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Scarsdale Grange Nursing Home Good

All reports

Inspection report

Date of Inspection: 31 July and 1 August 2013
Date of Publication: 2 October 2013
Inspection Report published 02 October 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 31 July 2013 and 1 August 2013, talked with people who use the service and talked with carers and / or family members. We talked with staff and talked with other authorities.

Our judgement

There were enough qualified, skilled and experienced staff to meet people’s needs.

Reasons for our judgement

We looked at this outcome due to concerns raised before the visit. We were informed by different sources that there were not enough staff to meet the needs of the people living at the home. We looked at the staff rotas for July and half of August 2013, spoke to the manager about staffing levels and skill mix of staff and spoke to staff, people using the service and their relatives about whether the number of staff were appropriate.

The majority of people that we spoke with told us that they did not have to wait for a long time when they pressed the call bell in their rooms. One person using the service told us “they come quickly when you press the buzzer.” During our inspection we observed that staff responded to call bells promptly and staff confirmed this was not an issue. During our inspection we found that people received the care and treatment that had been planned to meet their individual needs.

The majority of staff, people using the service and relatives we spoke with told us they had concerns about staffing levels and felt there were not always enough staff on duty. We attended a staff meeting for qualified nurses who expressed that they often do not have time to care for people because the medication round takes up the majority of their time. Since our inspection the provider told us they had spoken with staff and that the negative comments we received were due to issues relating to previous management practices, the management of staffing rotas and the use of agency staff. The provider has told us that these issues have now been resolved with the appointment of a new manager.

Examples of comments we received from relatives of people using the service relating to this were "the hoist isn't always used as this takes too much of staff time and one is out of use at the moment which makes it worse" and "the staff are changing all the time. We've had three managers here this year already. It's very unsettling to the residents."

A new manager had recently been appointed and we spoke with them about these issues. The manager acknowledged there had until recently, been issues with staffing however this was mainly due to how staff had been deployed and a high level of sickness over the last month. The manager confirmed they had already identified this and were in the process of addressing staff deployment and shift arrangements.

The usual shift pattern was a 12 hour shift and the manager had recently changed the shift patterns for carers to cover busy periods between 7:30 am and 2 pm. We saw this was in place at the time of our inspection and the manager would continue to monitor staffing levels to ensure that there were sufficient numbers of staff to provide care to people using the service at all times.

The provider may like to note that they should continue to monitor the dependency levels in the service and the deployment of staff and skill mix to ensure that people’s needs continue to be met and this will be followed up at our next inspection.