Inverclyde Supported Accommodation Housing Support Service 10 Broomhill Way Greenock PA15 4HE Telephone:

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1 Inverclyde Supported Accommodation Housing Support Service 10 Broomhill Way Greenock PA15 4HE Telephone: Inspected by: Marjorie Bain Type of inspection: Unannounced Inspection completed on: 9 October 2012

2 Contents Page No Summary 3 1 About the service we inspected 4 2 How we inspected this service 6 3 The inspection 10 4 Other information 22 5 Summary of grades 24 6 Inspection and grading history 24 Service provided by: Scottish Association For Mental Health Service provider number: SP Care service number: CS Contact details for the inspector who inspected this service: Marjorie Bain Telephone enquiries@careinspectorate.com Inverclyde Supported Accommodation, page 2 of 25

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 Staffing 4 Good Quality of Management and Leadership 4 Good What the service does well This is a very person centred organisation that seeks to empower individuals and support people to live as independently as possible within their own home and community. What the service could do better The service should review its audit processes to ensure that all support plans and related documentation are routinely audited. What the service has done since the last inspection The service has begun to work towards an outcomes based framework to further improve their person centred approach to service delivery and take account of the Government's Self Directed Support policy. Conclusion This is a service which places high priority on keeping people using the service safe and well, and is seeking to further develop opportunities for people to meaningfully be involved and participate in all aspects of the service and its development. Who did this inspection Marjorie Bain Inverclyde Supported Accommodation, page 3 of 25

4 1 About the service we inspected The Care Inspectorate regulates care services in Scotland. Prior to 1 April 2011, this function was carried out by the Care Commission. Information in relation to all care services is available on our website at This service was previously registered with the Care Commission on 5 October 2004 and transferred its registration to the Care Inspectorate on 1 April Requirements and recommendations If we are concerned about some aspect of a service, or think it needs to do more to improve, we may make a recommendation or requirement. - A recommendation is a statement that sets out actions the care service provider should take to improve or develop the quality of the service based on best practice or the National Care Standards. - A requirement is a statement which sets out what is required of a care service to comply with the Public Services Reform (Scotland) Act 2010 ("the Act") and secondary legislation made under the Act, or a condition of registration. Where there are breaches of Regulations, Orders or conditions, a requirement may be made. Requirements are legally enforceable at the discretion of the Care Inspectorate. Scottish Association for Mental Health (SAMH) Inverclyde Supported Accommodation project registered with the Care Commission in April 2004 to provide a combined Housing Support and Care at Home Service. SAMH is a voluntary organisation with projects across Scotland, providing services for people with mental health problems. SAMH states that: "Our vision is of a society where people are able to live their lives in full regardless of present or past circumstances." There are two parts to this service: 1. The alcohol related brain damage (ARBD) service supports people who have a history of alcohol abuse and associated brain damage to be part of their community. 2. The second service operates from an office in Greenock town centre and supports people with mental health problems to remain in their own home. Inverclyde Supported Accommodation, page 4 of 25

5 During this inspection support was being provided to 36 people, of which 14 were being supported in the ARBD service. 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 Staffing - Grade 4 - Good 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. Inverclyde Supported Accommodation, page 5 of 25

6 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 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. We inspected the service between the hours of 10:00 to 16:15 on 21 September and 9:30 to 16:00 on 9 October For this inspection we focused on those people receiving a community based housing support service within their own accommodation. In this inspection we gathered evidence from various sources, including the relevant sections of policies, procedures, records and other documents, including: Self Assessment Annual Return Certificate of Registration Action Plan Public Liability Insurance Certificate Recruitment & Selection Policy & Procedure (May 2011) Management of Medication - Policy & Procedure (Revised April 2012) Risk and Vulnerability Manual Lone Working Policy & Guidelines (February 2012) SAMH Policy & Campaigns Strategy SAMH Partnership working, Relationships & Networking Practice Guidelines SAMH Participation Strategy and Framework Minimum Participation Standards Participation Plan Welcome Pack Support Plans for people who use the service (4) Service Stakeholder Survey (2011) Staff Self Evaluation Tool - Opportunity to Participate Staff Conference - 'Make a Difference' presentation Staff files (2) Minutes of Service Meetings (4) Inverclyde Supported Accommodation, page 6 of 25

