ACAD Lochview Care Home Service Children and Young People Lochview Kinlocheil Fort William PH33 7NP Telephone:

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1 ACAD Lochview Care Home Service Children and Young People Lochview Kinlocheil Fort William PH33 7NP Telephone: Type of inspection: Unannounced Inspection completed on: 26 June 2014

2 Contents Page No Summary 3 1 About the service we inspected 5 2 How we inspected this service 7 3 The inspection 11 4 Other information 23 5 Summary of grades 24 6 Inspection and grading history 24 Service provided by: ACAD Lochview Service provider number: SP Care service number: CS If you wish to contact the Care Inspectorate about this inspection report, please call us on or us at enquiries@careinspectorate.com ACAD Lochview, page 2 of 26

3 Summary This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change after this inspection following other regulatory activity. For example, if we have to take enforcement action to make the service improve, or if we investigate and agree with a complaint someone makes about the service. We gave the service these grades Quality of Care and Support 5 Very Good Quality of Environment 5 Very Good Quality of Staffing 5 Very Good Quality of Management and Leadership 5 Very Good What the service does well Staff interact very well with young people. Staff are very keen to deliver a good service. Staff have a very good knowledge about the needs of the young people. Care files are kept up to date. Good relationships with parents and other stakeholders. What the service could do better Areas for Improvement have been highlighted in each Quality Theme inspected. What the service has done since the last inspection Environment has been improved on through re decoration. Good progress with regards to the participatory aspect of service provision. ACAD Lochview, page 3 of 26

4 Conclusion We found at this inspection that staff at ACAD continued to deliver a very good service. ACAD Lochview, page 4 of 26

5 1 About the service we inspected The Care Inspectorate regulates care services in Scotland. Information about all care services is available on our website at This service was previously registered with the Care Commission and transferred its registration to the Care Inspectorate on 1 April Requirements and recommendations If we are concerned about some aspect of a service, or think it could do more to improve, we may make a recommendation or requirement. A recommendation is a statement that sets out actions the care service provider should take to improve or develop the quality of the service, but where failure to do so will not directly result in enforcement. Recommendations are based on the National Care Standards, relevant codes of practice and recognised good practice. A requirement is a statement which sets out what is required of a care service to comply with the Public Services Reform (Scotland) Act 2010 and Regulations or Orders made under the Act or a condition of registration. Where there are breaches of Regulations, Orders or Conditions, a requirement must be made. Requirements are legally enforceable at the discretion of the Care Inspectorate. The service is registered to provide a care home service for up to six young people aged between 11 and 18 years. The service is situated in a rural location approximately 10 miles from Fort William. The accommodation comprises of six single bedrooms with en-suite facilities, communal living area, kitchen/dining-room and various other activity and staff rooms. All the accommodation is on one level. The aims and objectives of ACAD Lochview stated that they aimed to 'provide a consistent and caring environment, for young people aged 11 to 18 years old in which they will feel safe and secure. The welfare of the young people in our care is of paramount importance. Our objective is that every young person who resides at Lochview House has the chance and support to enhance their sense of self-worth and self-esteem giving them the opportunity to develop respect for themselves and ACAD Lochview, page 5 of 26

6 others. We will strive to work closely with the local authority in ensuring that each young person receives adequate education...' Based on the findings of this inspection this service has been awarded the following grades: Quality of Care and Support - Grade 5 - Very Good Quality of Environment - Grade 5 - Very Good Quality of Staffing - Grade 5 - Very Good Quality of Management and Leadership - Grade 5 - Very Good This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change following other regulatory activity. You can find the most up-to-date grades for this service by visiting our website or by calling us on or visiting one of our offices. ACAD Lochview, page 6 of 26

