Garvald Glenesk Care Home Service Adults 16 Avenue Road Eskbank Dalkeith EH22 3BP Telephone:

Transcription

1 Garvald Glenesk Care Home Service Adults 16 Avenue Road Eskbank Dalkeith EH22 3BP Telephone: Inspected by: Dave Hutchinson Type of inspection: Unannounced Inspection completed on: 27 April 2011

2 Contents Page No Summary 3 1 About the service we inspected 5 2 How we inspected this service 6 3 The inspection 11 4 Other information 23 5 Summary of grades 24 6 Inspection and grading history 24 Service provided by: Garvald Glenesk Ltd Service provider number: SP Care service number: CS Contact details for the inspector who inspected this service: Dave Hutchinson Telephone enquiries@scswis.com Garvald Glenesk, page 2 of 26

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 4 Good Quality of Environment 0 N/A Quality of Staffing 3 Adequate Quality of Management and Leadership 4 Good What the service does well Care and support were being provided in a pleasant environment. This is a small service and staff had good knowledge of the strengths and needs of service users. Service users felt that staff did listen and that they were responsive. Positive working relationships were observed throughout the inspection visits. Staff were clear on their responsibility to monitor service users for the signs of any health or sensory problems and the involvement of healthcare professionals was well recorded. The introduction of team leader posts in both Wall and Garden cottage has improved the support staff receive to carry out their roles and responsibilities. What the service could do better Additional work was identified to make personal plans more accessible to both staff and service users. The need to improve the planning and delivery of staff training was identified. Additional work was also needed to ensure staff receive clear guidance on the use of "as and when" required medication. Garvald Glenesk, page 3 of 26

4 What the service has done since the last inspection Inspection report continued Improvements had been made to personal planning particularly in Garden Cottage and also in the frequency and regularity of staff supervision. The service has introduced a magazine which gives useful and helpful background information for people who have an interest in the service. Six recommendations were made following the last inspection visit, four recommendations had been actioned and two partially actioned. Conclusion This is a small service which offers good care to service users who have a wide range of support needs. The establishment of team leader posts in both houses has had a positive effect on support to staff and the opportunities created for service users. Who did this inspection Dave Hutchinson Lay assessor: N/A Garvald Glenesk, page 4 of 26

5 1 About the service we inspected Garvald Glenesk is situated in Dalkeith. The care home is situated within extensive, attractive, private grounds close to local amenities. The care home is registered to provide twelve places for people with a learning disability. "The service was deemed registered with Social Care and Social Work Improvement Scotland (SCSWIS) on 01 April 2011 in terms of article 2 of The Public services Reform (Scotland) Act 2010 (Health and Social Care) Savings and Transitional Provisions Order 2011 (SSI 2011/121). The service was formerly registered with the Scottish Commission for the Regulation of Care (the 'Care Commission'). The Care Commission merged on 1 April 2011 with the Social Work Inspection Agency and the section of HMIE responsible for inspecting services to protect children, to form the new scrutiny body SCSWIS" A craft and horticulture workshop is also located in the extensive grounds. This is also a registered service which is inspected separately. Based on the findings of this inspection this service has been awarded the following grades: Quality of Care and Support - Grade 4 - Good Quality of Environment - N/A Quality of Staffing - Grade 3 - Adequate Quality of Management and Leadership - Grade 4 - Good 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. Garvald Glenesk, page 5 of 26

6 2 How we inspected this service The level of inspection we carried out In this service we carried out a medium intensity inspection. We carry out these inspections where we have assessed the service may need a more intense inspection. What we did during the inspection This was an unannounced inspection carried out by Dave Hutchinson, Inspector, Social Care and Social Work Improvement Scotland. The initial visit to the care home on was on 12 April Two subsequent announced visits were made on 19 and 27 April Before the inspection the service provided a self assessment. The service also provided an annual return as requested by us. During the inspection we met with ten service users and spoke with four people individually and in private to find out what they thought about the service provided. Twelve user satisfaction questionnaires were issued and six completed questionnaires were returned. The manager, two senior carers and 11 members of care staff were interviewed. Documents sampled included: Personal plans. Registration certificate Risk assessments Medication administration records. Staff communication logs Staffing rotas Training records Incident records Resident meeting minutes. Staff meeting minutes. Review minutes and schedules. The inspector also observed the service in operation and the way staff supported and interacted with service users. Garvald Glenesk, page 6 of 26

7 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 report continued 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 Garvald Glenesk, page 7 of 26