7 Minutes of West Managers Meetings (7) Outcomes Based Framework (Example August 2012) Audit Tool Met with people who use the service (5) Met with the manager; team leader; and support workers (4) one of whom is also a participation link worker 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 Inverclyde Supported Accommodation, page 7 of 25

8 What the service has done to meet any recommendations we made at our last inspection There were no recommendations made at the last inspection. 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. We received a fully completed self assessment document from the service provider. We were satisfied with the way the service provider had completed this and with the relevant information they had given us for each of the headings that we grade them under. The service plans to involve people who use the service and staff in future self assessments. Taking the views of people using the care service into account We met with five people who use the service during our inspection. They all spoke in very positive terms about the support they received and how this assisted them to live more independently within their community. In addition to two relatives, eleven other people completed our Care Standards Questionnaire and indicated high levels of satisfaction with the service. Some concerns were raised: staff not having enough time to deliver support (3); not being asked for their opinions about how the service can improve (2); not knowing about the service complaints procedure (2); and not knowing about the Care Inspectorate complaint procedure (3). Taking carers' views into account We did not meet with any carers during our inspection. Two of the thirteen people who completed our Care Standards Questionnaire said they were relatives of people receiving a service. They told us: 'I am very happy and contented with the service (relative) receives. The staff are so accommodating. My (relative) is very friendly with the staff. Well done'. Inverclyde Supported Accommodation, page 8 of 25

9 'My sister is very happy with the care she is given so am I as her sister.' Inverclyde Supported Accommodation, page 9 of 25

10 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: 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 The service was found to be operating at a good level for this Quality Statement. Everyone who is considering accessing the service receives a Welcome Pack which includes: service aims and objectives; referral route and assessment process; and charging policy. The pack also contains information leaflets covering: care & support at home service; 'Carers in Inverclyde'; Inverclyde Community Care Forum, Advocacy Service; Scottish Social Services Council Code of Practice; SAMH Raising a Complaint; SCSWIS 'Who we are and what we do'; and SCSWIS 'How to Complain'. SAMH participation policy and strategy sets out minimum participation standards: - Opportunity to participate - Participation in support plan / my outcomes - A person centred approach - Equality, diversity & human rights - Social inclusion - Communication tools and methods - Opportunity to give feedback - Development of local participation action plans - Providing evidence of what we do The Participation Self Evaluation Tool is completed by staff and people using the service twice a year, December and June. The last evaluation was June The Stakeholders Survey is completed by Health and Social Care Professionals, Carers, Housing Providers and relevant others involved, annually. The last Stakeholders Survey was completed in November Following each survey action points are identified Inverclyde Supported Accommodation, page 10 of 25

11 with designated people responsible for following up any issues and concerns raised within agreed timescales. Two support staff had recently been designated as participation link workers. They had begun to organise evening social events to encourage people to socialise with other people using services and also provide opportunities to obtain feedback about service quality. The link workers were in the process of developing resource folders to support staff and people using the service to be able to access a wide range of community events; outings; and other events and activities. We met one of the link workers and were encouraged by their considerable enthusiasm to promote meaningful opportunities for participation. Activities to date had included: aromatherapy and relaxation; exotic pets; service user poetry; music evenings; bingo; and sing-a-long. The alcohol related brain injury unit had met with their MSP to discuss issues of relevance to them. Ideas for future group activities included: karaoke; Halloween Night; face painting; and barbeques. We met with five people who use the service. Everyone demonstrated a good understanding of the service being provided; knew who to contact if they had a complaint; and confirmed their views were sought on all aspects of their care. We examined some of the stakeholder survey forms completed by carers which confirmed their satisfaction with the service being provided to their relative. One person who uses the service told us: 'I am very happy living here at present, and having a flat of my own, and having my independence I am a new person.' Areas for improvement Inspection report continued The Participation surveys undertaken by the provider had questions aimed at staff and people who use the service. At thirty questions long the survey content and format was unwieldy, somewhat wordy and many of the questions were not aimed at people using the service. There was no space in the survey to invite 'other comments'. It was difficult to understand from our inspection whether in addition to this survey separate surveys for carers and people using the service had been carried out. (See Recommendation 1). One person who responded to the stakeholder survey told the service: 'Felt that the questionnaire was more for staff than service users, and only completed what he felt was relevant to him.' Inverclyde Supported Accommodation, page 11 of 25