7 2 How we inspected this service The level of inspection we carried out In this service we carried out a low intensity inspection. We carry out these inspections when we are satisfied that services are working hard to provide consistently high standards of care. What we did during the inspection This was an unannounced inspection that was carried out by us on 23 June Feedback was provided on 26 June Before the inspection visit we received a completed Annual Return and Self Assessment. These are documents that we ask the provider to complete and send to us. We sent out three questionnaires to young people but did not receive any back. We sent out seven questionnaires to staff and we received five back. During the inspection we looked at various policies, procedures and other documents to include the following: Certificate of registration with the Care Inspectorate. Public Liability Insurance. Staffing Rotas. Maintenance checks. Care Plans. Risk assessments. Medication records and storage. Accident, incident recording. Staff training records. Staff meeting minutes. Young people's meeting minutes. Records of absconding. Questionnaires sent to young people, parents and other stakeholders. We spoke with the following people: The parent of one young person. We were not able to contact the other two parents. ACAD Lochview, page 7 of 26

8 All the young people who were at home during our visit. All staff on duty. The manager and the depute manager of the service. We tried to contact placing social workers but were not able to. We toured the premises and observed the interaction between staff and the young people. All of the aforementioned informed the content of this inspection report. Grading the service against quality themes and statements We inspect and grade elements of care that we call 'quality themes'. For example, one of the quality themes we might look at is 'Quality of care and support'. Under each quality theme are 'quality statements' which describe what a service should be doing well for that theme. We grade how the service performs against the quality themes and statements. Details of what we found are in Section 3: The inspection Inspection Focus Areas (IFAs) In any year we may decide on specific aspects of care to focus on during our inspections. These are extra checks we make on top of all the normal ones we make during inspection. We do this to gather information about the quality of these aspects of care on a national basis. Where we have examined an inspection focus area we will clearly identify it under the relevant quality statement. Fire safety issues We do not regulate fire safety. Local fire and rescue services are responsible for checking services. However, where significant fire safety issues become apparent, we will alert the relevant fire and rescue services so they may consider what action to take. You can find out more about care services' responsibilities for fire safety at ACAD Lochview, page 8 of 26

9 The annual return Every year all care services must complete an 'annual return' form to make sure the information we hold is up to date. We also use annual returns to decide how we will inspect the service. Annual Return Received: Yes - Electronic Comments on Self Assessment Every year all care services must complete a 'self assessment' form telling us how their service is performing. We check to make sure this assessment is accurate. We received a completed Self Assessment before this inspection and we were satisfied with the content. The service had identified areas of strengths and areas for improvement. Taking the views of people using the care service into account We spoke with young people, parents, staff and management of the service. We were told that people were very happy with the service being provided. Comments noted; "I really like living here." "Staff are really good." "Staff are nice." "Think I am doing well since coming here." "Not as good as being at home but fine really." "Feel safe." "Good food." "Can go out on activities if I want." "Get weekly reports about how... is doing." "Staff are friendly." "Staff make me welcome when I visit." "No concerns at all a very good service." "Well supported by the management." "Really love my work." "Good team work." "Great team support." ACAD Lochview, page 9 of 26

10 "A breath of fresh air compared to my last job." Inspection report continued Taking carers' views into account See Views of People using the Service. ACAD Lochview, page 10 of 26

11 3 The inspection We looked at how the service performs against the following quality themes and statements. Here are the details of what we found. Quality Theme 1: Quality of Care and Support Grade awarded for this theme: 5 - Very Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the care and support provided by the service. Service strengths We have reported Quality Theme 2, 3 & 4, Statements 1 in this Quality Statement. We found at this inspection that staff at ACAD continued to gain the views of young people, family members (where possible) and other stakeholders to assess the quality of care and support. The views of young people also informed the service about the quality of the environment, the quality of staffing and the quality of management and leadership. The views of young people were gained in various ways. For example, through informal day-to-day contact with staff and through more formal Child Plan meetings, Children's Hearings and Core Group meetings. We observed at this inspection that the interaction between staff and the young people was very good. Staff spoke to young people in a respectful way and young people were very settled in their surroundings. Young people told us that they could speak to any of the staff group, but "of course we have our favourites". Young people were asked to take part in monthly meetings and we looked at the minutes of these. Young people were encouraged to contribute to the agenda for the house meetings and comment on issues relating to their care and support. House meetings were not held in the care home and this approach had been successful in young people being more interactive. Suggestions made were followed up in the Action Taken part of the minute. Young people were assisted by staff to complete any documentation for formal hearings, meetings. Young people could also access the Who Cares Worker if they needed additional or external support. There was a suggestion box for young people to submit any comments anonymously. This box was checked by the depute manager and any issues addressed. ACAD Lochview, page 11 of 26

