Sense Scotland - Dundee Housing Support Service Sangobeg House 4 Francis Street Dundee DD3 8HH Telephone:

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1 Sense Scotland - Dundee Housing Support Service Sangobeg House 4 Francis Street Dundee DD3 8HH Telephone: Inspected by: Patsy McDermott Type of inspection: Unannounced Inspection completed on: 2 December 2013

2 Contents Page No Summary 3 1 About the service we inspected 5 2 How we inspected this service 7 3 The inspection 12 4 Other information 26 5 Summary of grades 27 6 Inspection and grading history 27 Service provided by: Sense Scotland Service provider number: SP Care service number: CS Contact details for the inspector who inspected this service: Patsy McDermott Telephone Sense Scotland - Dundee, page 2 of 28

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 Staffing 5 Very Good Quality of Management and Leadership 6 Excellent What the service does well The service showed a commitment and enthusiasm toward the improvement agenda. The quality of the staff team was a major strength within the service. There was very good evidence that a range of communication systems were used to make sure that people using the service were listened to and their views acted upon. What the service could do better The service was in the process of introducing new support plan documentation. We saw that the previous files were extremely large, but contained important information about the often changing needs of the service users. What the service has done since the last inspection The last inspection identified that one part of the service which supports a number of people with complex needs, experienced a high number of incidents. The management had undertaken a detailed health and safety review of this locality. This included assessing the environment, staffing structure and the development of specialist training. We saw that significant changes had been made to the outside courtyard area, which were based on the safety of service users and staff. Changes included the introduction of flower beds, fixed seating and ramps and sturdy fencing. Service users had gained ownership of the space by applying their own art work and being involved in the gardening. Sense Scotland - Dundee, page 3 of 28

4 Conclusion Inspection report continued Overall, we found the service was offering people flexible and personalised support. The people using the service said they were very satisfied with the service they received. Who did this inspection Patsy McDermott Sense Scotland - Dundee, page 4 of 28

5 1 About the service we inspected Sense Scotland's Dundee service assists vulnerable people to live as independently as possible within their own homes. The service is provided to adults with many different needs, including people with; sensory impairment, learning disabilities, physical disabilities, enduring mental health problems and also, people with autistic spectrum disorder. The service can respond to crises, intermittent needs, short and long term needs. At the time of inspection, there were 19 people being supported by the service. The Care Inspectorate regulates care services in Scotland. Prior to 1 April 2011, this function was carried out by the Care Commission. Information in relation to all care services is available on our website at This service registered with 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 its service, 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. - A requirement is a statement which sets out what is required of a care service to comply with the Public Services Reforms (Scotland) Act 2010 and Regulations or Orders made under the Act, or a condition of registration. Where there are breaches of the Regulations, Orders or conditions, a requirement must be made. Requirements are legally enforceable at the discretion of the Inspectorate. Sense Scotland - Dundee, page 5 of 28

6 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 Staffing - Grade 5 - Very Good Quality of Management and Leadership - Grade 6 - Excellent 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. Sense Scotland - Dundee, page 6 of 28

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 report was written following an unannounced inspection undertaken by Patsy McDermott, Inspector. The inspection took place on 19th November, between 10.00am and 3pm and on 25th and 27th November at the service based at Erskine Street, Walton Mill and Tullideph, Dundee. Feedback was given to the Manager on 2nd December 2013 with a Social Work Contracts Officer present. We met with the Area Manager at the service office and visited three sites where service users are supported. As part of the inspection, we took into account the annual return and self assessment forms that we asked the provider to complete and submit to us. We sent out 15 Care Standard Questionnaires and 11 were completed and returned to us before the inspection. During this inspection we gathered evidence from various sources, including the following: We spoke with: * Two service users * Two relatives * Area manager * Three locality managers * Two supervisors * Four practitioners * Two support workers Sense Scotland - Dundee, page 7 of 28

8 We looked at: A sample of the policies, procedures, health & safety records which the service is required to maintain including; - Five support plans. - Records of accidents/incidents. - Staff records including training records and supervision schedule. - Records of complaints. - Insurance certificates. - Minutes of service user, staff and management meetings. - Quality assurance systems, records and reports. - The participation strategy (this is the service's plan for how they will involve service users'). - Newsletters. - Care plan audits. - Evidence of meetings with outside health professionals. - Review of questionnaires completed by service users, relatives and staff. All the above information was taken into account during the inspection process and was used to assess the performance of the service in relation to a number of Quality Statements. 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. Sense Scotland - Dundee, page 8 of 28