12 Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 1 Recommendations Inspection report continued 1. The service should review their methods for consulting with people about the quality of service received, and additionally seek to use Plain Language in all their communications with people who use the service and their carers. National Care Standards - Housing Support Services - Standard 3 - Management and staffing arrangements; and Standard 8 - Expressing your views Inverclyde Supported Accommodation, page 12 of 25

13 Statement 3 We ensure that service users' health and wellbeing needs are met. Service strengths Inspection report continued The service was found to be operating at a very good level for this Quality Statement. We examined four support plans for people who use the community based housing support service. Management assess referrals and if the person is accepted into the service the initial risk assessment and individual safety plan is drawn up often in liaison with the person's care manager. The safety plans covered: health and wellbeing; negative relationships; behaviours; financial issues; and medication. The support plan is developed together with the person receiving support. The plans examined confirmed robust risk assessments in place which were regularly reviewed; details of other professionals involved in the persons care; detailed breakdown of how support hours would be used; and what to do if the person went missing or could not be contacted. Support could be varied according to the person's preference or state of health at any time which was confirmed when we spoke to people using the service. Where legal orders such as treatment certificates were in place there were clearly laid out steps about how these would be managed. There was excellent liaison and close collaboration with health professionals involved with the person's care, support provided to keep medical appointments and joint strategies agreed if the person's health deteriorated. We saw evidence that the scale and type of support was varied when this was assessed as necessary to promote and sustain service user wellbeing. Regular reviews were undertaken and support plan documentation closely monitored each person's progress. On the whole staff recordings were of a good quality with some giving more detail than others. If people became unwell and were hospitalised the service continued to support them throughout their stay. We met with five people who use the community based housing support service. They each told us how they worked with their individual key worker to develop, monitor and review their support needs. It was clear from our conversations with them that their support plan was driven by their particular likes, dislikes and preferences and they said staff never dictated to them but offered guidance on how they could keep themselves well. People were encouraged and supported to participate in all aspects of community life and avoid situations which might isolate them and lead to a deterioration in their health. Some had been referred to SAMH's Gateway Service located next door to the housing support service. They had been offered advice and assistance to make contact with local groups and activities. One person had been encouraged to participate in a twelve sessions three hours per week 'Branching Out' Inverclyde Supported Accommodation, page 13 of 25

14 programme where they participated in and learned about: physical activity and relaxation techniques; conservation; bush craft skills; environmental art; photography; and visits to local places of interest. On completion they had received a 'John Muir Award' of which they were very proud and this had helped build their confidence. All confirmed they were asked for their opinions about their key worker and the service being delivered. Another person told us how they had been encouraged to join a cooking class and although they had only had a few lessons already they were able to prepare some meals for themselves. Some people had been using the service for several years and it was clear to us they very much valued the support being provided. One carer responding to the service's stakeholder survey in 2011 said: 'SAMH staff have been helpful in all aspects especially in trying to extend (name of relative) motivation and self esteem. They are also helping (names of relative) to socialise more!' Two people who completed our Care Standards Questionnaire told us: 'My support worker (named) is a really good lady. Although she does lecture me if I eat the wrong foods as I am a diabetic type 2. I think very highly of (name of worker) and all SAMH staff. They provide excellent care and I have experienced nothing but kindness from them.' 'I am very happy with the service. I am fortunate to be a client of the SAMH and there are people worse off than me.' Another person who was also full of praise for staff told us how they were supported to go shopping and pursue their chosen hobbies and go on holiday and outings. 'Without their support I would not have managed over the years...' People told us the service's team leader regularly contacted them to check that they were satisfied with the service being provided. They also told us they would be confident contacting the manager and senior staff if any problems arose with their support. Areas for improvement Inspection report continued Some staff daily recordings were repetitive, for example 'no security issues' entered at every visit. (See Recommendation 1) We found one example of a change to the dosage of someone's medication. Some of the documentation examined indicated an increase in dosage while another indicated a decrease in dosage. Discussion with the manager indicated this may have been down to a recording error in a review minute or key worker notes. The discrepancy Inverclyde Supported Accommodation, page 14 of 25

15 had been picked up by one of the staff and the matter resolved. However, improved auditing might have picked up the discrepancy earlier. (See Recommendation 2) Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 2 Recommendations Inspection report continued 1. The service should ensure that all staff recordings are person centred and encourage staff to avoid unnecessary repetition. National Care Standards - Housing Support Services - Standard 3 - Management and staffing arrangements 2. Management and key work staff should regularly review and audit support plan documentation to ensure no errors have been made in recommended medication administration and drug dosage. National Care Standards - Housing Support Services - Standard 3 - Management and staffing arrangements; and Standard 4 - Housing support planning Inverclyde Supported Accommodation, page 15 of 25

