Arboles de b´ ´ usqueda

Workforce

The Registered Provider is failing to comply with a regulatory requirement in the following respect:

The number and skill mix of staff was not appropriate to manage the needs of resident's with responsive behaviours.

There was a lack of experienced and qualified staff on duty to ensure safe supervision of and protection to all residents.

The number of nursing staff on duty providing direct care to residents were not sufficient to ensure a safe standard of suitable care was delivered

27. Action Required:

Under Regulation 15(1) you are required to: Ensure that the number and skill mix of staff is appropriate to the needs of the residents, assessed in accordance with

Regulation 5 and the size and layout of the designated centre.

Please state the actions you have taken or are planning to take:

•A contingency plan for unexpected absence of Person in Charge has been agreed with existing day care manager coverage until Deputy Manager is in situ.

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•To ensure that one extra Alzheimer Society of Ireland carer is on the roster at all times we have added 4 full time carer staff hours to our weekly roster. This has been in place since 24th March 2016.

•One extra nurse on roster Monday/Friday (8am/4pm) since 11th April 2016.

•External cleaning person added to double cleaning resource since 19th April 2016. •Relief panel of nurses to be increased to 5 / Carers to be increased to 8

•New Deputy Manager Role to support Person in Charge due to start 23rd May subject to Garda Clearance.

•Existing Community Employment/TUS staffs to be assigned to an experienced staff member.

•Any future Community Employment staff will be placed on a FETAC Level 5 development programme and supervised with experienced staff member. •Staff to complete/commence the following training:

-FETAC Level 5 -Statutory Training -Responsive Behaviour -Dementia Awareness

•Polices to be made user friendly with a flow chart process to guide staff practice, to ensure staff have sufficient knowledge on these policies. These flow charts will be displayed at Nurses station. We will commence will 5 polices by end of June.

Proposed Timescale: 30/06/2016

Theme:

Workforce

The Person in Charge (PIC) is failing to comply with a regulatory requirement in the following respect:

Staff were not appropriately supervised to ensure that a good standard of care was delivered, which fully met residents needs and was safe.

28. Action Required:

Under Regulation 16(1)(b) you are required to: Ensure that staff are appropriately supervised.

Please state the actions you have taken or are planning to take:

•Additional staffing resources have been put in place to allow the nurse leading the shift have more available time to oversee the supervision of staff on duty and standard of care delivered.

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•There is an allocation system in place and staffs are allocated responsibilities in line with their qualifications/training.

Proposed Timescale: 20/04/2016

Theme:

Workforce

The Person in Charge (PIC) is failing to comply with a regulatory requirement in the following respect:

A training plan was not in place to ensure a high standard of care would be delivered to residents. Refresher training in key areas such as prevention of elder abuse or fire safety had not been provided.

29. Action Required:

Under Regulation 16(1)(a) you are required to: Ensure that staff have access to appropriate training.

Please state the actions you have taken or are planning to take:

•2016 Training Plan is in place to ensure all statutory training is up to date for all staff •2016 Training Plan will be used to ensure Dementia Awareness, Responsive Behaviour training are completed by all staff

•Fire training completed for 30 staff on the 24th March and the 29th March 2016. New staff who have commenced or relief staff who missed the training will be provided with fire training.

•Safe guarding training for Vulnerable adults has been conducted in May for all staff reflecting the newly signed off ASI Safe Guarding policy (aligned to HSE policy). This training was conducted by HSE trained ASI personnel.

•Regular team refresher sessions will continue with regard to policies, procedures and updates.

•The training plan will continued to be updated as training is undertaken.

•Person in Charge met with the training manager on the 4th April to discuss training needs for the centre.

Proposed Timescale: 31/12/2016

Theme:

Workforce

The Person in Charge (PIC) is failing to comply with a regulatory requirement in the following respect:

Page 38 of 38 community employment schemes were not identified.

30. Action Required:

Under Regulation 30(a) you are required to: Set out in writing the roles and

responsibilities of people involved on a voluntary basis with the designated centre.

Please state the actions you have taken or are planning to take:

•CE staff have job descriptions in place for their relevant roles.

•Weekly staff roster and daily task allocation form to remain in Nurse’s station and now also be displayed in staff kitchen area.

•Volunteers will be added onto the allocation sheet and they are currently allocated on the day service schedule. They will be given role descriptions.