12 A 'points to raise' folder was available to young people in the communal area. Young people were encouraged to write any queries or suggestions in this. Again, this was checked by the Depute Manager on a weekly basis. Young people were aware of the Complaints Procedure. This was explained to them when they first accommodated. Complaints forms were readily available to young people who were supported by staff to complete these if they wished. Young people met with their allocated Key team which was made up of a staff member from each team on each shift. Young people were aware of who their Key team was. Young people could spend time with the Depute Manager at least every second day. This provided them with an opportunity of bringing up any issues directly with management. Young people were encouraged to contribute to care plans. For example, My Journey, action plans and risk assessments. Young people were encourage to comment on the content of these documents or write their own which was attached. When we looked at the care plans, risk assessments and actions plans for young people we confirmed this. We found clear evidence that young people had been involved throughout the process. Young people had the opportunity of completing a questionnaire. These were given to young people at the mid-term of the placement and at the end of the placement. We looked at a selection of these at this inspection. We saw that young people could comment on all aspects of the service provision. Young people were involved in the decor and appearance of their living space. For example, changes had been recently made to the lounge area which reflected the choices of the young people. This included a display area for young people's artwork and photographs. Young people were also involved in the decor of the kitchen area. Within the house there was a designated wall that young people could 'graffiti' on. We looked at this and saw that this had been done in a very tasteful manner. Young people expressed their feelings on this wall and this also informed new young people about how they felt about their time in the home. Young people and members of staff were in the process of re designing and developing the garden area. This will include the creation of a sun lounge area, flower area and spaces where vegetables can be grown. Young people were involved and played an active role when new staff were recruited. For example, interviews with potential staff on which the questions had been designed by the young people. Young people had daily access to the Depute Manager if there were issues with staff and questionnaires given to them included a section in which they could comment on the quality of staff. ACAD Lochview, page 12 of 26

13 Staff kept regular contact with parents, social workers and other professionals involved with the young people. For example, weekly telephone calls and progress reports. Records of telephone calls were recorded and copies of reports to social workers placed in the young persons file. Questionnaires were sent out to parents, social workers and other stakeholders to gain their views or raise issues about the service provision. We looked at a selection of these and found that the comments were positive. For example, "good support from staff at ACAD and good placement for the young person". "ACAD has been a positive placement for... and many of their needs have been identified, needs are being met, which can be seen in positive changes in... behaviour". Staff were provided with various ways in which they could express their views. For example, through the 'open door' policy operated by the Depute Manager. We saw that this was well used when we carried out this inspection visit. Staff were supportive of the Depute Manager and told us that she was "very approachable". Team meetings took place on a monthly basis and senior meetings also held on a regular basis. Minutes of these were recorded and we looked at a selection at this inspection. Staff had regular one to one supervision with seniors and they told us that they also found this to be very useful and another way to express their views. Observation of staff at this inspection showed that they worked well as a staff group. Staff were open and honest in expressing their views about the service. Questionnaires were also provided to staff and these were evaluated and feedback given to staff. We also received five completed questionnaires from staff and these were returned directly to us. In all five questionnaires staff said that they were given the opportunity to meet up with other staff and talk about day-to-day work. Staff also confirmed that they were asked for their opinions as to how the service could be improved on. Areas for improvement Inspection report continued To continue to explore and develop areas for young people to be involved in assessing and improving the quality of care and support provided by ACAD. To extend the range of stakeholders' questionnaires are sent to include; Who Care Scotland, education and other external agencies that staff remain in regular contact with. To explore the use of new technologies in the form of tablets compatible with smart phone technology to gain feedback and use as an attractive medium for young people and their families. To continue to evaluate the feedback provided and ensure that this is measured against outcomes. ACAD Lochview, page 13 of 26