16 Quality Theme 3: Quality of Staffing Grade awarded for this theme: 4 - Good 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 found to be operating at a good level for this Quality Statement. We did not examine this Quality Statement in detail during this inspection. In their self assessment and speaking to the manager it was clear that efforts had been made to involve people using the service and their carers in previous recruitment but with little success. The service now has two support workers who have as part of their duties a remit to promote meaningful participation opportunities in all aspects of the service's development including recruitment. The manager and team leader monitor housing support plans and people's progress and sought active feedback about the quality of staff delivering support. Review meetings provide a further opportunity to provide feedback about the quality of staff. This was confirmed by the people we spoke to who use the service. During our inspection we observed a warm relationship between staff and the people they support. Areas for improvement The service will continue to endeavour to involve people in the future recruitment, induction and appraisal of staff. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 Inverclyde Supported Accommodation, page 16 of 25

17 Statement 3 We have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Service strengths Inspection report continued The service was found to be operating at a very good level for this Quality Statement. All new members of staff have a four week induction programme and participants have to compile an evidence gathering booklet to demonstrate the learning achieved which is coupled with shadowing experienced workers. Service management are qualified to SVQ4 level and the service manager will undertake the Leadership in Management Award next year. All support staff have SVQ 3 qualifications with the exception of one member of staff who is currently undertaking this training hoping to complete shortly and a more recent member of staff who is awaiting a place for their SVQ3 training. In addition to the manager and team leader, we met with four support workers. Staff told us since the last inspection they had received training in: epilepsy (refresher); food hygiene; person centred working; health & safety; moving and handling; CALMS and self harm; social inclusion; child protection; and administering Midazolam (one worker). They told us they received regular refresher training and the provider had a good list of courses which were circulated and staff could put themselves forward for training which they thought would benefit their work. Staff have the opportunity to participate in provider wide reviews and project development, for example one member of staff was involved in the provider's review of Risk and Vulnerability. There are regular staff meetings where all aspects of the service are discussed and staff with whom we met felt there were plenty of opportunities for them to put forward their ideas and suggestions for further improvement. Staff receive regular supervision and the documentation had recently changed which staff felt provided for a more two way exchange with their line manager. All of the staff we spoke to said they found management supportive and easy to approach. Several mentioned that they thought there was a good team working spirit in the service which contributed to the quality of support being provided. The only aspect of the service which staff would change was their office accommodation which they felt was cramped and lacking in natural light. The staff we met were highly motivated and enthusiastic about their work. Inverclyde Supported Accommodation, page 17 of 25

18 One of the people who completed our Care Standards Questionnaire told us: 'Good support service, good workers.' All of the people we spoke to who use the service were highly complimentary about staff and service management. Areas for improvement New care programme documentation was being discussed and developed in conjunction with local health colleagues to develop an outcomes approach to providing support services. The service hopes to have progressed this further by the next inspection. The provider had recently restructured services and this had resulted in some staff turnover and movement of staff between services. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Inspection report continued Inverclyde Supported Accommodation, page 18 of 25

19 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 The service was found to be operating at a good level for this Quality Statement. We did not look at this Quality Statement in depth during this inspection. As referred to under Quality Statement 1.1 the service carried out an annual stakeholder survey, the last of which was 2011 with another one planned this year. This survey sought specific feedback about the management and leadership of the service and the feedback was positive. 'I find the management very professional and friendly.' The service users we spoke to during the inspection confirmed they had a good relationship with the manager and team leader and would have no hesitation contacting them if they had any concerns they could not resolve with their key worker. We observed a friendly and warm relationship between people who use the service and the team leader with whom they had frequent contact. Reviews provide regular opportunities to comment on all aspects of the service and the increased activity in promoting participation is expected to further encourage people to get involved in helping develop the service further. There is a provider service user forum but currently no-one from this service is involved. Areas for improvement At Quality Statement 1.1 Recommendation 1, we suggested that the format and language of future Participation Self Audit Tool surveys be reviewed. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 Inverclyde Supported Accommodation, page 19 of 25

