Turning Point Scotland - Weavers Mill Housing Support Service 1 Sandyford Road Paisley PA3 4HP Telephone:

Transcription

1 Turning Point Scotland - Weavers Mill Housing Support Service 1 Sandyford Road Paisley PA3 4HP Telephone: Type of inspection: Unannounced Inspection completed on: 29 August 2014

2 Contents Page No Summary 3 1 About the service we inspected 4 2 How we inspected this service 5 3 The inspection 9 4 Other information 24 5 Summary of grades 25 6 Inspection and grading history 25 Service provided by: Turning Point Scotland 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 Turning Point Scotland - Weavers Mill, page 2 of 27

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 5 Very Good What the service does well The service offers individualised support packages to service users. It supports them to maximise their own potential. Staff we spoke with demonstrated a very good level of knowledge about the service users they supported. What the service could do better While some service users have completed their own MAPs (which is a way of graphically illustrating what their goals are for the future) the manager stated that he wished to ensure that all service users who were interested be given the chance to complete their own MAP. What the service has done since the last inspection The service has put changes to their care plan paperwork to be more outcome focused, which is in keeping with current best practice. Conclusion This is a service which is highly thought of by the people who use it and by the external professionals that also support them. There were four recommendations made at the last inspection, three of which have been assessed at this inspection as being met the other recommendation is repeated in this report under Theme 1, Statement 3. Turning Point Scotland - Weavers Mill, page 3 of 27

4 1 About the service we inspected Turning Point Scotland is a nationwide organisation which provides health and social care to adults with wide-ranging needs across Scotland. Services are provided in a variety of community settings and geographical areas. Weavers Mill is managed by Turning Point Scotland and was deemed registered with the Care Inspectorate since April Weavers Mill provides an integrated Housing Support and Care at Home service for adults with learning disabilities. The office accommodation is based close to Paisley town centre and the M8 motorway. The services are spread throughout Renfrewshire in various types of houses including single flats and shared accommodation. Based on the findings of this inspection this service has been awarded the following grades: Quality of Care and Support - Grade Quality of Staffing - Grade Quality of Management and Leadership - Grade 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. Turning Point Scotland - Weavers Mill, page 4 of 27

5 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 The inspection was carried out by one Inspector; on the 25th, 27th and 29th of August Feedback was given to the manager at the end of the third day of inspection. Prior to the inspection, we sent 30 Care Standards questionnaires to the service to pass out to service users; 19 of these were completed and returned to us. We also sent out 20 staff questionnaires, 12 of which were returned. These give individuals the chance to contribute to the inspection and to do so anonymously if they wish. During the inspection we visited two different projects across Renfrewshire in; Bridge of Weir and Elderslie we offered to meet with any service user who wished to talk with us, and were able to speak with six people. We also spoke on the phone with one person who uses the service, who also represents service users at Turning Point Connections meetings. During the inspection we had individual discussions with a range of people including: -Seven service users -One Service manager -Two Service Co-ordinators -Four Support Workers We carried out a review of a range of policies, procedures, records and other documentation, including the following; Support Agreements Reviews and pre-review planning Care Plans Care Plan Summaries Turning Point Connections meetings Stakeholder event information Evidence of the service advocating on behalf of service users Service users' care reviews Evidence on health related training Evidence of quality monitoring of staff Staff development records Turning Point Scotland - Weavers Mill, page 5 of 27

6 Training records Induction records Examples of Staff supervision Examples of Staff appraisals Team meeting minutes Provider's participation policy Local service user participation strategy Newsletter The provider's conference information Evidence of internal and external monitoring visits. Investors in People report Inspection report continued 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 Turning Point Scotland - Weavers Mill, page 6 of 27

7 What the service has done to meet any recommendations we made at our last inspection There were four recommendations made at the last inspection. Three of these were assessed as being met during this inspection, one of them has been reiterated under Theme 1, Statement 3. The actions taken by the service to meet the recommendations included; -Requesting service users, their next of kin or their advocates sign care plans and risk assessments as evidence that discussions have taken place involving them and agreement has been reached before the plans are implemented. -Information about medication is more clearly presented within care plans. -Records are kept about how many different staff are used in each service. 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. The Care inspectorate received a fully completed self-assessment document from the provider. We were satisfied with the way the provider completed this and with the relevant information included for each heading that we grade services under. The management team identified what they thought the service did well, some areas for development and any changes it had planned. It could be improved by having more of a focus on what the outcomes have been for service users as a result of using the service. Turning Point Scotland - Weavers Mill, page 7 of 27

