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Archived: Swiss Cottage Care Home

The provider of this service changed - see old profile

The provider of this service changed - see new profile

All reports

Inspection report

Date of Inspection: 2, 6 May 2014
Date of Publication: 5 June 2014
Inspection Report published 05 June 2014 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 2 May 2014 and 6 May 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff and talked with commissioners of services.

Our judgement

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

Reasons for our judgement

On the day of our inspection, the manager told us there were 47 people currently living in the home. The staffing numbers consisted of four nurses, one senior carer and eleven carers throughout the day. The number was reduced to two nurses, one senior carer and four carers at night.The staff rota which was made available to us reflected this. The manager was confident that the staffing numbers currently being used were sufficient to ensure that people’s health, safety and welfare were promoted.

Recently, the home had been using a large number of agency workers but the number had been significantly reduced as permanent staff had been appointed. The manager told us that 14 staff had recently taken up employment. A further five staff were waiting for their criminal checks to be cleared otherwise known as disclosure and barring service (DBS) certificates before taking up employment.

The manager said that staff from the agency were known to the people who use the service as they had been working at the home on a regular basis. It was evident that there was continuity of care and people were looked after by staff who were familiar with their care needs.

We found that the home had a two week rolling rota in place which was completed in advance. Staff spoken with said that they were pleased with the new rota and were able to plan ahead as they were fully aware in advance of their shifts.

All the relatives we spoke with said that staff were approachable. A relative spoken with described staff as, “very kind and caring.” They also said, “My {name} never flinch in staff company.” Another relative said, “The staff here are really nice but we have lost some really good staff.” It was evident that although staff were fairly new people had confidence with the care and support they provided.

We found that staff spoke to people in a kind and compassionate manner. People looked comfortable in the company of staff. Staff spoken with said that the staffing numbers were adequate to ensure that people’s care needs were met. A staff member said, “I have only started working at the home recently but it feels as though I have been working here a long time ago. Everyone is on an equal footing.” Another staff member said, “When I go home I reflect on what I have achieved at work and I know that I have made a difference to the service users’ lives and have done a good job. Would I have my mum in this unit? Yes I would.” This demonstrated that staff were confident that the care people received was safe and effective.

The training record we looked at reflected that staff had been provided with suitable training to support them in their roles and responsibilities. This meant that people were looked after by staff with the right knowledge to meet their diverse needs.