9 Fire safety issues Inspection report continued 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 Sense Scotland - Dundee, page 9 of 28

10 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. 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. A fully completed self assessment document was submitted to the Care Inspectorate prior to the inspection. The document was completed to a satisfactory standard and highlighted the service's strengths as well as areas for improvement. Some areas of the self assessment need to be updated. Taking the views of people using the care service into account We spent time with two service users. Each indicated that they were satisfied with the support they received and got on well with staff. One person indicated he was sad, as a long standing staff member had moved, but he had been really busy since then, so it wasn't too bad. We saw staff working with another two people. They appeared to have good relationships and the service users were happy to approach and interact with them. Ten service users returned Care Service Questionnaires. All agreed that they were 'Very Happy' with the overall quality of the service received. Comments included "I have lived here for a year and have my first holiday next week. I am very happy about this. I would like to have more holidays in the future." Sense Scotland - Dundee, page 10 of 28

11 Taking carers' views into account Inspection report continued Some of the Care Service Questionnaires had been completed by advocates and relatives. Once again, all agreed that they were "Very Happy" with the overall quality of the service received. Comments included: "I believe as (service user's) guardian, that he receives an excellent support service. I am kept up to date on a regular basis on all aspects of his care and support." "(Service user) has a care team of 3 people which helps him have positive relationships. During the summer, staff work with him on new activities and there is evidence of 6 monthly reviews being held at the correct time." Sense Scotland - Dundee, page 11 of 28

12 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 The service's self assessment told us about most of the ways they supported people to participate in assessing and improving quality. When asked to grade themselves on this statement, the service told us they were very good in this area. The service identified some of their strengths as: "Service user and carer consultation remains an important aspect of the service delivery provided across the services and is varied and creatively developed by the management to promote involvement and influence in meaningful ways. The Service User Consultation Group (SUCG) continues to grow in strength, representing the organisation across all regions and two Dundee service users are long standing members here, their regular meetings and conferences address common operational and service themes that directly feed into the Senior Management Group agenda. We have supported formal satisfaction surveys in the past and this remains one of our quality assurance tools, but taking on board family and carer views, we have tried to move away from some of the questionnaire mailing formats, into more family events and get togethers, where opportunities for views and opinions are gathered in more natural face to face environments. There has been a number of these events held throughout the year and appear to be working much better and more beneficial to both service users and carers in their understanding and involvement with the service and staff teams." Sense Scotland - Dundee, page 12 of 28

13 We sampled some of the evidence provided, looked at the information in the self assessment and found that the service had a very good level of performance. These strengths had a positive impact on people using the service. The service had in place a local participation strategy, which outlined the range of methods available to support people to give their views. The strategy acknowledged the rights of service users and their families to be involved in assessing all aspects of the quality of the care and support being provided. This meant that people felt confident and supported in sharing their views and we saw many examples of this during the inspection. The service had a complaint procedure and details of this, and that of the Care Inspectorate complaint's system were provided to service users and their relative during the introductory visits. Regular support plan reviews take place and we found that records and minutes show a high level of involvement from service users, their family and significant others. External professionals are always invited and encouraged to attend. The service continued to offer a range of forums which service users can take part in. These forums were seen to be relevant and allowed people the chance to be at the centre of new initiatives within Sense Scotland. These included: * Selection and recruitment of staff. * Service User Consultation Group. Two service users are long standing members of the Service User Consultation Group (SUCG). The SUCG meet regularly and were actively involved in the organisations annual conference. The meetings were recorded and the service users received a DVD of each meeting. We noted the service had developed a new satisfaction survey for the Dundee area. This document was easy to read and asked questions about all areas of the service. It also explained how the information would be used to further develop the service. We felt the simple format would help to get a varied response from most stakeholders and underline how important their views were. The 'Partners In Communication' newsletter is shared with both staff and service users and comes in an easy to read format. Sense Scotland - Dundee, page 13 of 28

