Glenallan Hostel Care Home Service

Transcription

1 Glenallan Hostel Care Home Service 142 Glenallan Drive Edinburgh EH16 5RE Inspected by: (Care Commission Officer) Type of inspection: Janet Smith Announced Inspection completed on: 10 July /9

2 Service Number Service name CS Glenallan Hostel Service address 142 Glenallan Drive Edinburgh EH16 5RE Provider Number Provider Name SP City of Edinburgh Council Inspected By Inspection Type Janet Smith Care Commission Officer Announced Inspection Completed Period since last inspection 10 July months Local Office Address Stuart House Eskmills Musselburgh East Lothian EH21 7PB /9

3 Introduction Glenallan is managed by the City of Edinburgh Council and was registered with the Care Commission on 1st April It provides residential breaks for up to 8 adults with learning disabilities. There are around 80 regular service users who have a plan of their stays outlined for each year. There is a planned and phased approach to admission for regular periods of respite which includes short visits. The service provides support and contact for carers, in person, by telephone and through regular carers' meetings. The property is a two storey detached building set in a quiet residential area within walking distance of bus routes, shops and other amenities. There is an enclosed private garden with seating areas. The premises contain 8 single bedrooms, all located on the first floor level, which are accessed by stairs. Communal areas consist of two lounges, dining area, kitchen, and access to 2 showers and 3 baths. Glenallan states that it aims to assist individuals : Make friends Build relationships Develop social skills. The brochure states, "The work we do is based on the belief that people with a learning disability, no matter how severe, have the same human value as anyone else. Therefore they have a right to the same consideration, respect and fulfilment as other people in our society". Basis of Report This report was written following an announced inspection which took place over I day on 10th July Before the inspection the service had attempted to complete an Annual Return on line. The Manager had experienced difficulties submitting this however the information was on the home database. Completion of this document ensures that the Care Commission has up to date and accurate information about the care service. A paper copy of the self-evaluation was given to the Officer as the Manager had experienced problems with submitting the document to the Care Commission and was unable to contact the helpline. This contained information on what the Manager thought they did well, and how he thought some things could be improved. This service was inspected after a Regulation Support Assessment (RSA) was carried out to determine the intensity of inspection necessary. The RSA is an assessment undertaken by the Care Commission Officer (CCO) which considers: complaints activity, changes in the 3/9

4 provision of the service, nature of notifications made to the Care Commission by the service (such as absence of a manager) and action taken upon requirements. The CCO will also have considered how the service responded to situations and issues as part of the RSA. This assessment resulted in this service receiving a low RSA score and so a low intensity inspection was required as a result. The inspection was then based upon the inspection focus area of Protecting People and follow up on any recommendations and requirements from previous inspections, complaints or other regulatory activity. The inspection focus area of Palliative Care was also taken into account at this inspection. The inspection was carried out by Care Commission Officer Janet Smith referred to as the Officer in this report. During inspection, evidence was gathered from a number of sources including: A review of a range of policies, procedures, records and other documentation, including the following: 4 service user personal plans accident/incident records complaint log staff records policy on restraint policies relating to protection of vulnerable adults Discussion took place with a range of staff including: The Manager 4 members of staff 2 service users and 3 service user representatives. The Care Commission Officers took all of the above into account and reported on whether the service was meeting a range of National Care Standards for Short Breaks and Respite Care Services for Adults associated with the Inspection Focus Areas for 2007/08. The main inspection focus for this Care Home service was: 1. Protecting People, including Adult Protection, Restraint, Child Protection (for visiting children) and Staff training/training plans. Aspects of all associated National Care Standards were taken into account during this inspection. 2. Palliative care The following Standards for Care Homes for Short Breaks and Respite Care Services for Adults were taken into account during this inspection to support the inspection focus areas and the follow up on the service actions in relation to recommendations and requirements made in all regulatory activity since the last inspection. Findings are reported on under the relevant Standard. Standard 5: Management and Staffing Arrangements Standard 14: Keeping well - healthcare The Fire (Scotland) Act 2005 introduced new regulatory arrangements in respect of fire safety, on 1 October In terms of those arrangements, responsibility for enforcing the statutory provisions in relation to fire safety now lies with the Fire and Rescue service for the 4/9

