The Oasis. Support Service Church Road Pitlochry PH16 5EB Telephone: 01796 472160 Type of inspection: Unannounced Inspection completed on: 21 November 2017 Service provided by: Church of Scotland Trading as Crossreach Service provider number: SP2004005785 Care service number: CS2003009776
About the service The service is provided from two sites, one located in Bankfoot and the other in Pitlochry. Both buildings are owned by the Church of Scotland and run by Crossreach. The Tryst in Pitlochry is registered to provide a day care service to a maximum of 16 older people. The Oasis in Bankfoot is registered to provide day care for a maximum of 12 older people and is located in a purpose built church centre which has a public café and additional rooms that are used by other social/voluntary groups. The service was previously registered with the Care Commission and transferred its registration to the Care Inspectorate in April 2011. The service has a clear vision of what it wants to offer: "Our goals focus on enriching service users lives, building upon their skills, knowledge, abilities and strengths, improvement of mental and physical health, enhanced or maintained levels of independence, socialisation and peered support." The Oasis is valued in the local community and remains committed to providing a high quality service and meeting its aims and objectives. What people told us Prior to the inspection we sought feedback from those attending the service through Care Standard Questionnaires. Eight questionnaires were returned. Some comments were: 'The staff are very good' 'The meals could not be improved' 'I look forward to coming here' 'The staff are lovely' During the inspection we also spoke to relatives and visitors. Their comments included: 'Looks forward to days here and enjoys the chat and change of company' 'Enjoys his food here and appreciates all that is done for him' page 2 of 6
Self assessment A self assessment was not requested. The manager identified areas for development during the inspection and advised that they are looking at improving the layout of the support plans and the way in which information is recorded. From this inspection we graded this service as: Quality of care and support Quality of environment Quality of staffing Quality of management and leadership 5 - Very Good not assessed not assessed 5 - Very Good What the service does well Staff were motivated, worked well together and were committed to ensuring the service achieved positive outcomes for those who attended. Staff were attentive and caring in their interactions and we observed that staff knew the people they supported well and had a good awareness of each persons care and support needs. All those who attended the service had their own individual file detailing their individual needs. Support plans were person centred and were reviewed and updated regularly. People using the service had a named keyworker and case files included detailed information on individual likes and dislikes. This meant that the care and support provided was personalised to individual needs. Key outcomes such as social opportunities and good nutrition for people attending the service were positive. People who used the service told us that they looked forward to attending day care. We observed a range of activities taking place such as dominoes, arts and crafts and knitting and we saw good examples of people being actively engaged in activities of their choice. Staff were attentive and on hand to support people using the service according to their individual needs. In addition people were supported to maintain their independence and encouraged to make choices. People were actively involved in choosing and planning activities and making up lunch time menus. We observed menus to be nutritious with choices that met individual dietary need, for example, diabetic and lactose free meals. Staff had a good awareness of individuals needs and what was important to them and had attended training specific to peoples needs. Staff told us they were clear about their roles and responsibilities, that they felt valued and supported by the manager and that the training and development opportunities they received enabled them to do their job. This enables staff to offer an individual, needs led service to all those who attended. page 3 of 6
The manager was very hands on within the service, knew what was happening on a day-to-day basis and knew the people who attended well. There was an ethos of open communication. The service was proactive in developing service user/carer participation and peoples views were routinely sought on the quality of the service provided. Questionnaires were sent out annually and regular meetings were held with those attending the service and their carers. These helped promote effective communication and ensure that people were listened to and supported. In addition regular carer involvement reviews were held and family members/carers had opportunities to influence service development. All those who attended the service and their relatives were complimentary of the staff team and the care and support provided. What the service could do better Individual care plans demonstrate how the service meets, delivers and evaluates people's needs. However, some support plans would benefit from the inclusion of more detailed information on people's health and medication needs. The service has good paperwork systems in place and we discussed with the manager the benefits of further developing quality assurance systems that clearly identify outcomes, improvements and action plans. Due to the absence of a cook at Bankfoot, the manager and care staff were responsible for menu planning, shopping and meal preparation in addition to their day-to-day managerial and operational responsibilities. This impacted on the manager being able to attend meetings and spend time with new staff, and care staffs' time to carry out their duties. (Recommendation 1) Requirements Number of requirements: 0 Recommendations Number of recommendations: 1 1. It is recommended that the provider look at any adverse impact the absence of a cook at Bankfoot has on outcomes for service users and the experience of staff, and takes appropriate action. National Care Standards for Support Services - Standard 2: Management and Arrangements Complaints There have been no complaints upheld since the last inspection. Details of any older upheld complaints are published at www.careinspectorate.com. page 4 of 6
Inspection and grading history Date Type Gradings 7 Jul 2014 Unannounced Care and support Management and leadership 19 May 2011 Unannounced Care and support Not assessed Management and leadership Not assessed 14 Oct 2010 Announced Care and support Not assessed Not assessed Management and leadership Not assessed 10 Nov 2009 Announced Care and support 4 - Good Management and leadership 12 May 2008 Announced Care and support 4 - Good 4 - Good 4 - Good Management and leadership 4 - Good page 5 of 6
To find out more This inspection report is published by the Care Inspectorate. You can download this report and others from our website. Care services in Scotland cannot operate unless they are registered with the Care Inspectorate. We inspect, award grades and help services to improve. We also investigate complaints about care services and can take action when things aren't good enough. Please get in touch with us if you would like more information or have any concerns about a care service. You can also read more about our work online at www.careinspectorate.com Contact us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com 0345 600 9527 Find us on Facebook Twitter: @careinspect Other languages and formats This report is available in other languages and formats on request. Tha am foillseachadh seo ri fhaighinn ann an cruthannan is cànain eile ma nithear iarrtas. page 6 of 6