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Archived: Cartmel Old Grammar

The provider of this service changed - see old profile

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Inspection report

Date of Inspection: 3 December 2013
Date of Publication: 7 January 2014
Inspection Report published 07 January 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 3 December 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 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

We checked the work rotas and number of staff on duty on the day of our visit. The rotas showed who was on duty, when and in what capacity they had worked. The registered manager worked from Monday to Friday and was supported by the deputy manager and senior carers. The manager told us, and the staff confirmed, that if needed the manager would work as part of the care team". Staff told us that they appreciated this.

We could see from records and talking to the manager and staff that there had been a period of time earlier this year when staffing levels had been low and unstable. This had improved but rotas were still only being done a week in advance because of difficulties with shift planning in the long term. Some staff had been working some long hours covering shifts. The manager was aware that this was not sustainable or desirable for safety and consistent care. The manager had recruited additional permanent and bank staff and had introduced incentives to help retain staff.

Staff confirmed to us that the pressure to work long hours to make sure there was safe staffing levels had decreased. We were told, “We have had some new starters and its better now…. they have settled in well”. We were also told, “Staffing levels have been bad at times but it’s got better” and “I’m not doing a lot of extra shifts now”. Staff told us that “Quite a few staff left early on, but we are going in a new direction now and things have improved considerably”.

When we visited the home there were 16 people living there and we found a senior carer and two care assistants on duty on the morning and the afternoon shift. The previous day there had been three carers and staff said that had been “very good”. The manager was actively recruiting and increasing staff numbers on shifts as they got more staff. The manager told us, and the rotas indicated that there were two staff on overnight.

There was an on call system for staff to get support or ask advice from a more senior member of staff if needed during the night. We saw that the manager had introduced a tool to help calculate staffing needs that reflected dependency levels. As the number of people living in the home increased this could help with shift planning.

We asked people if staff were available if needed during the night. People we spoke with said the night staff came when they rang for them. People living there told us that staff were “kind” and “helpful” and also “I think the staff are very good with me”. People we spoke with who lived there spoke well of the staff and the attention they received from them. We were told, "There is always someone about if you want them”. People we spoke with said that they felt "safe" and also "well looked after".

The home had a part time activities coordinator working over five days to support people with leisure activities. We could see that there was an established programme of activities for people to take part in during the day. On the day we visited the hairdresser was in the home. We saw several people were having their hair done.

There was domestic staff working long hours covering the week to take care of the housekeeping and we could see the home was clean. The manager confirmed that a second domestic had been recruited to work and this should reduce the long hours being worked by the domestic staff.

There was a maintenance person employed to help maintain the home who was working in the home when we visited. The kitchen was appropriately staffed across the seven days.

Staff we spoke with told us that they enjoyed their work and “I can spend more time with people now”. We were also told that “There is more stability now” and “The management is approachable… they’re decent employers”.