The Care Inspectorate Wales (CIW) has found that less than half the staff of “Crossroads in the Vale Ltd” – the Penarth-based organisation which provides personal care to adults with dementia care needs – have training in dealing with dementia patients.
The latest CIW report says that “People cannot always feel confident in the care they receive because not all staff may be competent and confident meeting their particular needs. This is because some staff have not been provided with dementia training.”
The report goes on to say that “Records showed that less than half of the staff were provided with this training. This may mean that some staff are not competent at delivering dementia care, though on the day of the inspection we did not see any direct evidence of this. As the service specialises in providing support for people with dementia care needs, it is crucial that all staff are trained in this area.”
On the positive side Crossroads in the Vale is reported to have accessed funds to enable it to set up “a weekly men’s group” in which staff accompany dementia patients on visits to local pubs or to play skittles. Crossroads in the Vale also runs its own day-care centre to provide activities and company for the people they support.
Criticisms made of the organisation in last year’s inspection have now been put right [ Last year inspectors had found there was a need to improve the audit of medication records completed by staff – and to ensure staff were alerted to any potential missed or late calls to at weekends or evenings. ] Inspectors found in the latest inspection that “a robust system had been established to audit medication administration records”
In addition CIW inspectors found that now:-
- the number of qualified staff exceeds the national training target
- the statement of purpose and guide to the service has been improved
- a system is in place to alert staff to any missed or late weekend or evening calls
- a new software system enables constant monitoring regarding the ratio of staff to
people receiving a service
- a laptop had been purchased to improve record keeping and timely action in
relation to any issues raised by staff about individuals the operations manager was analysing information to ensure staff made good use of their time and focussed on the priorities which benefited people having a service.
However, the CIW report is now recommending that:-
- All Crossroads in the Vale staff should be provided with dementia training or refresher training and at the right level to enable them to support people to manage any distressing behaviour.
- Allocating staff to people should take account of the level of dementia care needed; allocating the most appropriate staff to people with dementia who are having
difficulty communicating in their first language.
- Where clients have capacity, they should be encouraged to sign key documents to
evidence their agreement to and involvement in plans concerning their care and
A survey reported that 93% of people who are being cared for “felt their dignity was preserved” and that they were respected. The report says “People were happy with how staff treated them”
CIW inspectors also found that all staff had received a range of other training that was appropriate to their work and up to date. Feedback from the satisfaction survey showed that 89% of people and 100% of health professionals felt that staff were knowledgeable and competent.
Family members commented, “Crossroads, due to their specialist training are able to meet mum’s needs;” “Super staff, well-chosen and trained.” (59% of staff were appropriately qualified, which exceeded the national training target.)
UPDATE: After the publication of the CIW report, Crossroads in the Vale said the organisation had challenged the findings of the CIW inspectors.