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Inspection report

Date of Inspection: 11 January 2011
Date of Publication: 9 February 2011
Inspection Report published 9 February 2011 PDF

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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

Our judgement

We found people who use services should be safe and have their health and welfare needs met by sufficient numbers of appropriate staff. No gaps in assurance or areas of concern were identified during the assessment of this outcome for this location.

User experience

It was not possible to gain the direct views of people who use the service for this outcome on this review.

Other evidence

The provider declared compliance with this outcome at this location at registration with CQC in April 2010. Our provider level QRP for this outcome contained mostly positive information. One positive comment related to a letter from the provider outlining improvements to sickness levels. Staff sickness absence was reported as expected when compared nationally. None of the external stakeholders referred to within outcome one who responded raised any areas of concern specifically relating to this location or outcome.

As part of the assessment of this location the provider submitted a detailed provider compliance assessment which explained how the provider was meeting the outcome. The provider was found to have systems and processes in place such as recruitment and selection procedures, competency requirements of a job role, people who use services involvement in selection who can identify qualities and attitudes important to them along with ongoing monitoring via performance development reviews that should ensure staff are in place with the right competencies, knowledge, qualifications, skills and experience to meet the needs of people who use services. Where staffing had not been available from the existing establishment, the provider has an in-house flexible staffing service which included over 300 flexi-staff along with over 1000 trust employees registered with the service.

The provider has given a number of examples of how it had worked to continually develop improvements to systems surrounding staffing requirements, for example, work streams on five QIPP (quality, innovation, productivity and prevention) programmes, which focus on how to maintain services and improve quality alongside a reduction in resources. The provider reported that staffing skill mix and profiles have been worked through in detail across these programmes.

Additional evidence was sought from the provider in the form of an annual team governance report for Rowan ward covering the period April 2009 to March 2010. The report included a section on staffing which overall showed staff sickness to be on average just below the 5% area. No particular areas of concern regarding staffing were identified in the report.