Sistine always has a minimum of 8 staff per shift when a capacity of 15 service users are present. The rota’s provided did not contain an accurate picture of staffing used on each day in April, which included agency staff, this was an administrative shortfall. Evidence of all staff working on each shift is recorded and available to view in the homes 24 hour handover book therefore the home has been staffed appropriately and staffing levels have not been unsafe. Page 6 Is the 5th Paragraph 2nd sentence. lot Both guidelines – ‘a of risk assessments were not dated service and risk or were missing.’ safe? assessments were All risk assessments have a date of found to be out of implementation and a review date date and/or present. The guideline documents missing. only have implementation dates and no review dates entered so the documents being referred to in this sentence need to be changed to instead of risk ‘guidelines’ assessments. Page 8 Is the Paragraph 1 we found no Training had been ‘’ improvement had been made to the service X provided, however provision of supporting staff effective? this had had little development through induction, or no impact on training and supervision.’’ the way staff competency or This statement is not consistent with ability during the facts. A copy of the R.E.A,C.H. discussions and training matrix was forwarded to the observations. C.Q.C. which identifies the additional training provided to staff. Generally, positive efforts have been made to increase the provision and the quality of training to staff; however the impact of this on practice of this has been adversely affected by staff turnover. Paragraph 5 states that no formal X This was induction is received by agency confirmed by staff. agency we spoke with. An induction folder is available to agency staff and a brief induction process is used for them. X We saw no Paragraph 2 refers to the need for evidence that Makaton training; Makaton communication materials are being these provided to staff. communication materials were
Sistine always has a minimum of 8 staff per shift when a capacity of 15 service users are present. The rota’s provided did not contain an accurate picture of staffing used on each day in April, which included agency staff, this was an administrative shortfall. Evidence of all staff working on each shift is recorded and available to view in the homes 24 hour handover book therefore the home has been staffed appropriately and staffing levels have not been unsafe. Page 6 Is the service safe? 5th Paragraph – 2nd sentence. ‘a lot of risk assessments were not dated or were missing.’ All risk assessments have a date of implementation and a review date present. The guideline documents only have implementation dates and no review dates entered so the documents being referred to in this sentence need to be changed to ‘guidelines’ instead of risk assessments. Both guidelines and risk assessments were found to be out of date and/or missing. Page 8 Is the service effective? Paragraph 1 ‘’ we found no improvement had been made to the provision of supporting staff development through induction, training and supervision.’’ This statement is not consistent with the facts. A copy of the R.E.A,C.H. training matrix was forwarded to the C.Q.C. which identifies the additional training provided to staff. Generally, positive efforts have been made to increase the provision and the quality of training to staff; however the impact of this on practice of this has been adversely affected by staff turnover. Paragraph 5 states that no formal induction is received by agency staff. An induction folder is available to agency staff and a brief induction process is used for them. Paragraph 2 refers to the need for Makaton training; Makaton communication materials are being provided to staff. X X X Training had been provided, however this had had little or no impact on the way staff competency or ability during discussions and observations. This was confirmed by agency we spoke with. We saw no evidence that these communication materials were
REACH-Sistine-CQC-FAC-Log-Final.docx