20 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 Inspection report continued The service was found to be operating at a good level for this Quality Statement. The service is commissioned by neighbouring local authorities who have entered into a framework agreement with housing support services. The service must therefore comply with the local authorities' contract compliance, in addition to the provider's own policies and procedures. The service works in very close collaboration with their local community mental health team; social work; and NHS professionals including hospital based staff. This partnership working provides a joined up approach to supporting people to stay well and healthy. We found some evidence of auditing of support plans but this did not seem to be for all plans. The team leader regularly contacts people who receive support to obtain their views about the service being provided and often visits people in their own homes. Any concerns or issues raised are discussed in staff supervision sessions or immediately addressed. The five people we spoke to who use the service confirmed the team leader was well known to them and they felt comfortable talking to them. Risk assessments are regularly reviewed and adjusted according to each individual's state of wellbeing. Revising risk assessments more often than not involves dialogue with other social work, health and mental health professionals. Care programme approach, care co-ordination and internal review provides regular feedback about service quality and identify any areas for further development or improvement. The service has a lone working policy and each member of staff is supplied with a mobile phone. An out of hours service is provided and progress on any call outs is closely monitored by senior staff to protect the wellbeing of service users and maintain safety for staff. The provider oversees all service activity by benchmarking against key National Care Standards and the expectations of the Care Inspectorate. All of the policies we looked at had recently been reviewed or were in the process of being reviewed: lone working; risk assessment; recruitment and selection; and management of medication. Regular provider manager meetings are held in addition to local management meetings and meetings with staff. The staff with whom we met indicated they felt free and able to become involved in helping the overall service develop which they said benefited the Inverclyde Supported Accommodation, page 20 of 25

21 people using the service. Anyone wishing to make a complaint is provided with support as well as being directed to advocacy services. The service is actively working towards an outcomes approach and is in the process of introducing new provider documentation to support this way of working. This approach is person centred working from: referral, assessment, service delivery based on identified outcomes, review of outcomes and support planning; working towards being able to move on and provision of aftercare to maintain the individual's progress. Areas for improvement We were made aware that the provider was consulting on developing a service audit took but this was not yet fully place. While we found some evidence of senior staff auditing support plans this did not seem routine. (See Recommendation 1) Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 1 Recommendations 1. The service should routinely audit support plans and related documentation to ensure that the provider's policies, procedures are being fully implemented; that staff recordings are appropriate and accurate; and that all support work continues to be delivered in a person centred way in accordance with the needs and wishes of people using the service. National Care Standards - Housing Support Services - Standard 3 - Management and staffing arrangements; and Standard 4 - Housing support planning Inverclyde Supported Accommodation, page 21 of 25

22 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 SAMH as an organisation has been preparing its services for the new Scottish Government Self Directed Support (SDS). SAMH vision is: 'A society where people are able to live their lives fully regardless of present or past circumstances' Their housing support services should be able to assist people to:? Develop Personal Resilience By: managing emotions; confidence and self esteem; assertiveness training; communication skills; stress and anxiety management.? Dealing with Challenges By: changing habits and behaviour; managing difficult situations; and problem solving.? Developing Self Awareness By: understanding team work; and personality profiling.? Focus on the Future By: job seeking; attending interviews; volunteering; education; maintaining own wellbeing. By pursuing this approach the service hopes to further improve the service its provide to people using their service. Action Plan Failure to submit an appropriate action plan within the required timescale, including any agreed extension, where requirements and recommendations have been made, Inverclyde Supported Accommodation, page 22 of 25

23 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). Inverclyde Supported Accommodation, page 23 of 25

24 5 Summary of grades Quality of Care and Support Good Statement 1 Statement Good 5 - Very Good Quality of Staffing Good Statement 1 Statement Good 5 - Very Good Quality of Management and Leadership Good Statement 1 Statement Good 4 - Good 6 Inspection and grading history Date Type Gradings 14 Sep 2010 Announced Care and support 6 - Excellent Staffing Not Assessed Management and Leadership 5 - Very Good 13 Oct 2009 Announced Care and support 6 - Excellent Staffing 5 - Very Good Management and Leadership Not Assessed 12 Dec 2008 Announced Care and support 5 - Very Good Staffing 5 - Very Good Management and Leadership 5 - Very Good All inspections and grades before 1 April 2011 are those reported by the former regulator of care services, the Care Commission. Inverclyde Supported Accommodation, page 24 of 25

25 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: Inverclyde Supported Accommodation, page 25 of 25

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