Sense Scotland Dundee Respite Care Home Service
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- Miles Dennis
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1 Sense Scotland Dundee Respite Care Home Service 5 Fleuchar Street Dundee DD2 2LQ Telephone: Type of inspection: Unannounced Inspection completed on: 7 August 2017 Service provided by: Sense Scotland Service provider number: SP Care service number: CS
2 About the service Sense Scotland Dundee Respite is registered as a care home service to provide a residential short breaks service to a maximum of three adults who have support needs associated with learning disability, physical disability or sensory impairment. The service is provided by Sense Scotland, a voluntary sector organization that provides services to people with disabilities across Scotland. The service is provided seven days a week, operates at weekends and during the week. At the time of the inspection about 45 people used the service in 420 stays over a year. People most often stay for short breaks of two or three days during the week or over the weekend, and occasionally for longer stays. The service is provided by 14 staff; a manager, a depute manager, two practitioners and support workers. The aim of the service is to provide a fun and stimulating service for people in a relaxed environment. The service provides opportunities for people to access a range of activities both within the service and in the wider community, depending on the individual. What people told us We spoke to two people who were staying in the service. They told us; - "It is fantastic. I get to see my pals here. I can go out to my activities when I'm here. I do baking. I help at meal times. All the information board. I can use my money. I know the staff. They're good. They help us. I will tell my friends it is good to come here." - "It's great. I can use my tablet here. I help out. I have friends here. Staff are great." We spoke to three relatives who told us; - "My daughter really likes staying here. She looks forward to it. She can carry on with her usual activities, and go out to new places as well. She is learning new skills, and we see this when she comes home." - "My son loves it. He rushes in. He is happy here. The staff are pleasant and we can chat about his stay. Staff knows the things he likes doing. He stays here are a big weight off our shoulders." - "Our daughter loves coming here. She thrives when she comes here. It is a holiday for her. We are asked if there are particular nights we want respite for. We are offered a mix of weekdays and weekends over the year. She has of the variety of activities here. She is trying new things which are helping in the development and at her pace. She can now deal with changes in a more relaxed way. It helps us as a family to see the future potential." We received four questionnaires. The comments in the questionnaires included; - "The staff know how to keep me safe and make sure I have everything in place. I am encouraged to cook and tidy up after myself. I enjoy going to respite. The staff are friendly, always happy to see me and listen when I want to chat. I know in advance who is on duty." - "The staff listen to what I need. I have help where I need it. The service helps me to be independent by listening and giving me good guidance. The staff know me very well. They know what I like and dislike. They are all fantastic." page 2 of 7
3 Self assessment The service had not been asked to complete a self assessment in advance of the inspection. We looked at their own improvement plan and quality assurance paperwork. These demonstrated their priorities for development and how they were monitoring of the quality of the provision within the service. From this inspection we graded this service as: Quality of care and support Quality of environment Quality of staffing Quality of management and leadership not assessed not assessed 5 - Very Good What the service does well The service had excellent care and support practice in ensuring people's health and wellbeing. People had a service that aims to ensure they have a positive experience during their stay. The service considers the compatibility of people personalities and needs with each other during their stay. The service arranged for people who know each other to stay at the same time or who are known to get on well together. People stayed in the respite service at the same time as their friends. The service recognised that for some people it is a holiday or break from their usual routines. The service arranged trips out for people that match their needs and interests. As an example, after much preparation and support, one person went to a car race event, which was a major achievement for them. During the inspection several people visited a circus show, which they really enjoyed, but this was not suitable for every person, who had other planned activities. For other people it is important that they continued with their usual routines, such as going to their usual plan activities or services, and the respite service ensured this happens by cooperating with these services. The ethos of the service was to promote people's independence where possible. People were encouraged to join in activities, such as helping out at meal times and cooperating with other people in joint activities or activities they want to do on their own. This has an impact in that people learnt new independence skills and put them into practice. People are offered support during important family events. For example, a person was supported to go to family wedding while staying in the service. Their relative wrote to the service saying how much it had meant the family that the person attended. Whenever there is a cancellation, or there is an emergency request, the service consulted with the social work department to offer additional stays to people to support them and their families. This had happened on several occasions over the past year. People's needs can challenge the service. The service supported people with complex needs. Where there have been incidents the service had thoroughly investigated what had happened, and out into place changes to staff practice and procedures to keep people safe. page 3 of 7
4 People had outcome based personal plans that were personalised and reflected the needs and preferences of the person and the views of their family. People's personal plans had been updated when there was new information about their needs. The service is rewriting people's plans in a simpler, more accessible format, so that information about people's support needs is easier to access and follow. Where possible, formal reviews of people's personal plans and support were held in partnership with other agencies to minimise the number of meetings for the person and their families. This also helped to promote a more person centred approach to planning care and support. The management and leadership of the service resulted in the high-quality care and support that people experienced. The management identified that staff would benefit from refresher training on several healthcare topics, and arranged tow training days, so all staff could attend one. Staff may go for several months without supporting an individual with particular healthcare needs. Staff told us the training had helped with their competency, confidence and consistency in supporting people with specific healthcare needs. The service had ensured that staff had supervision meetings with a senior member of staff at least once every three months. The supervision meetings supported staff development and training and reflected upon their practice. Staff contributed their feedback on their practice and learning needs. Staff told us they were well supported by senior staff. The service had introduced a new structured way of doing handovers between staff. As staff may not support people for some time the handover included a briefing on each person's essential support needs, and each person's arrangements for activity and support over the next shift. Both staff and management commented the new handover had led to improvements, such as increased staff awareness of each person's needs, and had identified that some people's plans needed to amended because of changes in their arrangements. The service planned to redecorate the premises during a short shut down period. The service will use guidance on decoration features that benefit people's needs, and also consult with people and their families for their views. What the service could do better The service had reviewed two-thirds of people's personal plans over the past year, in formal review meetings, usually in cooperation with people's other care services reviews. Some people's care arrangements had been reviewed more often when there had been significant changes. As a respite service, that people use on a periodic basis, it is reasonable that the service does a minimum of one formal review, at least once a year, of people's personal plans with them, and their families. The service agreed to ensure all people's personal plans are reviewed at least once a year, while in addition, every time a person comes to stay in the service they and their families are asked if there have been any changes since their last stay, and this is recorded. Requirements Number of requirements: 0 page 4 of 7
5 Recommendations Number of recommendations: 0 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 28 Oct 2016 Unannounced Care and support Management and leadership 11 Dec 2015 Unannounced Care and support Management and leadership 5 Feb 2015 Unannounced Care and support Management and leadership 11 Feb 2014 Unannounced Care and support Management and leadership 28 Feb 2013 Unannounced Care and support Management and leadership 11 Jan 2012 Unannounced Care and support page 5 of 7
6 Date Type Gradings Management and leadership 8 Nov 2010 Unannounced Care and support Management and leadership 2 Sep 2010 Announced Care and support Management and leadership 13 Jan 2010 Unannounced Care and support Management and leadership 23 Sep 2009 Announced Care and support Management and leadership 10 Mar 2009 Unannounced Care and support Management and leadership 16 Sep 2008 Announced Care and support 3 - Adequate Management and leadership 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
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