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Brandon House Nursing Home Good

The provider of this service changed - see old profile

All reports

Inspection report

Date of Inspection: 12 August 2013
Date of Publication: 18 July 2014
Inspection Report published 18 July 2014 PDF

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

Not met 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 12 August 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 staff and talked with commissioners of services.

Our judgement

The provider was not making suitable arrangements to ensure that staff were appropriately supported in relation to their responsibilities.

Reasons for our judgement

Staff we spoke with told us that new staff were starting to work in the home without an induction. One staff member told us, “When I first started we had a week’s worth of shifts as induction and you weren’t counted in the numbers on the floors. I haven’t seen any new starters with any sort of induction. Some of them don’t even have manual handling training. They would be used in the numbers but if they haven’t got manual handling they would just be lounge watching. You would feel uneasy working with them because you weren’t very confident in their abilities.” Another member of staff we spoke with confirmed they had not received an induction despite requesting one. They had completed their manual handling training three weeks after commencing work at the home. Staff files we looked at for staff who had been employed in the last six months did not have any information about an induction period. New staff were not being supported with an induction into their new roles within the home.

Staff were being supported to gain further qualifications. Two staff we spoke with confirmed they were currently working towards National Vocational Qualifications in care at level 3. This would support staff in delivering effective care.

Staff we spoke with confirmed they had completed their mandatory training, most of which was completed on e-learning. We looked at an analysis of training completed by staff. We saw that in areas such as safeguarding, equality and diversity, infection control and emergency procedures over 80% of staff were up to date in their training. 65% of staff were up to date with ‘safer people handling’, 82% with manual handling, 65% with fire drills and 85% with emergency procedures.

Many people living at Brandon House had dementia, some with associated challenging behaviours. We saw e-learning training on dementia was available to staff in four parts. This training supported staff in developing their skills in interacting and communicating with people who had advanced dementia. Records demonstrated that 73% of staff had completed the introduction to dementia, and 53% had completed the part relating to understanding and resolving behaviours that challenge. Not all staff had completed the training to provide them with the skills to meet the needs of those living in the home with dementia.

Staff told us they were not receiving regular supervision. One staff member told us, “I haven’t for a long time. Not for about six months.” Staff files did not evidence any supervision or clinical observations. Staff were not being provided with an opportunity to talk through any issues about their role, or about the people they provided care and support for.