8 What the service has done to meet any recommendations we made at our last inspection Six recommendations were made following the last inspection which was carried out during January Recommendation 1 Staff should be provided with training on the services participation policy. National Care Standards. Care homes for people with learning disabilities. Standard 5. Management and staffing arrangements. Staff spoken with confirmed that this had been discussed at staff meetings and individuals were informed about the participation policy. Staff understood the reasons participation was encouraged and gave examples of how they promoted participation. This recommendation has been met. Recommendation 2 The service should explore ways in which the service users in Garden Cottage are sought, given they may have limited communication difficulties. The service should document these views in relation as to how they are included inn improving the care and support provided by the care home. National Care Standards. Care homes for people with learning disabilities. Standard 11 -Expressing your views. This recommendation has been partially met. Personal plans in Garden Cottage had been improved to provide greater recording of the likes and dislikes of individuals and how they communicated their preferences and needs. A recommendation relating to training has been made in Quality statement 3.3. Recommendation 3 Personal plans should be reviewed to ensure that all information is up to date and easily accessed. National Care Standards. Care homes for people with learning disabilities. Standard 6. Support arrangements. This recommendation has been partially met. Personal plans have been reviewed in Garden cottage and this had been identified as a priority for the newly in post Team Leader in Wall Cottage. Two further recommendations relating to personal planning have been made under Quality Statement 1.2. Garvald Glenesk, page 8 of 26

9 Recommendation 4 Methods used to plan and evaluate activities should be reviewed to ensure that all residents have access to activities based on needs identified in personal plans. National care Standards. Care homes for people with learning disabilities. Standard 6. Support arrangements. Improvements in the planning and recording of activities were noted. Service users and staff commented positively on improvements made in the way individuals were supported to access activities in the community. This recommendation has been met. Recommendation 5 The service should ensure all service users have access to regular reviews. National Care Standards. Care homes for people with learning disabilities. Standard 6. Support arrangements. All service users files sampled contained evidence that a review had been held or was planned in the near future. This recommendation had been met. Recommendation 6 The regularity of supervision provided to all staff should be audited and action taken to ensure that all staff have access to regular supervision. National Care Standards. Care homes for people with learning disabilities. Standard 5. Management and staffing arrangements. Staff confirmed that they were receiving regular supervision. This recommendation has been actioned. 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 service submitted self assessment which listed both strengths and areas for development. This was helpful to the inspection process. Garvald Glenesk, page 9 of 26

10 Taking the views of people using the care service into account Service users gave in the main positive replies to a range of user satisfaction questions. Comments made by individuals included: "The staff are very nice." "The staff are wonderful at their job". "The staff here listen." "The staff know what they are doing, they help me if I have a problem." "It's OK living here". All service users who filled in user satisfaction questionnaires recorded that they were very happy or happy with the service that they received. All service users recorded that they would feel comfortable making a complaint or raising a concern if this was required. Taking carers' views into account It was not possible to speak with any friends or family of service users at this inspection. Garvald Glenesk, page 10 of 26

11 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 Overall grade awarded for this theme: 4 - Good 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 Previous inspection reports have described a good range of methods used to involve service users and carers in assessing and improving the care provided, and it was evident that these methods were being maintained. Consultation had taken place through the use of questionnaires, resident meetings, reviews and through daily interaction and contact between the people who use the service and care staff. Service users spoken with felt that staff listened to them and said that they would feel happy talking to staff about what they wanted. Staff interviewed understood the need for consultation and service user and carer involvement. They expressed a commitment to promoting this way of working. Individual staff gave practical examples of how service user's comments on the care provided had changed the way support was provided or the activities that they were involved in. Staff were aware of the need to observe body language and other non verbal signs when working with individuals who had difficulties with verbal communication. There were several good examples of individual personal preferences being recorded in personal plans. This gave a clear message to the reader about how the service user preferred to be supported. Staff were observed throughout the inspection supporting service users in a way which promoted choice and decision making. Staff were active and helpful in supporting service users to be involved in the inspection. Garvald Glenesk, page 11 of 26