14 Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Statement 3 We ensure that service users' health and wellbeing needs are met. Service strengths Inspection report continued We found at this inspection that the service continued to ensure the health and wellbeing needs of young people being cared for were met. All young people were registered with a local GP, dentist and optician. Appointments were made as required. Staff accompanied young people to appointments if they wished and the outcomes of appointments were recorded in the young persons individual file. We saw that this was the case when we looked at young people's files. Healthcare needs were clearly recorded, updated when required and any additional healthcare needs identified during the placement highlighted. All health appointments were recorded as well as a chronology. An account of the outcome was also recorded with any special advice noted. A wide variety of literature was available to young people with regards to their wellbeing. For example, healthy eating, smoking cessation, sexual health, mental health, pregnancy and substance misuse. Support was provided to young people by the Key team for discussion on any of these issues. Young people took part in regular physical activities. Swimming, climbing, walking and attended the gym with staff and other young people. One person was being supported in keeping active through their interest and passion for ice hockey. Young people were encouraged to eat a healthy diet. Young people contributed to the weekly menu planning. Young people were encouraged to assist with the weekly food shop and explore healthy options for meals. Fresh food and fruit was available in the house for young people. The recommended five a day was incorporated in meal planning and young people encouraged to try out new healthy foods. Young people's emotional and physical needs were identified in the Child's Plan. Identified needs were actioned using part of the Getting It Right For Every Child (GIRFEC) framework, Safe, Healthy, Active, Nurtured, Achieving, Respected, Responsible, Included (SHANARRI). An Action Plan which was also based on SHANARRI indicators was in place and young people contributed to this plan. Should young people have identified mental health needs then a referral was made to the local Children and Adolescent Mental Health Services (CALMS) team. Young people were actively encouraged to maintain contact with family members (where appropriate) by letter, phone calls, visits to the family home and meeting with the family in public locations. A private family room was available for young people to meet with family members within the care home. This was regularly used by family on visits. ACAD Lochview, page 14 of 26

15 Young people were supported and supervised in administering their medication as required. All medication as stored in a safe place. Young people could self medicate if they wished and this was recorded in their care plan. We looked at the records kept when medicines were administered and found that this was carried out safely. For example, a record kept of the amount of medication in stock and records signed by staff when administered. Any medication that was not required was returned to pharmacy and this was signed for by the receiving pharmacist. Staff had undergone various training courses in relation to the wellbeing of young people and this included: Child Protection, Health and Safety, use of restraint, first aid and food hygiene. On the day of this inspection a full health and safety training programme was being delivered to staff. Staff also enhanced their knowledge and skills through an e learning system. Staff had access to courses such as: epilepsy awareness. Areas for improvement A Food Champion to oversee the food on offer and support the team to promote healthy eating should be progressed. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 ACAD Lochview, page 15 of 26

16 Quality Theme 2: Quality of Environment Grade awarded for this theme: 5 - Very Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the environment within the service. Service strengths This Quality Statement has been reported in Quality Theme 1, Statement 1. Please refer to Quality Theme 1, Statement 1 for further detail. Areas for improvement The same as those identified in Quality Theme 1, Statement 1. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Statement 2 We make sure that the environment is safe and service users are protected. Service strengths We found at this inspection that the service continued to ensure that the environment was safe and young people were protected. There was a very thorough recruitment process in place. For example, two written references and relevant Disclosure Scotland, Protection of Vulnerable Groups checks carried out. All members of staff were registered with the appropriate body, the Scottish Social Services Council (SSSC). All staff were required to be registered with the SSSC within six months of starting employment. There was sufficient numbers of staff on duty at all times to address the care needs of the young people. Staffing Rotas we looked at confirmed this. ACAD Lochview, page 16 of 26