5 area in which a care service is located. Accordingly, the Care Commission will no longer report on matters of fire safety as part of its regulatory function, but, where significant fire safety issues become apparent, will alert the relevant Fire and Rescue service to their existence in order that it may act as it considers appropriate. Further advice on your responsibilities is available at Action taken on requirements in last Inspection Report There were three requirements made at the last inspection in relation to safer recruitment. The Care Commission has received an action plan outlining how the provider, The City of Edinburgh means to meet these requirements Comments on Self-Evaluation A completed self-evaluation document was given to the Officer. This gave relevant information on the inspection focus areas relating to the Standards. Information was clear and comprehensive. View of Service Users The Officer only met with a few service users at this visit. One to one interviews were not conducted however, the Officer saw that individuals were relaxed and comfortable in the environment. They confirmed that they enjoyed attending Glenallan. Interaction between staff and service users was very positive. The Officer noted that staff had in-depth knowledge of each individual through discussion and the content of personal plans. View of Carers The Officers did not see carers visit at this inspection however, the service provided the Officer with a list of potential contact numbers of carers. The Officer selected and made contact with 3 carers who agreed to give their views of Glenallan. Carers who spoke with the Officer gave very positive comments on their experience of Glenallan. All of their relatives liked going to the service. The service was able to be flexible and accommodating when needed. Carers felt that the service was crucial in helping them to carry on with their caring role. Comments included, "Don't know what I'd do without Glenallan" and "The service gives me support". All comments were positive in respect of being reassured that their relative was well looked after and safe when at Glenallan. "They cope with anything" was 1 comment received. They were informed if there were any problems or concerns with their relative. Carers acknowledged the hard work and commitment of staff and stated that they tried to promote the independence of their relatives. Comments included, "Staff are superb", "staff are really friendly" and "all of the staff are so 5/9

6 nice". 6/9

7 Regulations / Principles Regulation : Strengths Areas for Development National Care Standards National Care Standard Number 5: Short Breaks and Respite Care Services for Adults - Management and Staffing Arrangements Strengths This report does not include comments on all of the elements of standard 5. This Standard includes details of the Inspection Focus Area, Protecting People, which considered Adult Protection, Restraint, Child Protection (for visiting children) and Staff training/training plans. From discussion with the Manager, review of documentation and care plans, there was awareness of the issues surrounding Protecting People. The Manager and staff had access to the Inter-agency guidance on Adult Protection and relevant organisation policies on line. Staff attend an annual 3 day team training event, the last session was conducted in November. New and amended policies such as restraint were discussed. Induction to the service included an introduction to the policies. The Manager was able to inform the Officer of his experiences of adult protection issues. The Manager stated that the service did not have any children visiting at this time but was aware that this could change in the future. A policy on child protection was available in the organisation and had been reviewed 1st June Personal plans seen included detailed information on how to manage challenging behaviour. Incident records, although few, had identified that these had been considered well with any plan for action discussed at team meetings. All staff in the service received regular supervision and performance appraisal. These were seen as positive aspects in the team. Staff were encouraged to access training opportunities. The staff group work very closely on a daily basis. This gives the Manager the opportunity to observe practice. A central audit of the service's safer recruitment policies and procedures had been 7/9

8 undertaken previously by the Care Commission resulting in three Requirements and one Recommendation. It is acknowledged that an action plan outlining how the provider will meet these has been submitted to the Care Commission therefore there is no need to make further Requirements or Recommendations on this issue. Areas for Development The Manager was aware of the Mental Welfare Commission Best Practice Guidance. Although it was not felt to be relevant to the existing clients, the Manager was aware that the service needed to be able to implement this guidance if necessary. The Manager agreed to obtain this guidance and distribute to staff. This will be monitored at the next inspection. National Care Standard Number 14: Short Breaks and Respite Care Services for Adults - Keeping Well - Healthcare Strengths The Officer assessed that the service actively ensured that this Standard was met. The service was seen to adopt a palliative care approach to care delivery. There was close working relationships with the relevant specialists to meet the identified needs of the service user group. Service users were supported to attend healthcare appointments during their break. Care plans gave very clear guidance and advice on care needs. This information was shared with the service user and carer. A review of personal plans showed that sensitive issues had been explored with service users when appropriate. Areas for Development None arising from this inspection. 8/9

9 Enforcement There has been no enforcement action against this service since the last inspection. Other Information The Manager provided the Officer with relevant information to formulate a staffing schedule for the service. This will be progressed. Requirements None arising from this inspection. Recommendations None arising from this inspection. Janet Smith Care Commission Officer 9/9