twelve week induction programme. The staff we spoke with confirmed this method of training and told us that they felt their induction training was sufficient to enable them to feel confident when going out on their own.

The manager had a library of DVDs to support the ongoing training needs of the staff team. We saw records to show that staff undertook written competency assessments following their training. The employee history records showed that staff were shown how to complete some tasks or clinical procedures when working with people in their own homes and that their practical skills were assessed. An example was that the manager demonstrated to a new care worker how to connect a urinary catheter bag, before watching the staff member carry out the procedure. The staff we spoke with also told us that the manager had been out with them on visits to observe that they were doing things properly.

At our last inspection the manager told us that they planned to ensure that some staff commenced National Vocational Qualification (NVQ) programmes as soon as possible. At the time of this visit none of the staff had commenced this training, although one staff member had been identified to undertake NVQ level 2. The manager told us that this had not started because they had been unable to make contact with a suitable trainer.

The staff records showed that some staff had received supervision and that their performance was monitored. We saw evidence that where staff had missed or been late making calls, this was addressed by the provider. We also saw that staff received appraisals where further training and supervision needs could be identified. Staff we spoke with told us that they felt well supported by the manager.