17 There was a Challenging Behaviour policy in place to ensure that staff were conversant with the Holding Safely guidelines. All incident s were recorded and reviewed by the Depute Manager and the Area Manager. Feedback was given to the young persons Key team to ensure appropriate interventions took place. Crisis management Plans (CMP) were in place. This enabled staff to respond to young people's behaviours during a crisis period more effectively and consistently. CMP's outlined aspects such as triggers, behaviour patters, de-escalation approaches, the use of physical intervention and the de briefing process with the young person. The CMP's were reviewed on a monthly basis with the staff team and the Depute Manager. Accident, Behaviour, Consequence (ABC) charts were completed when any incident occurred. These were evaluated by the Depute Manager on a monthly basis to look for specific patterns to behaviours. The home was kept secure at all times by ensuring that external doors were kept locked to prevent access from the outside without a key. Windows and fire doors in young people's rooms were fitted with an alarm to ensure their safety and protection. All visitors to the home were required to sign the visitors book. A door bell was fitted to the main entrance door. Fire drills and alarm checks were carried out regularly. All unit vehicles were regularly maintained and MOT'd annually. Other electrical equipment or equipment which was required to be checked was. We looked at the records of maintenance checks at this inspection Any area which required to be repaired was identified by staff and a referral made to the Estate Manager for repair. There was risk assessments in place to ensure the safety of the young people. Risk assessments were cross referenced into 'My Journey' documentation at monthly reviews. All staff had attended Health and Safety training and this was updated on a regular basis. Controls as to Internet use were in place and young people supervised in the appropriate use of this. The home was kept in a good state of repair, was clean, hygienic and welcoming. Infection control policies and procedures were in place for staff to follow. Areas for improvement Inspection report continued To continue to progress the plans for the outside areas to enhance the appearance. ACAD Lochview, page 17 of 26

18 Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Inspection report continued ACAD Lochview, page 18 of 26

19 Quality Theme 3: Quality of Staffing Grade awarded for this theme: 5 - Very Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of staffing in the service. Service strengths This Quality Statement has been reported in Quality Theme 1, Statement 1. Please refer to Quality Theme 1, Statement 1 for further detail. Areas for improvement The same as those identified in Quality Theme 1, Statement 1. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Statement 3 We have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Service strengths We found at this inspection that the service continued to have staff who were professional, trained and motivated and who operated to National Care Standards, legislation and best practice. All staff were registered with the appropriate body, the Scottish Social Services Council (SSSC). Staff were required to be registered within six months of their start date. If staff do not acquire this registration within the specified timescale they are not employed until the certificate is received by the employer. Staff had or were working towards a recognised qualification in child care to meet the condition of their registration. ACAD Lochview, page 19 of 26

20 Staff received regular one to one supervision. Training needs of staff is discussed indepth during this one to one session and future training identified. Staff received regular updates to keep their knowledge up to date. For example, articles, research, policies and literature. Staff were committed to ongoing learning and professional development which met the requirements of the SSSC. In house training was carried out in relation to the principles of the Children (Scotland) Act 1995, child protection, GIRFEC and the National Care Standards and how these impact on the service. Staff we spoke with told us that they received "lots of training" that was relevant to the role they carried out. Staff told us that if there was special training courses they could discuss this with the manager and "usually" someone attended. Staff we spoke with were very knowledgable about the young people they cared for. Staff demonstrated a very good and sound knowledge of the needs of Looked After Children. Staff attended a variety of meetings to enable them to liaise with professional partners and gain advice and guidance. Staff told us that this had increased their knowledge base to inform future practice. Staff we spoke with were highly motivated to provide a good service. Staff were well supported by the management team and valued this. Staff interacted very well with the young people and we observed them to listen and take what young people said seriously. There was a Whistle-blowing policy and procedure in place and after speaking to and observing staff we were in no doubt that any poor practice would be brought to the attention of the management. An excellent working relationship had been developed between all staff and this clearly assisted the current very good practice. Areas for improvement Inspection report continued Continue to implement yearly staff appraisals. Continue to provide specialist training for staff when this has been identified. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 ACAD Lochview, page 20 of 26

21 Quality Theme 4: Quality of Management and Leadership Grade awarded for this theme: 5 - Very Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the management and leadership of the service. Service strengths This Quality Statement has been reported in Quality Theme 1, Statement 1. Please refer to Quality Theme 1, Statement 1 for further detail. Areas for improvement The same as those identified in Quality Theme 1, Statement 1. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Statement 4 We use quality assurance systems and processes which involve service users, carers, staff and stakeholders to assess the quality of service we provide Service strengths We found at this inspection that the service continued to use very good quality assurance systems and processes which involved service users, carers, staff and other stakeholders to assess the quality of service provision. We have highlighted in Quality Theme 1, Statement 1 ways in which the views of people are gained to inform the service provision. This Quality Statement should be read in conjunction with Quality Theme 1, Statement 1. The feedback received from young people, parents, carers and social workers was shared and discussed at monthly team meetings. Further evaluation was carried out and common areas identified and addressed. Quality assurance was further assured through the process of self-evaluation, supervision, monitoring of staff practice, ACAD Lochview, page 21 of 26

