Tanglewood Care Home Service

Transcription

1 Tanglewood Care Home Service Carlisle Road Abington Biggar ML12 6SD Telephone: Type of inspection: Unannounced Inspection completed on: 5 April 2018 Service provided by: Partners In Care Ltd Service provider number: SP Care service number: CS

2 About the service Tanglewood is registered with the Care Inspectorate to provide a care home service for up to three children and young people. The service is based in Abington, South Lanarkshire and is operated by 'Partners in Care'. The service has been registered with the Care Inspectorate since 1 April The objectives of the service include: ensuring that all children and young people feel safe, secure and cared for. working closely with young people in developing strategies to assist them in working through some of their difficulties and support them in coming to terms with their past. providing opportunities and challenges, enabling each young person to develop in confidence, selfworth, and the responsible exercise of personal rights and to respect the rights of others. assisting each young person to settle, stabilise their behaviour and allowing them the time, opportunity and support to make decisions about their future. Within the Statement of Purpose, the service states that it offers planned and emergency placements, considered dependent upon the needs of the young person referred and the compatibility and needs of the existing resident group. Placements offered can be short, medium or long-term. What people told us We received three completed Care Standards Questionnaires from young people prior to the inspection. All young people agreed or strongly agreed that they were happy with the quality of care received at Tanglewood. Young people raised within the questionnaires that they did not always agree with restrictions surrounding internet and mobile phone usage however we could see from individual risk assessments and care plans that appropriate measures were in place to promote individual safety. Young people were eager to speak with us during inspection and to tell us about their experiences living within Tanglewood which were mainly positive. Some young people met with the inspector individually, whilst others expressed their views throughout the day at meal times and during activities including baking. This inspection took place during school holidays and young people were enjoying their relaxation time. We heard from young people about pursuit of work experience opportunities and college placements. It was pleasing to hear that a young person was undertaking an ASDAN qualification while working alongside a staff member responsible for property maintenance. One young person proudly told us that they were a fire warden for the house and they took their responsibilities very seriously. We were pleased to see the level of personalisation throughout the house. Young people had personalised their bedrooms extensively and we heard how purchase of a double bed had been of high importance to a young person. It was clear that young people felt a sense of pride in the house and felt very comfortable with peers and staff. One young person was very keen to show a pet hamster to the inspector. The young person was fully responsible for its care and it was lovely to see the care and nurture they showed towards the animal. page 2 of 7

3 Self assessment We did not ask the manager to submit a self-assessment this year. Instead we looked at the service development plan for evidence of self-evaluation and improvement planning. From this inspection we graded this service as: Quality of care and support Quality of environment Quality of staffing Quality of management and leadership 5 - Very Good not assessed not assessed 5 - Very Good What the service does well The service's performance across both quality themes inspected, was very good and demonstrated major strengths. There was clear evidence of positive outcomes for young people we talked to, and whose care plans we looked at. Outcomes included: increased educational attainment, reduction of offending behaviour, significantly reduced misuse of substances, reduction of absconding and reduced risk of exposure to sexual exploitation. A very good Trauma Pathway Assessment Tool informed and guided the support given to young people from staff - we felt this contributed towards the positive outcomes being achieved. Care plans were written sensitively and personalised with realistic, measurable aims which enabled young people to celebrate progress achieved and understand the next steps for continued progression. Positive rewards encouraged young people to want to achieve. Young people appeared very knowledgeable about their rights and confidently advised the inspector of the ways they would raise any concerns or issues they may have. An effective management audit system was in place which included internal oversight of all aspects of care provision as well as external quality assurance to further support improvement processes. Identified actions required were carried out appropriately and we could see how findings were used to inform the development of the service. Young people were included throughout the recruitment process of new staff. It was encouraging to see that young people provided feedback following new staff shadow shifts which helped to underpin the very good induction process. Communication with families and social workers was frequent and well documented. We heard from a placing social worker about the effective relationships that had been established between staff and a young person which had supported the reduction of very high risk behaviours and enabled the young person to significantly progress. Young people were sensitively supported and encouraged to look after their health and wellbeing. Holidays helped widen the experience of young people and we heard of positive memories young people had created during recent trips. page 3 of 7

4 A culture of celebrating achievement was evident within the service and across the wider organisation. Young people and staff were encouraged to record the achievements of others and to recognise when others were being particularly kind, helpful or supportive. This helped to promote a sense of self-worth, with young people and staff being able to look back on the positive recordings. What the service could do better There has been continued turnover of staff during the previous year. A full staff team is now in place however it will take time to fully establish the roles and responsibilities of staff and develop strong team dynamics. We will consider the establishment of the team at next inspection. The input of staff and young people in the service development plan could be promoted further. We felt it would be useful for the plan to be considered more regularly throughout the year to ensure focus remained on moving forwards and achieving identified aims. We discussed with the service, potential ways to refine paperwork further to minimise duplication and reduce time taken for completion of documents relating to care planning and behaviour support. We heard of plans for the development of a young persons forum to encourage participation in service development across the range of services offered by the provider. We felt this would be a positive way of bringing young people together to influence meaningful change and promote youth voice. The provider should continue to monitor the staff rota system and consider potential impact of shift pattern on staff. Recent establishment of a full staff team should reduce the need for core staff to undertake additional shifts. During the inspection, we discussed the use of door alarms at night. We have asked the provider to clearly consider reasons for this restrictive measure within each young persons risk assessment, rather than apply this measure generically. We have made a recommendation about this (see recommendation 1). Requirements Number of requirements: 0 Recommendations Number of recommendations: 1 1. Where appropriate, young people should be encouraged and supported to manage their night time routines without the use of environmental restrictions. The provider should ensure that risk assessments consider the needs of individual young people and state clearly, any reasons for use of door alarms. This is to ensure care and support is consistent with the Health and Social Care Standards. which state that if independence, control and choice are restricted, this complies with relevant legislation and any restrictions are justified, kept to a minimum and carried out sensitively (HSCS 1.3). page 4 of 7

5 Complaints There have been no complaints upheld since the last inspection. Details of any older upheld complaints are published at Inspection and grading history Date Type Gradings 7 Apr 2017 Unannounced Care and support 21 Apr 2016 Unannounced Care and support 6 May 2015 Unannounced Care and support 11 Jun 2014 Unannounced Care and support 26 Jun 2013 Unannounced Care and support 4 Mar 2013 Unannounced Care and support 25 Nov 2010 Unannounced Care and support page 5 of 7

6 Date Type Gradings 31 May 2010 Announced Care and support 3 - Adequate 2 Feb 2010 Unannounced Care and support 5 Oct 2009 Announced Care and support 10 Feb 2009 Unannounced Care and support 3 Nov 2008 Announced Care and support 3 - Adequate 3 - Adequate page 6 of 7

7 To find out more This inspection report is published by the Care Inspectorate. You can download this report and others from our website. Care services in Scotland cannot operate unless they are registered with the Care Inspectorate. We inspect, award grades and help services to improve. We also investigate complaints about care services and can take action when things aren't good enough. Please get in touch with us if you would like more information or have any concerns about a care service. You can also read more about our work online at Contact us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com Find us on Facebook Other languages and formats This report is available in other languages and formats on request. Tha am foillseachadh seo ri fhaighinn ann an cruthannan is cànain eile ma nithear iarrtas. page 7 of 7