8 Taking the views of people using the care service into account Prior to the inspection we sent out 30 care standard questionnaires to the service and asked them to be distributed to people who use the service. 19 were returned and 18 of them were positive about the overall quality of the service provided. During the inspection we had the opportunity to speak with seven people who were using the service. All of them were happy or very happy with the service that they received. We visited two different parts of the service during the inspection and made ourselves available to anyone who wished to speak with us. Comments people made are included throughout the report. Taking carers' views into account Prior to the inspection we sent out 30 care standard questionnaires to the service and asked them to be distributed to people who use the service, some of these were completed with the help of their families. Only one out of the 19 questionnaires we received back disagreed with the statement "overall I am happy with the quality of care and support this service gives me". We tried to phone and the person who wrote this to get some additional information but received no response. If someone remains unhappy with the service we suggest they take this up directly with the management team and call the Care Inspectorate if they remain unsatisfied after this. Turning Point Scotland - Weavers Mill, page 8 of 27

9 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: 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 was very good at involving people who use the service in the assessment and development of the service which they receive. We arrived at this conclusion after considering the following information: -Personal care plans -Records of meetings with the people who use the service -Reviews and pre-review planning -Evidence of the service advocating on behalf of service users -Care standards questionnaires returned from people who use the service. -Interviews with service users -Participation strategy We looked at personal plans and found that they have become more outcome focused since the last inspection and due to the individualised detail within them it was clear that service users had been heavily involved in creating their plans. People we spoke with told us that they decided how they wished to be supported. Care reviews are held every six months or sooner if required. These give service users and their families the opportunity to discuss any issue to do with the service. There was evidence that issues raised at reviews were taken forward and acted upon following the review. One person we spoke with told us; "It's between myself and my keyworker what we talk about at my review". Turning Point Scotland - Weavers Mill, page 9 of 27

10 The service was able to evidence feedback that they had received from social workers who had referred people to the service. We looked at the feedback and it was all very positive. It is good practice that a service encourages feedback from stakeholders, by which we mean other professionals such as social workers and nurses etc. as this can provide constructive remarks from an independent source. A lot of service users had the opportunity to take part in designing their own MAP along with staff and family support. This is a way of graphically illustrating what their wishes are for the future and to help people think about what needs to be done to help them achieve their wishes. Out of the care standard questionnaires which were returned to the Care Inspectorate 100% agreed that they had a care plan which contained information about their support needs. Also 100% said that the service checks with them regularly if their needs were being met. This is important so that any staff supporting someone can read how that person needs and wants to be supported. The service had met the recommendation made under this statement in last year's inspection report about ensuring that if service users are unable to sign their own risk assessments and care plans their next of kin or advocates are asked to do this on their behalf. This was to evidence that discussions had taken place prior to plans being put into place. The number of documents signed by; carers, service users or advocates had increased since last year. During the inspection we spoke with people who use the service, what they told us in relation to this statement included: -"The conference was good" -"Nothing I'd improve about here" -"Best thing about staying here is going on holiday and day trips". Areas for improvement The management team should continue to try and increase the response rate that it gets from stakeholder questionnaires and ensure that it informs service users of the outcome from them. The management team should consider how it can evidence that service users have influenced the self-assessment that we ask managers to send us prior to our inspection. It is important when asking for service users input that the grading criteria is explained. The manager stated that he hoped to give everyone who had not had the chance to complete a MAP illustrating their future wishes the chance to do so. Turning Point Scotland - Weavers Mill, page 10 of 27

11 As the service has recently switched to more outcome focused care plans we can understand that there were gaps in the paperwork; however we would expect to see this improved by the next inspection through the use of regular audits and staff training. The service should consider involving independent advocacy groups to some of the service user forums to ensure that people who use the service have the opportunity to raise matters with an outside agency as a quality assurance measure. Grade awarded for this statement: Number of requirements: 0 Number of recommendations: 0 Turning Point Scotland - Weavers Mill, page 11 of 27

