Staffing
Introduction
The quality of life which
residents experience depends to a great extent on the calibre of the staff
caring for them. Our trained and experienced staff team, which is well managed
and adequately paid, provides high quality care in a responsive and
understanding atmosphere. People living at Mellor Nook are often vulnerable,
both physically and emotionally. Staff carry out personal and potentially
embarrassing intimate services for residents and need special qualities to do
this sensitively and tactfully. Such qualities include personal warmth, patience
and responsiveness to and respect for the individual. They can provide competent
and tactful care whilst supporting residents in maintaining and extending skills
and self-care abilities.
Jean, John & Jim Critchlow (Owner/Managers)
The staff team
At Mellor Nook staff see
themselves as a team which is consistent in its shared aims, with members
fulfilling complementary roles. this ensures residents receive a satisfactory
standard of care, The balance of staff can therefore match the residents' needs.
There are four main
groups of staff at Mellor Nook
·
Managerial staff are (J.M. Critchlow, J.R. Critchlow And J.W.
Critchlow)
·
Deputy officers in charge.
·
Day care staff and night care staff ;
·
Ancillary staff (which includes the cook, building maintenance
staff, gardeners).
In addition, the role to
be played by peripatetic staff such as occupational therapists and chiropodists
is considered carefully.
Current law requires that
Mellor Nook runs with an adequate number of staff who have the right balance of
skills and experience to meet the needs of residents. Each year Mellor Nook
draws up a staffing schedule to show how the staff team meets the residents'
requirements. The schedule is subject to inspection and approval by the
inspection and registration authority Mellor Nook provides sufficient evidence
that the right level of staffing with appropriate competence and training is
provided. Mellor Nook never leaves the home in the control of a person with
insufficient training and experience. The staffing establishment and rota system
therefore are arranged so that there are enough senior staff and they are
suitably deployed to give the cover required to meet the home's stated aims.
Staff
recruitment and selection
Recruitment
The recruitment of good
staff is critical to the running of Mellor Nook and is undertaken carefully.
Staff at all levels demonstrate the right degree of knowledge, skills,
experience and attitudes relevant to their jobs. Managerial and supervisory
staff have qualifications as appropriate.
The following stages are
involved:
·
advertisements are clear about the sort of person wanted and the
work they will do;
·
comprehensive information is be available for potential
applicants;
·
a person specification and job description is drawn up;
·
application forms are completed by all people applying for jobs
·
the interviewing process is conducted fairly by senior staff with
the appropriate skills. It includes candidates talking to residents and existing
staff; references are taken up from two people, one at least from a previous
employer or from someone who, for example, has supervised the applicant in a
volunteer capacity (rather than a character reference from a friend);
·
references are written and sent directly by the referee, and where
necessary followed up with a telephone call to check statements;
·
employment histories are checked for any gaps or evidence of
misconduct;
·
prospective employees must disclose all previous criminal
convictions including those which are 'otherwise spent'. The Rehabilitation and
Offenders Act 1974 (Exemptions) Order 1975 requires residential and nursing home
care staff to disclose previous convictions.
·
the authenticity of qualifications are checked; a health
declaration is requested before appointment;
·
proper records of the recruitment process are kept.
Equal opportunities
It is sometimes difficult
to balance equal opportunities procedures with the needs and rights of
residents. The recruitment procedures and the composition of the staff team does
as far as possible match the mix of cultural and language backgrounds of
residents and local area.
Job descriptions
Job descriptions describe
the roles and tasks which staff have to undertake. They outline the management
structure and lines of accountability and the support and supervision available.
They also set out the overall purpose of the job, linking the importance of the
tasks described to the aims of the home as a whole.
Terms and conditions
of employment
It is mandatory for certain terms and conditions of employment to be clearly
stated in writing and given to each employee as part of the contract of
employment. This is done by means of the SMT (Statement of Main Terms and
conditions) which makes reference to the staff hand book which is available to
all staff on duty At Mellor Nook Peninsula Business Services provide these:
·
remuneration;
·
hours of duty;
·
length of probationary period;
·
grievance and disciplinary procedures;
·
period of notice or dismissal;
·
holiday entitlement;
·
sickness payments;
·
pension arrangements;
·
maternity and paternity benefits;
·
redundancy;
·
commitment to an equal opportunities policy;
·
training opportunities.
Staff handbook
A detailed handbook is
readily available for each member of staff, setting out terms and conditions of
employment as above and also covering procedures to be observed during working
hours. It is an integral part of the contract of employment. It includes:
·
terms and conditions of employment;
·
health and safety at work policies;
·
procedures in specific circumstances, for example fire and other
emergencies;
·
policies and procedures relating to sickness and absences;
·
instructions on maintaining confidentiality;
·
instructions on receiving gifts or gratuities and not being
involved in the drawing up of wills.