14 Overall, we found the service was performing at a very high level in this Quality Statement and has managed to implement and sustain a level of participation that is embedded in the work they do. Therefore, the grade awarded for this area of practice is very good. Areas for improvement In the self assessment submitted by the service, the manager had identified the following areas for improvement: "There remains a need for advocacy within Dundee and the limited availability is an area of improvement we feel to represent and support service users as an individual outwith their service and family circle. We would like to progress further work with the SAY group in areas of participation and involvement in assessing quality of service delivery. The Charter of Involvement 'Let's Get Involved', remains a goal to set up service users to run quality assurance audits and this is presently being discussed through the SUCG." We spoke to several relatives during this inspection, who were very happy with the quality of care provided, however we noted that two relatives were not aware of who was the keyworker for their relative. We felt this lack of up to date information could cause some confusion for relatives. We were glad to see that the provider had identified advocacy and continued participation as areas for improvement. We look forward to seeing developments in these areas at the next inspection. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Sense Scotland - Dundee, page 14 of 28

15 Statement 3 We ensure that service users' health and wellbeing needs are met. Service strengths Inspection report continued The service's self assessment told us about most of the ways they supported people to participate in assessing and improving quality. When asked to grade themselves on this statement, the service told us they were very good in this area. The service identified some of their strengths as: "All service users have a clear and documented assessment of health support needs and health support through their Support Plan and Health Log. Key Performance Indicators particularly focus in staff supporting a health and wellbeing ethos with service users, through a wide range of activities and lifestyle choices such as exercise, diet and social engagement. Particular health conditions that a service user may have, dictate that their staff members are competently trained and assessed in supporting the health condition i.e. Epilepsy, Diabetes and Medication." During the inspection we examined some of the evidence presented, information from the self assessment and observed practice that confirmed the service was working at a very good standard in promoting the health and wellbeing needs of service users. During this inspection, we case tracked the care and support of two service users. We met with the service users, spoke to their relatives and the staff who supported them, including the keyworkers. We looked at their support plans and found them to be a very good reflection of the care provided. A wide range of policies and procedures were in place that are known and understood by staff. This helped to ensure they are vigilant in their duties to promote and protect service user's health and wellbeing. The service had individual medication folders for service users. These contained clear information and records regarding medication used regularly, or on an as required basis for each service user. Protocols for administration of certain medications, also linked to guidance within main care and support plans which detailed side effects to be aware of. This good practice had led to improved auditing of medication within the service and improvements in the administration of medication. We looked at records in relation to complaints, accidents and incidents and found all procedures were in good order, which demonstrated the service's commitment to the health and wellbeing of the people using the service. Sense Scotland - Dundee, page 15 of 28

16 Each service user has a key worker and their care plans are highly individualised, with each plan detailing individual support needs and their preferred communication methods. This allows service users to engage in a way that best suits their needs and aspirations. Many of the service users have health issues, and where appropriate, the staff worked in partnership with other agencies, including health and social work professionals, to provide service users with consistency of care and support. The staff promoted healthy lifestyle choices such as diet, exercise, social activities and engagement. Review of records and discussion with service users, family members and staff, identified a variety of positive outcomes, resulting in improved health, selfesteem, wellbeing and better quality of life. One relative commented 'What a difference. His quality of life is so much better.' Each service user has a key worker and their care plans are highly individualised, with each plan detailing individual support needs and their preferred communication methods. This allows service users to engage in a way that best suits their needs and aspirations. Overall, we found that the staff worked from a sound base of experience and knowledge. They attended a wide variety of training related to health and wellbeing, which supported their practice on a day to day basis and ensured service users receive the appropriate care. This included nutrition, mental health and Adult Support and Protection. Discussion with staff and service users provided a range of evidence that people were supported in their preferred way and we felt the service was performing at a very good level. Sense Scotland - Dundee, page 16 of 28

17 Areas for improvement In the self assessment submitted by the service, the manager had identified the following areas for improvement: "Health and wellbeing improvement for service users and staff remains a key performance indicator across services and within the organisational strategic planning. Service user income and finances can influence service users to follow fast food and poor dietary choices and this is an area of improvement we will continue to address and encourage service users in their healthy living awareness." Some of the support plans we looked at seemed very large and could be difficult for staff to find information. We saw that these were currently being transferred to an outcome based model. This should help to allow staff to access relevant information more quickly and we look forward to seeing these personalised plans at the next inspection. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Sense Scotland - Dundee, page 17 of 28