12 Statement 3 We ensure that service users' health and wellbeing needs are met. Service strengths The service was very good at ensuring service user's health and wellbeing needs are met. We arrived at this conclusion after considering the following information: -Care plans -Medication policy -Risk assessments -Interviews with service users -Incidents and Accident folders -Evidence on health related training Inspection report continued We assessed that the health and wellbeing of those using the service was given appropriate priority. When we spoke with staff their responses showed that they were aware of the needs of the people that they supported. Staff have training on relevant health and well-being related topics, training for staff in this service includes; adult support and protection, autism, dementia, depression and medication training. Also some of the staff who are supporting people with very limited ability to communicate have been trained in intensive interaction by one of the country's leading specialists in this field; Phoebe Caldwell. The service works closely with health care and social work staff to support people. There is very good recording of the multi-disciplinary work between the service and health care professionals. If people who live in the service are subject to any legislation then a copy of it is in their care plans so that they and staff can be fully aware of what this entails. We saw evidence of support plans in place to support people with various health care needs such as epilepsy, autism, depression and medication training. Service users are also provided with support and guidance on health care matters and information on promoting healthy lifestyles. The service encourages people to widen their social support and supports people to be able to go on holidays abroad and in Britain. The manager of the service carries out health and safety checks of the environment where people live. This includes reviewing risk assessments, staff training, and ensuring electrical goods have been checked annually to ensure they remain safe to use. Information regarding medication was more clearly laid out within care plans this year than at the last inspection which meets the recommendation made in last year's inspection report under this statement. Turning Point Scotland - Weavers Mill, page 12 of 27

13 Within care plans there was evidence of people who use the service receiving regular health checks including; opticians, dentist and podiatrist. During the inspection we spoke with people who use the service, what they told us in relation to this statement included: -"My health is getting better since I came here" -"I stopped taking my tablets before I came here, now staff help me remember to take them" -"I like to go out by myself and come back by myself but staff check with me that I know which bus to get" -"Best thing about staying here is going on holiday and day trips" -"I know all the names of the staff that support me". 100% of the people who returned care standard questionnaires to us agreed or strongly agreed with the statement; 'I am confident that the staff have the skills to support me'. Areas for improvement The provider should continue to look at ways that it can expand the training opportunities on offer to staff to meet the specific needs of individuals whom they support. Last year we made a recommendation that the provider should amend health monitoring charts so there is space at the top of them to clearly record; why something is being monitored, for how long something should be monitored and when staff are expected to take action as a result of the monitoring. This recommendation remains as we came across an example within a care plan where someone's weight was being monitored, but the monitoring sheet did not include the information we recommended on it. (See recommendation 1 under this statement). While care plans contained up-to-date Adult with Incapacity certificates they did not contain treatment plans which is best practice. (See recommendation 2 under this statement). The management team should ensure that risk assessments are always signed and dated, this is to evidence that there has been agreement reached about how risks should be approached and so it is clear when the assessment was made. This was not always the case in the assessments that we saw. Old assessments should also be archived. Grade awarded for this statement: Number of requirements: 0 Number of recommendations: 2 Inspection report continued Turning Point Scotland - Weavers Mill, page 13 of 27

14 Recommendations 1. Recommendation with reference to Theme 1, Statement 3: The service should ensure that where care plans are created to monitor particular health needs of individuals for example their diet or their weight, that the monitoring forms clearly state; -why something is being monitored, -how long it should be monitored and -when staff are expected to take further action Inspection report continued This is a recommendation made against the National Care Standards, Housing Support Services, Housing support planning, Standard Recommendation with reference to Theme 1, Statement 3: The management team should arrange with qualified medical practitioners to have treatment plans included as part of section 47 Adults with Incapacity Certificates. This is a recommendation against the National Care Standards; Housing Support Services, Housing support planning, Standard 4. Turning Point Scotland - Weavers Mill, page 14 of 27

15 Quality Theme 3: Quality of Staffing Grade awarded for this theme: 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 was very good at involving people who use the service in assessing and improving the quality of staffing within the service. We considered the following information in grading this statement: -Staff training records -Interviews with service users -Interviews with staff -Examples of staff supervision -Examples of staff appraisals -Team meeting minutes Questionnaires used by the service to get people's views included questions on the quality of staffing. The responses that we viewed were all positive. All the people who use the service that we spoke with were very positive about the quality of staffing within the service. There was some evidence that staff receive additional training if it is required to help them support a particular individual's needs. The provider held a stakeholder's day in the centre of Paisley following the last inspection. This was to inform people about the service and what support it could offer. Service users were involved in deciding what should be on display on the stalls including information about their "journey" into using a support service and beyond. In this way people who use the service were helping to develop the knowledge of the staff who support them. Turning Point Scotland - Weavers Mill, page 15 of 27

