Leault Care Home Service

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1 Leault Care Home Service Abriachan By Loch-Ness INVERNESS IV3 8BL Inspected by: (Care Commission Officer) Type of inspection: Shona Knight Announced Inspection completed on: 28 September /10

2 Service Number Service name CS Leault Service address Abriachan By Loch-Ness INVERNESS IV3 8BL Provider Number dummy Provider Name SP Highland Council Inspected By dummy Inspection Type Shona Knight Care Commission Officer Announced dummy Inspection Completed Period since last inspection 28 September months dummy Local Office Address Inverness dummy 2/10

3 Introduction Leault was registered with the Care Commission on 1 April 2002 to provide a Care Home service to a maximum of 3 young people between the ages of 11 to 16 years. Highland Council Social Work Services operated the service. Leault is accommodated in a privately leased former croft house in a rural setting approximately 12 miles from Inverness city centre. The single storey building was not purpose built for this service. However the accommodation comprised of three en suite bedrooms, a living room, kitchen/dining room and staff accommodation/office, extensive garden and outside storage. The accommodation was in a good state of repair and the atmosphere felt welcoming and relaxed. The aims of the service were to provide care for young people who were looked after and accommodated by the Local Authority. Staff hoped to provide a warm, safe and stable environment, which provided care and support while meeting the individual needs of looked after young people. Basis of Report This report is based on consideration of the services compliance with the Regulation of Care (Scotland) Act This service was inspected after carrying out a Regulation Support Assessment (RSA) to determine what level of support was necessary. The RSA is an assessment undertaken by the Care Commission Officer which considers: complaints activity, changes in the provision of the service, nature of notifications made to the Care Commission by the service, action taken upon requirement etc. The Care Commission officer wrote to the service advising them when the inspection would take place. Prior to the announced inspection visit, the service completed a paper version of the annual return containing information about the service. A Self Evaluation form had not been completed by the time of inspection. At the time of writing the report, the annual return had not been forwarded to the Inverness Office. The inspection took place on Thursday, 28 September Care Commission Officer Karen Rose accompanied the inspecting officer. During the visit the Care Commission Officers spoke with all three young people who were resident, two members of staff, the depute manager and service manager. Direct observation of interaction between staff and service users was undertaken during the inspection. The Care Commission Officer looked at a range of policies, procedures and records associated with the care of service users and the provision of the service. Examination of documentation also included ensuring compliance with current regulations. The Care Commission Officer took all of the above into account and reported on whether the 3/10

4 service was meeting the following National Care Standards for Care Homes for Children and Young People. Standard 2: First Meetings Standard 4: Support Arrangements Standard 5: Your Environment Standard 6: Feeling Safe and Secure Standard 7: Management and Staffing Standard 10: Eating Well The inspection themes of nutrition, and child protection were also taken into account. The inspection theme of safe Recruitment was carried out at a central point and the result of this will be included in the next inspection report. Action taken on requirements in last Inspection Report The service had yet to fully comply with the fire service recommendations and this will therefore stand as a requirement and be reported on in the body of this report. Comments on Self-Evaluation This had not been completed by the service. View of Service Users The young people were given the opportunity to contribute to the inspection process. Whilst time spent with the young people was limited, they appeared relaxed in their environment. View of Carers There were no family members or independent representatives present at the time of the inspection. 4/10

5 Regulations / Principles Regulation : National Care Standards National Care Standard Number 2: Care Homes for Children and Young People - First Meetings Young people staying at Leault were normally admitted on a planned basis, which allowed the transition period to be gradual and tailored to the young persons needs, age and stage of development. The service promoted opportunities for young people to visit the care home and see their bedroom, meet other young people, their key worker and staff before they moved in. Prior to the young persons arrival, the appropriate Looked After Children (LAC) documentation had been received by the care home and from this it was possible to make an assessment of the young persons needs within a 72 hour period. The day to day agreement was prepared by the placing social worker and from this a care plan as to how the needs of the individual would be met was drawn up. The care plan was reviewed regularly and any changes recorded. There was evidence to show that the care home, where appropriate, encouraged young people s family to be involved in the assessment and care planning process. There were no areas for development identified as part of this inspection. National Care Standard Number 4: Care Homes for Children and Young People - Support Arrangements The Care Commission Officers viewed three Care Plans during the inspection. There was evidence throughout these that staff were caring for the young people in accordance with their identified need. 5/10

6 There was evidence that where possible, the young people were supported to take part in the formation of their care plan. The Care Commission Officers observed that The Looked After Child Information, Care Plans, Daily contact records and four weekly summaries which were all being used to inform assessment with regards to the young persons health, educational, cultural, ethnic background, faith, language, sexuality, ability and any disability needs they may have had. The three care plans viewed, had been reviewed in line with the services procedures and met the required timescales.. There were no areas for development identified as part of this inspection National Care Standard Number 5: Care Homes for Children and Young People - Your Environment The care home service is provided in privately leased former croft house in a rural setting. The Care home presented as comfortable, bright and maintained to a good standard. The young people were accommodated in single bedrooms and had been able to personalise their bedrooms. The young people had their own en suite facilities, and were able to regulate their room s temperature. The care home had a living room where the Care Commission Officers observed there to be a selection of age appropriate books and magazines, and access to a computer and television/video etc. The garden area was extensive and well maintained. There was evidence of outdoor activities being available. The young people all have keys for their bedroom doors. There were no areas for development identified as part of this inspection. National Care Standard Number 6: Care Homes for Children and Young People - Feeling Safe and Secure The Care Commission observed the staffing levels to be appropriate at the time of the inspection. 6/10