22 managers review of reports and records, managers scrutiny of files, implementation of training programmes and regular team meetings. Senior management visited and completed an audit on a regular basis and any areas that required to be improved on identified. We were confident that the Quality Assurance systems that were in place were robust enough to assess the quality of service provision. Areas for improvement Inspection report continued Continue to think of innovative ways in which young people can be involved to a greater extent in the evaluation of the quality of service provision. Develop an internal audit to improve Quality Assurance by ensuring that all documents are signed and dated and paperwork trails are linked and paperwork is of a high quality. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 ACAD Lochview, page 22 of 26

23 4 Other information Complaints No complaints have been upheld, or partially upheld, since the last inspection. Enforcements We have taken no enforcement action against this care service since the last inspection. Additional Information Not applicable. Action Plan Failure to submit an appropriate action plan within the required timescale, including any agreed extension, where requirements and recommendations have been made, will result in the Care Inspectorate re-grading a Quality Statement within the Quality of Management and Leadership Theme (or for childminders, Quality of Staffing Theme) as unsatisfactory (1). This will result in the Quality Theme being re-graded as unsatisfactory (1). ACAD Lochview, page 23 of 26

24 5 Summary of grades Quality of Care and Support Very Good Statement 1 Statement Very Good 5 - Very Good Quality of Environment Very Good Statement 1 Statement Very Good 5 - Very Good Quality of Staffing Very Good Statement 1 Statement Very Good 5 - Very Good Quality of Management and Leadership Very Good Statement 1 Statement Very Good 5 - Very Good 6 Inspection and grading history Date Type Gradings 5 Jun 2013 Unannounced Care and support 5 - Very Good Environment 5 - Very Good Staffing 5 - Very Good Management and Leadership 5 - Very Good 7 Sep 2012 Unannounced Care and support 5 - Very Good Environment 5 - Very Good Staffing 5 - Very Good Management and Leadership 5 - Very Good 17 Jan 2012 Unannounced Care and support 4 - Good Environment 4 - Good Staffing 4 - Good Management and Leadership 4 - Good ACAD Lochview, page 24 of 26

25 29 Sep 2011 Unannounced Care and support 4 - Good Environment 3 - Adequate Staffing 3 - Adequate Management and Leadership 4 - Good 21 Dec 2010 Unannounced Care and support 5 - Very Good Environment Not Assessed Staffing Not Assessed Management and Leadership 5 - Very Good 4 Jun 2010 Announced Care and support 4 - Good Environment Not Assessed Staffing 5 - Very Good Management and Leadership 4 - Good 11 Feb 2010 Unannounced Care and support 4 - Good Environment Not Assessed Staffing 4 - Good Management and Leadership Not Assessed 15 Jul 2009 Unannounced Care and support 4 - Good Environment 4 - Good Staffing 4 - Good Management and Leadership 4 - Good 8 Dec 2008 Unannounced Care and support 3 - Adequate Environment 4 - Good Staffing 4 - Good Management and Leadership 3 - Adequate 10 Sep 2008 Announced Care and support 3 - Adequate Environment 4 - Good Staffing 3 - Adequate Management and Leadership 3 - Adequate All inspections and grades before 1 April 2011 are those reported by the former regulator of care services, the Care Commission. ACAD Lochview, page 25 of 26

26 To find out more about our inspections and inspection reports Read our leaflet 'How we inspect'. You can download it from our website or ask us to send you a copy by telephoning us on This inspection report is published by the Care Inspectorate. You can get more copies of this report and others by downloading it from our website: or by telephoning Translations and alternative formats This inspection report is available in other languages and formats on request. Telephone: enquiries@careinspectorate.com Web: ACAD Lochview, page 26 of 26

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