16 A service user took part in the last recruitment process for an administrative assistant. Although they did not take part in the formal interview panel, he welcomed candidates to the office and had an informal chat with them; he was then asked what his thoughts were on the candidates. His views were taken into account when selecting the successful candidate; this was evidenced in the staff recruitment file. As recruitment opportunities arise other service users will be supported to take part in the process. Service users are supported by staff to take part in the service user's forum and the Turning Point Connections group. 100% of the people who returned questionnaires to us answered that they were confident that staff had the skills to support them and 100% answered that they thought the staff treated them with respect. See also Quality Theme 1, Statement 1 for general strengths in relation to participation. Areas for improvement We received one questionnaire in which a relative wrote they were disappointed at the amount of different staff providing support to their relative. We did not find this in the two services we visited, where both service users and staff told us that the staff teams were consistent in personnel. We could not explore this issue further as we were not informed which part of the service was being referred to. However, as this was raised as an issue by a relative during last year's inspection the service should be mindful to reassure service users and relatives that they strive to keep staff changes to a minimal. The provider should consider offering training to service users who are interested in taking part in staff recruitment to help their understanding of the processes involved. The provider has a standard probationary period for new staff prior to their position being made permanent. The provider should consider how they can evidence that service users' opinions have been sought as part of this process. Turning Point Scotland - Weavers Mill, page 16 of 27

17 Within the self-assessment, which the management team submit to the Care Inspectorate each year, there should be a greater focus on what the outcomes have been for service users as a result of their participation in the assessment and improvement of staffing. Grade awarded for this statement: Number of requirements: 0 Number of recommendations: 0 Turning Point Scotland - Weavers Mill, page 17 of 27

18 Statement 3 We have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Service strengths We found the service's performance in the areas covered by this statement was very good. We concluded this after considering the following: -Interviews with; management, staff and service users -Staff induction procedure -Samples of staff supervision and appraisal minutes -Staff meeting minutes Staff had been provided with the National Care Standards and Scottish Social Services Council Codes of Practice, in discussions with them they demonstrated an awareness of the principles contained in them. Staff came across as being very positive when we spoke with them about their work, we asked staff about what was important to the people that they supported and they were able to give us good individual answers for different people. They also told us that they felt valued and well supported by the management team. Staff told us that they are regularly supervised; supervision minutes that we sampled showed that there is a set agenda which ensures important subjects such as; service users, health and safety, new policies and training are discussed as well as giving staff the opportunity to discuss other issues. Good quality supervision is important to ensure that staff are motivated and working to best practice principles. Staff told us that they are asked what training that they want and management try to organise this for them, for example in the last year the management had arranged for a nurse from the community learning disability team to provide staff with dementia training and specifically how to support someone who has a learning disability with dementia. During the inspection we spoke with people who use the service, what they told us in relation to this statement included: -"The conference was good" -"It's the same staff as last year" -"I get the same staff supporting me" -"All the staff are good" -"I know all the names of the staff that support me". Inspection report continued Turning Point Scotland - Weavers Mill, page 18 of 27

19 100% of the people who returned care standard questionnaires to us agreed or strongly agreed with the statement; 'Staff treat me with respect'. Areas for improvement While e-learning has been introduced for the staff to broaden their training opportunities, the provider should consider how staff can be supported to keep upto-date with latest best practice guidance and legislative changes. Some of the staff we spoke with were not familiar with important recent documents in the field of learning disability such as "Keys to Life", by the Scottish Government or the Department of Health's review and response into the findings of Winterbourne View Hospital. The management should consider how staff teams could be more involved in the selfassessment process. Grade awarded for this statement: Number of requirements: 0 Number of recommendations: 0 Inspection report continued Turning Point Scotland - Weavers Mill, page 19 of 27

20 Quality Theme 4: Quality of Management and Leadership Grade awarded for this theme: 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 service was very good at ensuring that service users participated in assessing and improving the quality of management and leadership of the service. We considered the following information in grading this statement: -Interviews with management, staff and service users -Strategic plans -Returned questionnaires The numbers of service users involved in service users' committees has increased since last year. We spoke with a couple of people who were involved in the committee, one told us; "I'm in the forum it's good; we talk about Christmas nights out and fundraising". We also spoke with one person who represents other service users at Turning Point Connections meetings. They told us; "At the connect meetings we talk about how to improve turning point". The Service Manager and Service Co-ordinators are highly visible in the service in their involvement in service user groups and service users told us that they make regular visits to their homes. Since the last inspection the service ran a successful stakeholder's day in the centre of Paisley. This was well attended by people who already use the service and their relatives as well as people interested in finding out about the service including outside professionals such as care managers. There were stalls informing people about Personalisation and Self Directed Care, as well as information on training and support plans. The provider has a website which is updated regularly which informs interested parties about TPS as an organisation including information about their recent award for excellence. Turning Point Scotland - Weavers Mill, page 20 of 27