12 Staff spoke about good informal links that they had developed with relatives. Individual staff described their role in keeping relatives informed and seeking their opinions on the service provided. Staff gave specific examples of relatives being actively involved in planning care. Several service users received support from an advocacy worker from the People First advocacy service. The advocacy worker felt that staff were welcoming and supportive of advocacy. Areas for improvement Minutes recorded regular service user meetings for individuals living at Wall Cottage. However, minutes sampled did not always identify action plans and any follow up work needed on the issues discussed at the meeting. This was discussed and agreed as an area for development with the Team Leader responsible for coordinating this work. Positive regular informal contact, including phone calls and visits, was discussed with carers. During the feedback session the need to develop more structured links was discussed. The manager described their contact with families. The need to re- issue user satisfaction questionnaires and consider carers meetings was also discussed and agreed. A recommendation relating to finding out the views of service users with limited verbal communication skills was made at the previous inspection. Work in this area has been progressed and this was reflected in improved recording of preferences. Ways of understanding the non verbal communication of individuals was also recorded in personal plans. The need to explore the availability of training in this area will be referred to later in this report in Quality statement 3.3. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 Statement 2 We enable service users to make individual choices and ensure that every service user can be supported to achieve their potential. Service strengths Personal plans were available for all service users. Personal plans sampled in Garden cottage evidenced that they had been archived and streamlined to make information more accessible. Files sampled included good examples of the likes and dislikes of Garvald Glenesk, page 12 of 26

13 service users, being recorded in a way which highlighted the individuality of service users and gave clear guidance on how they wanted to be supported. Personal plans contained risk assessments. Risk assessments sampled contained evidence of regular updating. All service users had either had a review within the previous twelve months or review dates were set for the near future. The planning of reviews had been improved from the previous inspection visit. The planning and recording of activities had also improved with the introduction of regular evening activities for the residents of Garden Cottage. Personal plans and daily recording sheets sampled evidenced service users being supported to take part in activities. One member of staff described the effect this had had for one service user "As having his life opened up". Individual staff described assisting service users to take part in activities in the community. Service users gave positive descriptions of the activities which they were supported to take part in. Service users gave positive descriptions of the support that they received from staff to take part in activities both within the care home and out in the local community. Service users also described taking part in household tasks including cooking and described their satisfaction and pride in their achievements. Areas for improvement Inspection report continued Personal plans, particularly plans in Wall Cottage, needed further attention to archive and redesign to make the personal plans less bulky and more easily accessible. The newly in post senior member of staff had identified this as a priority area for development. Some information contained in personal plans was undated and there was no record of who had recorded the entry. (See recommendation 1) The service should consider ways of further involving service users in compiling their personal plans. At present the majority of personal planning information is recorded in the third person. Assisting service users to record their plans in the first person "This is what I want" will create a more person centred personal planning system. (See recommendation 2) Garvald Glenesk, page 13 of 26

14 Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 2 Recommendations 1. All personal planning information should be dated and record the name of person recording the information. National Care Standards. Care homes for people with learning disabilities. Standard 6 Support arrangements. 2. Service users should be provided with greater opportunities to be involved in, and take ownership and control over, their personal plans. National Care Standards. Care homes for people with learning disabilities. Standard 6 Support arrangements. Statement 3 We ensure that service user's health and wellbeing needs are met. Service strengths Staff were clear on their roles and responsibilities to monitor service users for any health or sensory problems and make appropriate referrals to the appropriate healthcare professionals. Staff described positive working relationships with the healthcare professionals who were involved in supporting service users. Personal plans sampled contained good recording in this area with medical appointments being recorded along with any follow up action which was needed. Service users were clear that they could raise any concerns with staff and they were confident that staff would support them to get assistance if necessary. Staff were aware of the need to promote health. Health promotion had been looked at in recent changes made to the menus to ensure healthier eating. Staff described the promotion of activities which provide exercise, these were also recored in personal plans. Medication records sampled were being appropriately maintained. Medication storage sampled was appropriate. Garvald Glenesk, page 14 of 26

15 Areas for improvement Guidance given to staff to ensure an appropriate and consistent approach to the administration of "as and when required" medication was in place, however, some of the information sampled was over twelve months old. While there was evidence that these documents were being reviewed, some additional or revised guidance had been added in ink on a typed page rather than updating to produce a new document. (See recommendation 1) Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 1 Recommendations 1. All guidance on the administration of "as and when required" medication should be audited to ensure that the information is up to date and presented in a clear and easy to follow manner. National Care Standards. Care homes for people with learning disabilities. Standard 6. Support arrangements. Garvald Glenesk, page 15 of 26

