Loretto Personalised and Self Directed Support Services (South Lanarkshire) Housing Support Service

Transcription

1 Loretto Personalised and Self Directed Support Services (South Lanarkshire) Housing Support Service 49a Poplar Place Blantyre G72 9QB Telephone: Type of inspection: Unannounced Inspection completed on: 12 October 2016 Service provided by: Loretto Care Service provider number: SP Care service number: CS

2 About the service Loretto Personalised and Self Directed support service South Lanarkshire is registered as a combined housing support and support service. The service registered with the Care Inspectorate on 18 August The service provides care and support to adults who experience mental health difficulties and learning disabilities. People who use this service have various support needs. The service is provided to people living in Blantyre, Lanark and East Kilbride. At the time of this inspection the service was supporting twenty nine individuals. The service aims to provide a continuum of care and support of a medium to long term nature. What people told us We received ten completed care standard questionnaires from people who use the service. Responses indicated that people were very happy with the service that they were receiving. The provider organised for us to meet with a group of eight people being supported by the service. People we met were being supported by teams in Lanark, East Kilbride and Blantyre. Comments included: "Being supported by this service has helped my confidence" "I was nominated for an award by the service" "I don't know where I would be if it wasn't for this service" "Its more than a job to the staff" "best thing about staff is their personality and good humour" "they recognise when I'm not feeling great" We spoke with two of the relatives of people being supported, their positive comments echoed those of people being supported. Self assessment The Care Inspectorate received a fully completed self assessment document from the provider. This identified what the provider thought service does well and areas that could be developed further. The views of people using the service had informed the self assessment. We spoke about ways to make future self assessment more outcome focused. From this inspection we graded this service as: Quality of care and support Quality of staffing Quality of management and leadership 6 - Excellent 5 - Very Good 5 - Very Good page 2 of 7

3 Quality of care and support Findings from the inspection We found that the support being provided by this service was well informed by support plans that were outcome focused and developed in conjunction with people being supported. It was good that new risk assessment paperwork was proposed as we found that current risk assessments were not entirely person centred and did not fit well with the strength based outcome paperwork. From our sampling we were satisfied that regular reviews of the support being provided were taking place with input from relevant stakeholders. We saw good evidence of health promotion at the service. The breakfast club and evening cooking groups facilitated by staff at the Blantyre service for instance delivered key health promotion messages within an enjoyable social context. We saw how the new appointment of an activities and community engagement coordinator was adding value at the service and was already contributing to positive outcomes for some people using the service. Events to promote recovery had been delivered and we saw how these had also helped to facilitate the involvement and participation of people using the service. We noted that people were able to determine the ways in which they wanted to participate and envisage that the community engagement coordinator will continue to drive improvements in that regard. We will look at how this role has evolved at the next inspection. People we met with talked about the positive impact of being supported by the service and improved confidence and self-esteem was contributing to increased community engagement. People told us the ways in which they felt staff had promoted their rights and it was good to hear that people being supported felt listened to by the service. Staff were described in positive terms by people using the service, including that they were professional, skilled and respectful and positive working relationships had developed. Staff, we heard, were insightful and picked up on any subtle changes in people's physical and mental wellbeing quickly. Requirements Number of requirements: 0 Recommendations Number of recommendations: 0 Grade: 6 - excellent Quality of staffing page 3 of 7

4 Findings from the inspection Staff we met with presented as motivated and enthusiastic and articulated the ways in which the service had made a difference to the lives of the people whom they support. It was evident from speaking with people being supported that the positive attributes of staff had contributed to the development of trusting and effective working relationships, key to driving positive outcomes. A culture of learning was very much evident at this service with, for example, staff having access to online training. The development of the new training academy further illustrated the investment in workforce development by the organisation. We heard how staff training contributed to staff working competently within their role. Staff told us that they felt valued by the organisation and staff achievements were being recognised and celebrated in a number of ways. We saw that the induction of new staff was robust, with opportunity to shadow and learn from experienced team members. We thought that there could be further benefit in having a defined mentor role. Minutes of team meetings that we saw indicated that these were taking place regularly and a variety of topics were being discussed. We would have liked to have seen better evidence of discussion around best practice and contemporary approaches. We suggested that having regular input from stakeholders at team meetings is another way of promoting staff development. Requirements Number of requirements: 0 Recommendations Number of recommendations: 0 Grade: 5 - very good Quality of management and leadership Findings from the inspection We saw robust quality management systems at the service with a range of monitoring being carried out by management. This had helped the service work towards achieving its goals. Different approaches to internal audit had been piloted and this had informed the type of audit that would now be rolled out. We saw good evidence of leadership values being promoted with clear career pathways for staff and opportunities for staff to act in management roles or to champion roles. We heard from people being supported that staff instilled leadership skills and modelled leadership values. page 4 of 7

5 It was good that consideration had been given to the further development of champion roles for staff by the provider. Whilst we acknowledged that the service was working in a recovery focused way, we felt that there was merit in having recovery champions. We also suggested that the service develop links with the Scottish Recovery Network. Whilst we noted that supervision was taking place on a regular basis, we thought that for it to be outcome focused, the recording of the content of supervision needed to be developed further. We would liked to have seen in supervision minutes examples of how best practice, reflections on practice and self directed learning were informing practice. Requirements Number of requirements: 0 Recommendations Number of recommendations: 0 Grade: 5 - very good What the service has done to meet any requirements we made at or since the last inspection Previous requirements There are no outstanding requirements. What the service has done to meet any recommendations we made at or since the last inspection Previous recommendations There are no outstanding recommendations. page 5 of 7

6 Complaints There have been no complaints upheld since the last inspection. Details of any older upheld complaints are published at Enforcement No enforcement action has been taken against this care service since the last inspection. Inspection and grading history This service does not have any prior inspection history or grades. 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