21 The website contains links to the government's best practice guidance "same as you", which informs people of the government's agenda to try and create a more equal society for people with learning difficulties. The service has carried out surveys of service users and carers seeking their views on Quality of Management. The responses they have received have been positive and any areas which are identified for improvement are included in the service's annual report which is available to the people who use the service. Copies of the Care Inspectorate's inspection report are made available to service users and discussed at service user forums, if they wish a summary is sent to all service users and feedback on the report is sought. 95% of the people who returned care standard questionnaires to us agreed or strongly agreed with the statement; 'Overall I am happy with the quality of care and support the service gives me'. The findings in Quality Theme 1, Statement 1 are also relevant to this statement. Areas for improvement The management team should consider using an assessment tool to gauge how well they have progressed in providing personalised support for people living at home. The management team should consider work by the Helen Sanderson Associates which can be found on the internet on this topic. This would also help the management team complete their self-assessment. For general areas of improvement around participation see Theme 1, Statement 1. Grade awarded for this statement: Number of requirements: 0 Number of recommendations: 0 Turning Point Scotland - Weavers Mill, page 21 of 27

22 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 has very good quality assurance procedures in place which involve; service users, stakeholders and staff. We arrived at this conclusion after speaking to people who use the service as well as reviewing; care plans, supervision records, returned questionnaires, and quality audits. The staff we spoke with spoke highly of the way that the service is run including that it was a supportive team to work in. Supervision is offered frequently and in line with the provider's policy. There are regular staff meetings. The minutes that we looked at during the inspection confirm that staff discuss service audits, supervision, training and action plans during these meetings. The service frequently sends out questionnaires to service users to get views about the overall service. We saw evidence that the service follow up feedback within questionnaires appropriately. This is good practice as it makes people more likely to give their opinions when they realise that their comments are taken seriously. Since the last inspection the service changed the management structure to ensure assistant service co-ordinators spend 100% of their time on management duties as opposed to splitting their time between a management and caring role. The service use a quality assurance tool developed by Turning Point Scotland called IMPAQT. This includes checks on Health and Safety, Audits of documents, checks on medication, checks of financial transactions and an audit of team meetings. The provider uses the EFQM Excellence Model which aims to inspire organisations to achieve sustainable excellence by engaging leaders to learn. EFQM awarded Turning Point Scotland an award in excellence; their report stated "It was very clear that Turning Point Scotland always wants to push forward and test itself and examples such as the external governance review of the organisation support this mentality". The service users we interviewed individually and the questionnaires that were returned to us were very positive about the overall quality of the service, comments included; -"Nothing I'd improve about here" -"Can't think how I'd improve it" -"I'm happy here I wouldn't change anything". Inspection report continued Turning Point Scotland - Weavers Mill, page 22 of 27

23 Areas for improvement The management and staff teams have been busy over the last year ensuring that care plans emphasise what outcomes people want to achieve as a result of the support that they receive. This is an on-going process as it isn't fully complete and once it is the management team will need to ensure that they support staff with the new style of paperwork by regularly auditing care plans. The provider's records of staff training were not as clear as they could be as a new computer programme is not fully up and running. When ready the new system will provide a better overview on staff training than the current system. The management team could develop its self-assessment which it sends to the Care Inspectorate each year by ensuring that under each heading outcomes are highlighted more than in-puts such as policies and procedures. Service users should be encouraged to be involved in this process. Grade awarded for this statement: Number of requirements: 0 Number of recommendations: 0 Inspection report continued Turning Point Scotland - Weavers Mill, page 23 of 27

24 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). Turning Point Scotland - Weavers Mill, page 24 of 27

25 5 Summary of grades Quality of Care and Support - Statement 1 Statement 3 Quality of Staffing - Statement 1 Statement 3 Quality of Management and Leadership - Statement 1 Statement 4 6 Inspection and grading history Date Type Gradings 12 Aug 2013 Announced (Short Notice) Care and support Staffing Management and Leadership 28 Jun 2012 Announced (Short Notice) Care and support Staffing Management and Leadership 22 Jun 2010 Announced Care and support 6 - Excellent Staffing Management and Leadership Not Assessed 2 Jun 2009 Announced Care and support Staffing Management and Leadership 4 - Good 7 Aug 2008 Announced Care and support Staffing 4 - Good Turning Point Scotland - Weavers Mill, page 25 of 27

26 Management and Leadership All inspections and grades before 1 April 2011 are those reported by the former regulator of care services, the Care Commission. Turning Point Scotland - Weavers Mill, page 26 of 27

27 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: Turning Point Scotland - Weavers Mill, page 27 of 27