16 Quality Theme 2: Quality of Environment - NOT ASSESSED Garvald Glenesk, page 16 of 26

17 Quality Theme 3: Quality of Staffing Grade awarded for this theme: 3 - Adequate Statement 1 We ensure that service users and carers participate in assessing and improving the quality of staffing in the service. Service strengths Strengths identified in Quality Statement 1.1 are also relevant to this Quality Statement. Previous inspection reports have identified positive practice in this area and evidence sampled at this inspection confirmed that this continued to be built on. Service users described staff as being approachable, and they indicated that they felt happy about making comments or asking questions about the way that they were supported. Service users named individual members of staff who they would contact if they had any concerns or wanted to comment on the service that they received. This was consistent with information provided by staff particularly staff in Wall Cottage who felt that service users told them what they liked and what they didn't like about the support that they received. Senior staff noted that any comments would be taken forward through staff supervision. Staff were clear on their responsibility to pass on any concerns that they received. The service had involved service users in interviewing candidates as part of the process of selecting a new member of staff. Service users had been assisted to prepare for their involvement and had been supported during the interviews. This was described positively by one of the service users involved and by the manager. The successful candidate also felt that this had been a positive experience. Areas for improvement The service should continue to build on positive practice in this area. Grade awarded for this statement: 4 - Good Number of requirements: Number of recommendations: 0 Statement 3 We have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Garvald Glenesk, page 17 of 26

18 Service strengths Inspection report continued Staff commented very positively describing how the introduction of the Team Leader post in each house had improved the support that they received. Team Leaders were seen a supervisor who had the opportunity to regularly work alongside them. Staff also described receiving regular supervision sessions, this was also evidenced through records sampled. Individual staff noted that alongside regular supervision they also had the opportunity to discuss service user care on a daily basis with the Team Leader. Staff gave examples of specific support that they had received which had been of benefit to providing care to individuals. Staff also noted that they had access to regular staff meetings which were described as a good way to exchange information and discuss problems. The service provided an induction programme and staff recently in post commented positively on the way they were prepared to undertake their duties. Staff described support as being readily available. Staff confirmed that they had been issued with copies of the Scottish Social Services codes of conduct and National Care Standards. Areas for improvement Previous inspection reports noted that the cost of the provision of "Calm" training for staff had depleted the service training budget. The manager did note that the care home's finances were currently being reviewed and the creation of additional funds for the provision of training was part of that review. Most of the staff spoken with had had limited training opportunities within the previous twelve months. Training records were available, however, these did not always confirm the dates that staff had received specific training. Several of the staff spoken with described the need for training on meeting the needs of service users with autism. This had also been identified as priority by the manager. However, a planned and systematic approach to the provision of training was not evident from records sampled. (See recommendation 1) Some staff spoken with appeared unclear of the role of the manager. The manager explained that their role had changed. This change had been brought about by the need to reassess budgets and look at the way the service plans for the future. The manager stated that this change had been discussed at a staff meeting in June This had included a presentation by the Chairperson of the Management Council. The mixed understanding of his role within the staff team was discussed with the manager who agreed that it would be helpful to discuss his role and the roles of the team leaders again the staff team. The manager confirmed that this would be taken forward through staff meetings and staff supervision sessions. Garvald Glenesk, page 18 of 26

19 Grade awarded for this statement: 3 - Adequate Number of requirements: 0 Number of recommendations: 1 Recommendations 1. The service should carry out a full audit of the training needs of staff and plan how training needs will be prioritised and met. A training record and training plan should be maintained. National Care Standards. Care homes for people with learning disabilities. Standard 5. Management and staffing arrangements. Statement 4 We ensure that everyone working in the service has an ethos of respect towards service users and each other. Service strengths Staff reported that they felt respected by their colleagues and by their immediate line managers, the team leaders in Wall and Garden Cottage. The new managerial arrangements where staff working in each house were supported by team leaders was seen, by all involved, as a positive development. During the visit a positive atmosphere was observed in both houses with staff supporting service users in a way which promoted respect and also choice and decision making. Positive interaction was also observed between staff. Some time was spent in the lounge area of one of the houses and the impression gained was of a relaxed, positive atmosphere which was beneficial to service users. Written records sampled evidenced that records were being maintained in an appropriate way and which described support needs of individuals in a way which maintained dignity and respect. Areas for improvement The service should continue to build on the good grading achieved in this area. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 Inspection report continued Garvald Glenesk, page 19 of 26

20 Quality Theme 4: Quality of Management and Leadership Grade awarded for this theme: 4 - Good 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 Strengths identified in Quality Statements 1.1 and 3.1 are also relevant to this Quality Statement. The manager was aware of the need to be available to staff and service users and described an "open door" office policy. Service users and their families can also meet directly with the manager if they have any queries or concerns. The manager gave specific examples of working with families on specific care and support issues. In discussion the manager was aware of the needs of individual service users. The manager had held weekly meetings with one service user and this had included feedback on what the service user felt about the service provided. This role had been passed to the team leader for the area that the service user lived in as this was more appropriate to their role. The manager also has access to the minutes of regular service user meetings held at Wall Cottage. The manager noted regular visits from the chairperson of the management council for Garvald Glenesk. The manager told us that they had worked directly with some families where there were specific support issues for those service users. The manager also described getting feedback from staff including the team leaders. This included comments made about the service from service users and also comments made by the families of service users. The meeting involving the team leaders was also described as a good method of communication including the discussion of any comments made by service users and their families. Areas for improvement The service should continue to look into methods of seeking the views of service users and carers on the management and direction of the service. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 Garvald Glenesk, page 20 of 26