Induction
New members of staff are
given a job induction during which they are introduced to residents and other
members of staff and the nature of their job described. The aims and objectives
of the home and its routines and procedures (especially fire and safety) are set
out for them, along with the standards of care which all members of staff are
expected to achieve. This induction is inline with the standards laid down by
T.O.P.S.S. and is completed by all care staff within six weeks of their start
date.
Probationary period
At Mellor Nook all staff
to undergo a formal probationary period of three months to ensure that they are suitable for the
job and the home. They are supported during this time with a review undertaken
at the end of the period. In some cases this probationary period can be
extended. Care is taken to ensure that new staff are not placed
on duty together and unsupported. At Mellor Nook we place a new member of staff
alongside a more experienced person who can act as mentor.
Working
conditions
Hours of duty
Duty rotas are based on a
working week of 26 hours. Staff are not expected to work additional hours
regularly or to work more than five days continuously without taking a break.
Rotas therefore pay attention to both shift patterns and time off duty. Care is
taken to ensure that enough time and attention is given to handover procedures
between shifts so that staff coming on duty are fully informed about any
developments or changes in residents' circumstances. Detailed records of all
information handed over are kept.
Dress
Clothing worn by staff is
suitable for the tasks that they have to carry out. There are arguments for and
against uniforms. They tend to give an institutional feel to an establishment
but the majority of our residents express a preference for staff to wear them so
we consider them appropriate. We are careful not create a misleading impression
that staff are nurses (they are not) or that staff are qualified (if they are
not).
Mellor Nook 's has a
corporate colour and style of clothing. Name badges we find helpful,
particularly if residents find it difficult to remember names. They are also
helpful for visitors.. Jewellery such as brooches, chains and rings are either
covered or not worn if it might scratch or harm residents.
Attention is always given
to matters of infection control, either from resident to resident, resident to
staff or staff to resident, and so practical protective clothing is available
for staff when needed.
Care staff wear White tunics and Back trousers and Deputies
wear Blue tunics and Black trousers.
Support for staff
Mr & Mrs Critchlow
and the Deputy Managers ensure that managerial structures, communications systems and
staff supervision are sufficient to enable staff to undertake their duties
effectively.
Staff induction, manuals
of guidance, inhouse training, staff meetings and individual supervision were
considered carefully and laid out in detail. Mellor Nook takes on board that in
the event of a crisis or an enquiry, management may have to demonstrate that the
support structures which we had in place were sufficient. Mellor Nook staff are
included in discussions about the running of the home.
Staff meetings
Staff meetings take place
regularly and involve all staff.
Newsletter
An important part of the line of communication is the
newsletters which are produced every three months
Staff supervision
There is one-to-one
supervision sessions for all staff on a regular basis although they may be
required more frequently for care staff than other staff categories. The
sessions enable managers to ensure that staff are performing satisfactorily and
provide opportunities for constructive criticism and understanding support.
Personal and career development is discussed.
Stress
Working at Mellor Nook
can be stressful. Staff learn to cope with death, serious illness and the
difficult behaviour of some residents. For the home to be able to deal with such
things as high levels of incontinence and aggressive and violent behaviour, we
have policies and procedures in place which ensure enough support and training
opportunities for staff and adequate staffing levels.
Establishing
staffing levels
Mellor Nook has
considered the residents' needs in relation to all types of staff in drawing up
our staffing arrangements. We have set out the number of staff, their duties,
salaries and the types of qualifications, experience and training which is
expected for each post. We tend to employ part-time care assistants, which
allows for more flexible deployment while our full-time posts tend to improve
consistency and continuity of care At Mellor Nook staff carryout a wide variety
of responsibilities, including resident care, cleaning, cooking and so on. In
all cases, however, the duties required of staff are made clear at the time of
appointment and any changes of duty or role, are recorded in writing.
Mellor Nook:
managerial and care staff
Minimum cover
Mellor Nook's management
and care staffing arrangements, consider two main factors. The first is the
provision of minimum cover. There is a 'responsible person' designated on duty
at all times during the twenty-four hour day. This means that there is someone
present who can make decisions in an emergency, who is familiar with the home's
procedures and practices and has the necessary skills and training to manage the
service provided.