7 The staff spoken with had a good understanding of the child protection procedures and the care home had a copy of the Area Child Protection Guidelines where interagency working was highlighted. There were clear policies and procedures in place with regards to the use of restraint. The Care Commission officers viewed documentation where the use of restraint had been recorded. Crisis Aggression Limited Method (CALM) was the method of de-escalation restraint being used by the service. Training in this area was up to date with a rolling programme in place for new staff to attend. During the inspection, the Care Commission Officers were able to confirm that accidents and incidents were being recorded appropriately. Some staff spoken with indicated that they had not received training specific to child protection for some time. The service will make the provision of this training an area for development. Whilst the care home staff were aware of their employers missing person procedure, an area for development identified is for an up to date photograph of the young person to be held in the young persons file. In relation to the security of the young people living in the care home, the service will implement a system for recording visitors/contactors to the care home. The service still needs to comply with the Highlands and Islands Fire and Rescue letter dated 10 February 2006 to ensure that the building remains fit for the service provided. The outlined work detailed within the report has now exceeded the completion date of June (See Requirement 1) Fire safety records retained must evidence consistency in weekly testing. guidance. (See Requirement 2) National Care Standard Number 7: Care Homes for Children and Young People - Management and Staffing The service had policies and procedures in place that covered the legal requirements with regards to managing risk, whistle blowing, staffing and training. The care commission officers observed records, which evidenced advice and support was available to all staff through supervision. Training records were also in place. The service was adequately staffed to support and meet the needs of the young people. The manager was aware of the requirements with regards to the Scottish Social Services Council and the registration process for all care staff. A number of staff are currently undertaking Scottish Vocational Qualification at level III and the Higher National Qualification 7/10

8 in Social Care. There was a system in place to record accidents and incidents. The records observed were clear and concise in content. There was also a system in place to record complaints. The Care Commission carried out the safe Recruitment themed inspection at the core personnel centres within Highland Council and the result of this will be included in the next inspection report. Where supervision contracts, supervision records and training records are in place the service is to ensure that both parties sign these. Where training is undertaken, the service is to ensure that relevant information is recorded. National Care Standard Number 10: Care Homes for Children and Young People - Eating Well As part of the initial assessment process, the dietary preferences or any other special dietary requirements relating to the young person could be noted on the young persons care plan. The Care Commission officers observed evidence of the work being carried out by staff with regard to the young persons nutritional needs and preferences. The service had recently made links with a Health Link Coordinator who had been providing dietary advice to the staff and young people. Food was in the main prepared by staff on duty, occasionally the young people themselves help prepare the meal. Young people were able to have drinks and snacks at any time. The young people were involved in menu planning by way of assisting staff to prepare the weeks food-shopping list. On inspection, two of the care plans failed to record favourite foods as well as dislikes. Although the Looked After Child documentation contained information with regards to young people who had special nutritional needs, there were no clear management guidelines, policies and procedures on eating; drinking, food and nutrition that support the National care Standards and best practice. The service therefore needs to develop written guidelines, policies and procedures for food, fluid and nutrition. This is in accordance with National care Standards Care Homes for Children and Young 8/10

9 People Standard 10 AND 7. ( See Recommendation 1) The service will undertake a review of the young persons food and nutritional needs with care plans being developed accordingly. (See Recommendation 2) The service shall ensure that the person responsible for planning the menu undertakes training, which demonstrates their understanding of the dietary needs of the young people, which in turn is reflected in the menu. (See Recommendation 3) The service will ensure that identified staff undertake training and can demonstrate their understanding of the appropriate management of the nutritional and fluid requirements of the young people. (See Recommendation 4) 9/10

10 Enforcement No Enforcement Action was taken as a result of this inspection Other Information The Care Commission Officers would like to thank both the young people and the staff present during their visit for the welcome they received and the cooperation experienced throughout the inspection. Requirements Requirement 1: The service still needs to comply with the Highlands and Islands Fire and Rescue letter dated 10 February 2006 to ensure that the building remains fit for the service provided. The outlined work detailed within the report has now exceeded the completion date of June SSI 2002/114 Regulation 10 (1) Fitness of Premises. a provider shall not use premises for the provision of a care service unless they are fit to be so used. Requirement 2: Fire safety records retained must evidence consistency in weekly testing. SSI 2002/114 Regulation 19 (3)(c) Records A provider shall keep a record of- all fire drills and alarm tests which have been conducted. On making these Requirements the following National Care Standard and best practice guidance have been taken into account: National Care Standards Care Homes for Children and Young People, Standard 6: Feeling Safe and Secure. Scottish Health Technical Memorandum 84 (SHTM84) Recommendations Recommendation 1: The service shall implement written guidelines, policies and procedures for food, fluid and nutrition. Recommendation 2: The service shall undertake a review of the young persons food and nutritional needs with care plans being developed accordingly. Recommendation3: The service shall ensure that the person responsible for planning the menu undertakes training, which demonstrates their understanding of the dietary needs of the young people, which in turn is reflected in the menu. Recommendation 4: The service will ensure that identified staff undertake training and can demonstrate their understanding of the appropriate management of the nutritional and fluid requirements of the young people. These are in accordance with the National Care Standards Care Homes for children and Young People Standard 10 and 7 Shona Knight Care Commission Officer 10/10

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