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Archived: Lighthouse Homecare Inadequate

All reports

Inspection report

Date of Inspection: 29 November 2013
Date of Publication: 8 January 2014
Inspection Report published 08 January 2014 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 29 November 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

We also spoke with an external social care professional.

Our judgement

People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.

Reasons for our judgement

The people we spoke with told us that they liked the staff and felt able to talk to them. One of them said that they knew the staff well and were, “Happy with all members of staff.” We were told that staff provided appropriate care and support in line with people’s care plans and their needs.

At the last inspection we found that training and supervision were not in place for all staff. All the staff we spoke with at this visit were able to describe the training they had undertaken and we found improvements had been made. The training matrix we saw was for August 2013 and showed the training already undertaken and that planned for September. This was confirmed by the certificates we saw in the staff files that we reviewed. Training included topics such as safeguarding vulnerable adults, MCA and DoLS, fire safety, first aid and health and safety. We saw that one member of staff had attended managing challenging behaviour. Another member of staff was continuing an Open University course about mental health that they had started prior to working for the service. Staff we spoke with told us they felt well trained for their role. They said they could request further training and development if they felt they needed it. The provider may find it useful to note that not all staff had specific training in substance abuse or mental health.

We saw that medication competency was included in mandatory training for staff. All staff had undertaken this except the newest member and this was planned as part of their induction. We saw evidence of completed competencies in the staff files we looked at. In addition, the manager had developed a ‘Medication Knowledge’ information pack to support staff in this area of their role.

We saw evidence of supervision in two of the staff files we looked at. The third member of staff had not been in post long enough but was aware that they would have supervision regularly. The manager told us that staff had six supervisions each year that covered training and any concerns that staff may have. They were a small staff team that worked closely together. The manager did not feel that additional annual appraisal was required in light of the regular and frequent supervisions. Staff we spoke with told us that they felt well supported by the manager and that she was approachable. One member of staff described the management of a concern that they had raised with the manager. They said that the manager had listened to them and taken action whilst not breaching confidentiality.

Staff told us that team meetings were held every two months. The meetings were held jointly for staff who worked within the rehabilitation unit and for the homecare service staff. Some homecare staff also worked in the rehabilitation unit. Staff said that the meetings provided opportunities for staff to meet each other and discuss any problems or concerns. One member of staff said they felt the meetings were open and that they had, “Good discussions.” We saw copies of the last two meetings. There were discussions on topics such as documentation to be completed, current recruitment and sickness management. We also saw that a reported incident had been brought to one of the meetings. Current practice was discussed, together with the process put in place to reduce the risk of the incident occurring again. This meant that staff were involved in learning from incident reporting. Staff told us that communication was good within the service.