Mellor Nook's cover is
designed to cope with the general running of the home. But there are peaks and
troughs in the residents' demand for staff support and help. Peaks include
getting up, mealtimes, activities and going to bed; troughs include times when
residents are out of the building and rest periods. Mellor
Nook, therefore doesn’t only provide minimum cover but also deploys
staff to offer additional support at peak periods. The employment of part-time
staff enables such deployment to be flexible without causing problems such as
split shifts for other staff.
Total staff required
The second main factor in
the calculation of day care staffing is the degree of need presented by the
residents and the consequent amount of staff time required. Total requirements
are arrived at by estimating the number of care hours required according to
residents' needs per week and then totalled per resident per annum, and then
totalled for Mellor Nook as a whole. Thus the number of staff needed is worked
out once allowance is made for holidays, illness and other absences. This
approach gives the total staffing required for all managerial and care staff on
day duties, inclusive of the minimum cover
Night staffing
At Mellor Nook night
staffing requirements depend upon the mobility and lucidity of residents on the
one hand, and the type of handling problems anticipated on the other. Where
residents require moving, for example, two members of staff are needed Mr &
Mrs Critchlow are on call every night.
Ancillary staff
Ancillary staffing
includes staff not primarily engaged to undertake managerial or care roles, but
the value of their contact with residents or their therapeutic role is not
underestimated. While only basic guidelines are offered for the numbers of such
staff, Mellor Nook considers the tasks listed below.
Cooking
At Mellor Nook, care
staff do the teatime cooking to help create a homely atmosphere, This approach
was determined by the overall aim of the home, and appropriate training made
available to ensure that residents obtain a varied, balanced diet that also
reflects their individual wishes.
Gardening and
maintenance
This work is undertaken
by outside contractors. In some circumstances, since good maintenance is important for the comfort
of residents, especially when they are dependent on the efficient functioning of
heating systems, hot water supplies, other household systems and aids with which
the home is equipped.
Training and
staff development
Mellor Nook enables and
encourage staff to undertake training. As part of staff appraisal and
supervision, an individual training and development plan has been drawn up for
all staff. Staff are encouraged to undertake training courses
to acquire skills and, where appropriate, qualifications. The benefits to be
derived from having a trained staff are many:
·
residents receive better care;
·
staff feel more confident that they are doing the work as it
should be done and that they can tackle problems that arise;
·
staff feel valued by management when the training programme has
the management's backing;
·
the ethos of the home is improved;
·
a pool of staff is available for promotion and career progression.
Mellor Nook provides
training in-house as well as arranging for staff to spend time away on courses.
In-house training of this kind is seen as an integral part of the running of
Mellor Nook and emphasis is given to the timing and arrangement of staffing
rotas to ensure relief cover is provided to enable staff to receive training.
Night staff are included in all training opportunities. Training costs money and
this is incorporated into the fees charged to residents. There are a
range of courses and types of training available at Mellor Nook:
·
in-house training provided by colleagues who themselves are
skilled;
·
peer group training;
·
distance learning (for example via the Open University, the Royal
Institute of Public Health and Hygiene);
·
courses provided by local colleges, university departments, hospital teaching departments;
·
courses organised by care homes associations;
Mellor Nook also offers
National Vocational Qualifications (NVQs) Five levels of qualifications are set
out within the NVQ framework. At level 2 (which is the level most often worked
towards by Mellor Nook staff), competence is expected in a variety of work
activities, some complex and non-routine, along with the ability to work both
alone and in collaboration with others in different situations.
At level 2, there are
currently nine NVQs in care available:
·
developmental care;
·
domiciliary support;
·
post-natal care;
·
combined support;
·
activity and access support;
·
direct care;
·
residential/hospital support;
·
special care needs; independent living support.
Mellor Nook staff find
the combined support and direct care awards particularly relevant.
The NVQ system of
training covers staff at all levels, including managerial training, Mellor Nook
will be linking career progression to the achievement of specific NVQ levels.
For example, Deputies require a level 3/4 in care and work towards an RMA,
The home manager a level 4 in care and an RMA in management (as equivalent to
professional qualifications such as CSS or CQSW).
Mellor Nook is committed
to the training for all staff, particularly those who have direct contact with
residents, training cannot be overemphasised. In particular, staff (both care staff and
ancillary staff) benefit from training in guarding against abuse, promoting
continence, and caring for those who are dying. In the case of residents who
may show signs of developing dementia, it is important that those who have most contact with them
understand their symptoms and know how best to handle those symptoms. This has a
bearing on many aspects of residents' daily lives getting dressed, activities,
mealtimes, going out, going to bed. We also provide training on health and
safety issues, particularly, for example, in relation to food safety, manual
handling and the use of hoists.
Mellor
Nook.