18 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 The service's self assessment told us about most of the ways they supported people to participate in assessing and improving quality. When asked to grade themselves on this statement, the service told us they were very good in this area. The service identified some of their strengths as: "Depending on the capacity and tolerance of the service user, they are encouraged and supported to participate within the recruitment process, whether as a panel member, part of the group discussion, through an informal get together, or shaping the questions and scenarios to assess candidate's values and attitudes." The range of methods highlighted in this report in Quality Theme 1, Statement 1, Service Strengths, are also relevant to how service users and carers can participate in assessing and improving the quality of staffing in the service. Service users are offered opportunities to be involved in recruitment and selection procedures for new staff. There is generally always service user representation on interview panels. Service users are involved in agreeing a relevant set of questions to ask at interview. There was evidence to show that where service users were not able to be directly involved in the interview panel, information gathered from focus group work and social evenings addressed service user views on the quality of staff and fed into the selection process of new staff. Overall, we found the service was performing at a very high level in this Quality Statement and had managed to implement and sustain a level of participation that is embedded in the work they do. Therefore, the grade awarded for this area of practice is very good. Sense Scotland - Dundee, page 18 of 28

19 Areas for improvement In the self assessment submitted by the service, the manager had identified the following areas for improvement. "Recruitment and selection training and skills is an area of work we wish further advice and support from the SUCG and service user panels." Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Sense Scotland - Dundee, page 19 of 28

20 Statement 3 We have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Service strengths Inspection report continued The service's self assessment told us about most of the ways they supported people to participate in assessing and improving quality. When asked to grade themselves on this statement, the service told us they were very good in this area. The service identified some of their strengths as: "All staff have a Continual Professional Development (CPD) folder that tracks and shapes their career path within Sense Scotland. Training sessions follow through on competency based workbooks that are assessed within the services by senior staff." We looked at staff files and spoke to staff and service users about the quality of the staff. The evidence provided in the self assessment, as well as the information provided the during the visits, was informative and identified a very good level of performance in relation to this statement. We saw that the service had a robust recruitment procedure in place and all appropriate checks were in place to protect service users. Access to training and continual learning was supported by a process of supervision and appraisal and regular team meetings. Staff commented that they felt supported by their line management and found supervision to be positive experience. We felt staff showed a high level of motivation in putting their learning into practice and were keen to share their learning with others. This had proved to be beneficial in establishing effective and consistent care and improving outcomes for the service users. We saw from the incident reports, that staff deal with these appropriately and seek assistance from other professionals where required. Appropriate follow up actions were documented, to help prevent recurrence. We thought this was a very good way to continually monitor the changing needs of the service users and which supported the staff safely. Sense Scotland - Dundee, page 20 of 28

21 A wide range of comprehensive policies and procedures were in place that provided staff with the guidance to carry out their roles and responsibilities. A review of training records identified a variety of training events had taken place since the last inspection. Topics included, Health & Safety, Fire Safety, Moving & Handling, CALM, Epilepsy Awareness, Diabetes Management, Protecting Adults using Services, Communication and Medication management. Some comments from staff included: "Throughout my employment with Sense Scotland I have been offered ongoing training in a range of areas. More recently I have undertaken training in management, outcome based support planning as well as SVQ.", "At the moment I am studying for my SVQ in social care. I have had lots of support during this." Sense Scotland is an accredited SQA Centre and is committed to supporting staff to attain Scottish Vocational Qualifications (SVQ) to meet the Scottish Social Services Council (SSSC) registration requirements. Staff had awareness of the National Care Standards and the Scottish Social Services Council (SSSC) Codes of Practice. These processes assisted the manager to monitor and further develop staff understanding of their role and the expected standards of care. It also contributed to the development of the yearly training plan and the training requirements of the staff team. We felt the service was proactive in identifying staff training, which would enhance the knowledge and skills of the staff to help people using the service to meet their personal outcomes. Sense Scotland - Dundee, page 21 of 28

22 Areas for improvement In the self assessment submitted by the service, the manager had identified the following areas for improvement: "We wish to achieve a 75% qualified and 25% unqualified staffing ratio in each service. We wish to support relevant staff in SVQ4 qualification." At the last inspection it was noted that one of the services had a high number of incidents. The management had undertaken a detailed Health and Safety review of this locality, which is discussed under "What the service has done since the last inspection". Further staff training was also identified as a risk reduction measure. We saw that staff had undertaken recent training in adult protection and risk reduction, which was supported by a "practice" system, to ensure staff were trained to a very good level. We also noted training assessors attended the link meetings about service users, to ensure everyone was using a consistent approach. We commend the service for these measures, which had reduced the number of incidents. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Sense Scotland - Dundee, page 22 of 28

