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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

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 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

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

Reasons for our judgement

We spoke with manager and staff about the training being provided for staff so that they could carry out their roles safely and effectively. We asked the registered manager about the staff training programme and how this was being planned and implemented. The manager provided us with access to their training matrix and the records on this for examination. This recorded what training had been done, when and what was being arranged for staff. The manager had already arranged for training to be provided for those staff identified as needing it. The training had been confirmed and included medication training, updates on basic food hygiene and also dementia awareness.

We could see from the records that an increased level of training had recently been provided for staff. Staff we spoke with confirmed they had received training as planned and had done written tests upon it to check their understanding. We saw these test records and these included health and safety, safeguarding, mental capacity and dignity in care. Staff we spoke with were able to tell us what they would do if they suspected abuse or poor practice.

We saw that the manager had been providing some supervision for staff and monitoring performance. The manager was aware that staff supervision had got behind over a period of time and was addressing this. We saw that the manager had also looked at aspects of staff performance. Where concerns had been identified about performance we could see that support was being given to help staff if improvement was needed. The manager was being supported by the provider’s operations manager to address competency issues where appropriate.

Staff we talked with confirmed they had received supervision both formally and informally in the workplace and felt they could talk with the manager at any time about practice and training issues. Staff responses to our questions and records held on file indicated that they were being supported to undertake training and additional qualifications and skills to help them in their work.

The manager and staff told us that district nursing service had provided a staff member with training so they could support a person living there to give their own insulin. This allowed the person to help keep their independence in this matter. However this had not been formally recorded as a task delegated and supported by the district nurse. We discussed the importance of recording the competence of the person assisting with the insulin and making sure the district nurse had reviewed that competence to carry out the task. The manager confirmed this would be done.The provider may want to note for procedural guidance and future reference.

The operations manager for the organisation was visiting two days a week to undertake further training with staff. We saw evidence that outside training agencies and distance learning were also providing training for staff including moving and handling and infection control. We saw that moving and handling training was organised for the following week for staff. This was to provide updates for some and more detailed training for newer staff who had only received basic moving and handling instruction during induction.

We saw that fire warden training was taking place for designated staff the following week with an outside agency. Fire awareness training had also been done and staff had recently done fire safety training. The service had designated First Aiders who had received training.

We looked to see what training new staff had been given. One person told us that when they had started work there some time ago their induction had been “disjointed” but that “Now there is four weeks induction and you have to have competencies signed off”. We looked at the induction records of the three newest staff and found that staff had been given an induction when they started. This had included a range of basic competencies such as bathing and bed bathing, using a bath hoist, oral and mouth