Winterbourne View Evidence for inspection for LD Audit 23/5/2007

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Norma Holland
8 years ago
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1 Extracts relating to staff training CQC IAT Winterbourne View Evidence for inspection for LD Audit 23/5/2007 Handwritten inspection notes Evidence sheets Tour and general discussion [..] Training dept links with Napier University to develop preceptorship package for RMNs How many staff have had appraisals in the last 12 months? Please include staff on a fixed term contract as well as permanent staff. Appraisal on anniversary of appointment. 6 months probation allocated a nurse for management supervision. Induction training Objectives, expectations At end of 6 months decide if need to extend induction or given full employment can include personal issue. Castlebeck starting to implement CL supervision policy not yet in place at the unit as new. Will Start. Nurses supervise training as part of induction. The company provides a supervision training. Developing a regional team currently home based. New member of staff on probation has just had supervision, also had an informal supervision session she asked for. Says she will be having monthly supervision. How many staff have had all of their mandatory training in the last 12 months? All staff have had mandatory training as induction. Two new staff spoken too had training and two weeks supernumerary work to get to know the unit and residents. Some anxieties but have had control and restrain training now and have been involved in two incidents and feel more confident. There are debrief sessions when the teams sits and talks through the incident Are to attend LDAF training then will go onto NVQ. Annual update physical interventions and de-escalation one day.

Please include staff on a fixed term contract as well as permanent staff. Appraisal on anniversary of appointment. 6 months probation allocated a nurse for management supervision.

2 What subjects do you train staff in during their first year of employment? POVA, Valuing people, MHA, MCA 2 months mandatory induction training. Castlebeck elearning for H48[?] food hygiene; Clinical and non clinical issues role play. Psychiatrist challenging behaviour Psychologist SHARED approach People worked in units across the country. Research local leisure centre, surgery making links and community Worked in building for 2 weeks to familiarise and role play. Then staged admissions. S workers involved in transition work going to assessments. Pova training S.Gloucester S Services. Training Dept coordinates Also developing regional training office local. Person centred training provided by training dept. Psychologist person centred training 24/7 day service model changed to be person centred. Confirmed by staff interviewed Also said would receive briefi9ng and training for each individual SU eg communications needs. Had received training on adult protection and knew there was a folder in the office would raise issues with line manager aware it could be an issue with new staff. One new member of staff had attended assessment of patient and found it very interesting. Senior staff nurses undergo LDAF supervisor training and NVQ Assessors award. New staff LADF with in first 12 months, NVQ level 2 in first year. 3 day MAYBO physical restraint. Please tell us when each of the following records were checked: records about staff Training records charge nurse and support worker checking staff training files all have certificates 3 files qualified, s workers and ancillary.

Research local leisure centre, surgery making links and community Worked in building for 2 weeks to familiarise and role play. Then staged admissions.

3 Training availability is checked by charge nurse then slots in staff for update training. How many positions in your unit are vacant at the moment? Please express in WTE Preceptorship package to be set up for RMNs to work with LD units looking for best university package. Deputy Manager a mentor for LD one other and internal verifier for NVQ. Two NVQ assessors 10 wanting to assess How many times have these types of restraint been used in your unit in the last 6 months? Please give totals for each type of restraint All nursing staff receive full training ancillary staff generally get the breakaway element of this training (and this in my opinion slightly concerning as they are walking in patient areas, although not dealing clinically with patients they are working within a challenging behaviour environment) Do all staff know how to make a child protection or adult protection referral? Yes all support workers have POVA training; they also have a whistle blowing policy. Incidents Plan to start critical incident analysis at MDT meeting Significant Event Analysis template form seen. Training in Root Cause Analysis for 10 of Castlebeck employees 4-6 next month team from outside unit. Extract from the Regulatory Assessment Record (RAR) Sept 2008 What supporting documents have been reviewed? Training records Points of positive assurance - Gaps in assurance or concerns

Two NVQ assessors 10 wanting to assess How many times have these types of restraint been used in your unit in the last 6 months?

4 Not able to ascertain that the staff who require training have received it. C4 Clinical Governance local plans Points of positive assurance 2. Staff development: all new staff receive an induction at the start of their employment, which must be completed before the end of the probation period. Gaps in assurance or concerns Need assurance on the whole process and wider issues including clinical governance group membership. Additional Comments The organisation should ensure all staff working in service user areas, including ancillary staff, have full training in physical interventions. The organisation should consider providing accredited autism training for staff. Final decision and initial inspection plan Specific issues to be explored, evidence to be sought C9 Review implementation of recruitment and check training records and appraise supervision arrangements. C2 Safeguarding, is there a policy, reporting and training? M35 The establishment does not use seclusion but uses de-escalation and physical intervention. Check staff training and induction for restraint [..] Extract from Winterbourne RAR 2009/2010 Reviewing submitted evidence Winterbourn eview017 Checklist of staff qualifications M17 X Provides evidence of registered nurses qualifications but not that medicines have only been administered by qualified staff. M17

Gaps in assurance or concerns Need assurance on the whole process and wider issues including clinical governance group membership.

5 Winterbourn eview024 Training Matrix update July 2009 Shows a number of gaps in the training matrix for a large number of mandatory items as defined by the provider. Risk assessment of identified worries Review of mandatory training only at 60% at time of self-assessment despite being a requirement from inspection in December Risk assessment What will we do? Likelihood Severity Level of concern Inspection Possible Moderate Minor concern Initial inspection plan Review mandatory training records to gain assurance that all staff have received appropriate training and training updates. CC/AD/MM Extract from provider action plan dated: 27 th Jan 2010 and received by the Commission 4 th Feb Sent by Liz White Snr Manager at Winterbourne View Point 3 of action plan: Regulation: 1 8(2)(a) Action being taken to address statutory requirements: Staff training records are updated and any deficits have been prioritised for completion by the end of March Regular updates for mandatory training are scheduled for the whole of the year and any new starters included on the matrix to ensure compliance Date action to be taken by: 31st March 2010 Point 4 of action plan: Regulation 18(2)(a)

Likelihood Severity Level of concern Inspection Possible Moderate Minor concern Initial inspection plan Review mandatory training records to gain assurance that all staff have received appropriate

6 Action being taken to address statutory requirements: All staff are now either trained or booked on a course to complete MAYBO (prevention management of aggression), for the current year. Updates have been logged to ensure all complete within the timescales. Date action to be taken by: 30th June 2010

management of aggression), for the current year.

Rotherham, Doncaster and South Humber NHS Foundation Trust Great Oaks

Review of compliance Rotherham, Doncaster and South Humber NHS Foundation Trust Great Oaks Region: Location address: Type of service: Yorkshire & Humberside Ashby High Street Scunthorpe Lincolnshire DN16