23 Quality Theme 4: Quality of Management and Leadership Grade awarded for this theme: 6 - Excellent 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 The evidence for the grade awarded in Quality Theme 1, Statement 1, has been taken into consideration when awarding the grade for this quality statement. Areas for improvement The evidence for the grade awarded in Quality Theme 1, Statement 1, has been taken into consideration when awarding the grade for this quality statement. Grade awarded for this statement: 6 - Excellent Number of requirements: 0 Number of recommendations: 0 Sense Scotland - Dundee, page 23 of 28

24 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 The service's self assessment told us about most of the ways they supported people to participate in assessing and improving quality. When asked to grade themselves on this statement, the service told us they were excellent in this area. The service identified some of their strengths as: Inspection report continued "There were a range of quality assurance monitoring tools undertaken recently, this has involved medication and finance audits both internally and externally carried out. Each service feeds into a service monitoring report that has a dashboard of progress and achievement from staffing compliments and training to service user activities and reviews. This quality assurance report is used for direct line management scrutiny and informs local authority contract reviews for the purchaser of the services. Complaints procedure in place to investigate and action relevant changes recommended from concerns raised. The Quality Framework is used organisationally and this measures the service against the relevant National Care Standards. Sense Scotland has membership with Quality Scotland and this will further assess the quality of services we provide through an accredited and systematic action plan." We examined a wide range of documentation and policies to confirm that the service is using an inclusive approach in shared quality assurance systems. We spoke to service users and staff, looked at the some evidence presented and information from the self assessment and found the service was operating at an excellent level. The service had a range of quality assurance measures in place and audits covering all aspects of the service were regularly carried out in the records of which we viewed. Records of consultation with service users, family members, staff and other stakeholders were maintained and a system of audits and evaluation was in place to influence practice and promote further improvements. The organisation uses The Quality Framework to measure the service against the National Care Standards. We evidenced service users were routinely consulted and fully involved in all aspects of their support package. Sense Scotland - Dundee, page 24 of 28

25 Service users and family members told us they had confidence in the management and would be happy to approach any member of staff with concerns, suggestions and requests. They told us they were confident any suggestions and comments they made would be addressed appropriately and promptly. The service has recently introduced a new staffing model, which we saw was effective in monitoring staff practice, to ensure it meets good practice guidance and the needs of the service users. It was also used to identify training/development needs, to ensure good outcomes for people using the service. Overall, the systems used by the service ensures that a high standard of service delivery is maintained and continually developed. The involvement of service users, their relatives and staff, ensured that a wide variety of opinions were heard and confirmed with everyone the importance the service places on them. We saw the management had made effective changes to reduce risk in one of the services we visited. Therefore, we confirmed the service had demonstrated an excellent performance in relation to this statement. Areas for improvement In the self assessment submitted by the service, the manager had identified the following areas for improvement: "Fully implement a range of quality assurance tools to demonstrate consultation and inclusion of stakeholder assessment on the services provided. This is an on-going piece of work that not only is being agreed and tracked at a Directorate level but driven forward with the management teams at local strategic level." The provider should continue to monitor and maintain the excellent quality of care. The provider should ensure it is rigorous in identifying any areas for improvement and implementing action plans to address these. Grade awarded for this statement: 6 - Excellent Number of requirements: 0 Number of recommendations: 0 Sense Scotland - Dundee, page 25 of 28

26 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 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). Sense Scotland - Dundee, page 26 of 28

27 5 Summary of grades Quality of Care and Support 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 Excellent Statement 1 Statement Excellent 6 - Excellent 6 Inspection and grading history Date Type Gradings 30 Jan 2013 Announced (Short Notice) Care and support Staffing Management and Leadership 5 - Very Good 5 - Very Good 5 - Very Good 12 Jan 2012 Unannounced Care and support 5 - Very Good Staffing 5 - Very Good Management and Leadership Not Assessed 8 Nov 2010 Announced Care and support 4 - Good Staffing Not Assessed Management and Leadership 4 - Good 28 Aug 2009 Announced Care and support 4 - Good Staffing 4 - Good 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. Sense Scotland - Dundee, page 27 of 28

28 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: Web: Sense Scotland - Dundee, page 28 of 28

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