City of Edinburgh Council Shared Lives Adult Placement Service
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- Horace Wood
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1 City of Edinburgh Council Shared Lives Adult Placement Service Westfield House SWC 5 Kirk Loan Edinburgh EH12 7HD Telephone: Type of inspection: Announced (short notice) Inspection completed on: 15 November 2017 Service provided by: City of Edinburgh Council Service provider number: SP Care service number: CS
2 About the service The City of Edinburgh Shared Lives is run by Edinburgh City Council. The service has been registered since The service is registered to provide an Adult Placement Service to adults with learning disabilities. The service provides a resource that enables adults to live in their communities in a family setting. No more than two adults can be placed at any one time within the household of any adult placement carer. Carers were supported by two adult placement social workers and the manager. The service provides short breaks, emergency care and long-term accommodation. At the time of inspection there were 58 carers providing care and support to 55 service users. The service had successfully negotiated a period of substantial change and a new manager was in post. What people told us We found that service users led very busy and purposeful lives. Service users told us that they were "very happy" with the service, that they "got on" very well with their carers and that they "felt part of the family". Carers told us that they were very well supported by workers and that communication was effective. "Problems" were resolved effectively and there was always "someone at the end of the phone". They held their worker in high regard. Some carers felt that the service was "stretched" since the recent transition. 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 the quality of the provision within the service. From this inspection we graded this service as: Quality of care and support Quality of staffing Quality of management and leadership 5 - Very Good 5 - Very Good not assessed What the service does well At this inspection we looked at the quality themes of 'Care and Support' and ''. We found that Shared Lives provided very good support and guidance to carers. This enabled carers to provide very good person-centred care and support to service users. page 2 of 6
3 Very good support plans were in place for each service user. These were very detailed and thorough, covering all aspects of the service user's life. We saw that support plans reflected service users' views. These plans were reviewed at least six monthly. Risk assessments were in place for each service user and reviewed, in conjunction with the carers, regularly. Carer 'pen pictures' allowed for service users to be consulted on the matching process. This complemented and informed discussion at a team level. We found that relationships between carers and service users were very positive. We saw that service users led very busy and purposeful lives. Living in a family environment, in some cases for many years, facilitated a full and meaningful life and promoted a sense of belonging. We saw that service users could make choices regarding daily life as well as "bigger" decisions such as holidays, joining groups, etc. A Carers' Meeting was held six monthly. A recent meeting had included an input on speech and language therapy. These meetings were complemented by a "Christmas Social" that provided a further opportunity for dialogue with service users, their carers and other stakeholders. Carers had access to training, including food hygiene and adult support and protection. They also had access to City of Edinburgh E-Form training resource. A panel of internal and external professionals carried out carer reviews. These were held three yearly for shortterm carers and five yearly for long-term carers. We saw that review reports were very detailed and thorough. Recruitment arrangements for carers were very thorough and sanctioned by this group. Appointments were finalised by the department's "decision maker" and we saw that requests for further information/action had occurred recently. Since the last inspection, the service had implemented a weekly "referrals group" that screened referrals to the service. We found the service to be very well-managed and staffed. We formed a view of a knowledgeable, committed and motivated team that was supportive and, in turn, felt supported by their manager and immediate line manager. Carers told us that they felt supported by the workers and that communication was effective. Workers visited the placements on a regular basis and were on first name terms with service users and carers. Carers told us that telephone conversations could take place daily if required. Staff were qualified social workers and were registered with the Scottish Social Services Council (SSSC). Staff we spoke with evidenced a sound knowledge of the SSSC Code of Practice. Staff had access to a range of training and development opportunities including autism, medication, sexual health and adult protection. Knowledge of protection of vulnerable groups was very good. A very good supervision structure was in place and we were told that sessions focused upon reflection on practice and professional development. This was encompassed within the provider's 'Performance Framework' professional review and development system. page 3 of 6
4 A very good weekly meeting programme provided opportunities to discuss business, matching and development. We saw meetings focused upon an appropriate agenda and were well minuted. Through the service's 'Workstream Plan' (action plan), staff held delegated areas of responsibility and were charged with progressing key issues. Areas of responsibility included peer supervision and the quarterly Newsletter. This further promoted a sense of 'team' and provided developmental opportunities. What the service could do better One of the two service social workers was due to go on extended leave. Arrangements for supporting the remaining social worker were being considered by the manager and the LAC manager. It was acknowledged that it would be unrealistic for the remaining social worker to provide support to all the carers. Support arrangements should be identified and finalised as soon as possible. (See recommendation 1.) Requirements Number of requirements: 0 Recommendations Number of recommendations: 1 1. In the absence of one of the two social workers, support arrangements should be identified and finalised as soon as possible. National Care Standards Adult Placement Service - Standard 5: Management and Arrangements. 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 Dec 2016 Announced (short notice) Care and support Management and leadership page 4 of 6
5 Date Type Gradings 16 Sep 2015 Unannounced Care and support Management and leadership 2 Oct 2014 Unannounced Care and support 4 - Good Management and leadership 4 - Good 18 Dec 2013 Announced (short notice) Care and support Management and leadership 4 - Good 22 Jan 2013 Announced (short notice) Care and support Management and leadership 14 Sep 2010 Announced Care and support Management and leadership 2 Dec 2009 Announced Care and support Management and leadership 5 Dec 2008 Announced Care and support 4 - Good Management and leadership 4 - Good page 5 of 6
6 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 6 of 6
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