21 Statement 2 We involve our workforce in determining the direction and future objectives of the service. Service strengths Staff had access to regular staff meetings and these meetings were seen as a way for staff to give their views on the care provided, and suggest alternative ways of working, or changes to the service, as well as receive information from the service management on plans to develop or adapt the service. Individual staff spoken with felt that staff meetings offered them an opportunity to comment and be involved with individual staff feeling that they could state their views. Individuals stated that the meetings were run in a way which promoted involvement. The frequency and regularity of staff supervision had improved since the last inspection visit and this was described by staff as an opportunity to give their views on ways for the service to develop. Supervisors reported passing on issues which were raised with them in supervision to their line manager in a way which ensured ideas and comments were passed to the relevant manager. The small nature of the service gave staff opportunities to discuss ideas with their managers on a daily basis and both staff and managers confirmed that this was something that happened frequently. Areas for improvement The service did not use staff surveys or other structured ways of seeking feedback from staff. (See recommendation 1) Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 1 Recommendations 1. The service should consider how to further canvass the opinions of staff on how the service is planned and delivered. National Care Standards. Care homes for people with a learning disability. Standard 5. Management and staffing. Statement 3 Inspection report continued To encourage good quality care, we promote leadership values throughout the workforce. Garvald Glenesk, page 21 of 26

22 Service strengths Staff spoken with felt that if they had an idea that they would like to develop, for example, an activity to offer to service users, they could develop this in consultation with the staff group and their immediate manager. Staff gave examples of developing activities and support for and with specific service users following discussion of their ideas with colleagues and their manager. Individuals had felt encouraged and supported to take their ideas forward. The availability of the team leaders was seen as helpful to this process. Staff meetings were also described as a good place for individuals to discuss their ideas. A quarterly magazine which gave background information on the service had recently been produced. This had been developed as the initiative of a member of staff who had, with support from staff and managers, developed their idea. Areas for improvement The service should continue to build on strengths in this area. Grade awarded for this statement: 4 - Good Recommendations Number of requirements: 0 Number of recommendations: 0 Inspection report continued Garvald Glenesk, page 22 of 26

23 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 The service gave us an appropriate action plan on 7 March 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 SCSWIS re-grading the Quality Statement within the Management and Leadership Theme as unsatisfactory (1). This will result in the Quality Theme for Management and Leadership being re-graded as Unsatisfactory (1). Garvald Glenesk, page 23 of 26

24 5 Summary of grades Quality of Care and Support Good Statement 1 Statement 2 Statement Good 4 - Good 4 - Good Quality of Environment - Not Assessed Quality of Staffing Adequate Statement 1 Statement 3 Statement Good 3 - Adequate 4 - Good Quality of Management and Leadership Good Statement 1 Statement 2 Statement Good 4 - Good 4 - Good 6 Inspection and grading history Date Type Gradings 25 Jan 2011 Unannounced Care and support 4 - Good Environment Not Assessed Staffing 3 - Adequate Management and Leadership Not Assessed 22 Sep 2010 Announced Care and support 4 - Good Environment Not Assessed Staffing 2 - Weak Management and Leadership Not Assessed 8 Mar 2010 Unannounced Care and support 5 - Very Good Environment Not Assessed Staffing 5 - Very Good Garvald Glenesk, page 24 of 26

25 Management and Leadership Not Assessed 20 Oct 2009 Announced Care and support 4 - Good Environment 5 - Very Good Staffing 4 - Good Management and Leadership 4 - Good 17 Mar 2009 Unannounced Care and support 5 - Very Good Environment Not Assessed Staffing 5 - Very Good Management and Leadership Not Assessed 26 Sep 2008 Announced Care and support 5 - Very Good Environment 5 - Very Good Staffing 5 - Very Good Management and Leadership 4 - Good All inspections and grades before 1 April 2011 are those reported by the former regulator of care services, the Care Commission. Garvald Glenesk, page 25 of 26

26 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 SCSWIS. 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@scswis.com Web: Garvald Glenesk, page 26 of 26