Brothers of Charity Services (Scotland) - Care Home Service Care Home Service Garden Villa Gattonside Melrose TD6 9NW Telephone: 01896 823616 Type of inspection: Unannounced Inspection completed on: 7 December 2017 Service provided by: The Brothers of Charity Services (Scotland) Service provider number: SP2008010095 Care service number: CS2008186665
About the service The service has been registered since 2009. Garden Villa, located in Gattonside in the Scottish Borders, is registered to provide care for a maximum of seven adults with learning disabilities some of whom have sensory and physical impairments. Up to three residents may be receiving respite care. At the time of the inspection, there were five residents living in the home and two respite placements. The main aim of the service is "to provide opportunities for individuals to experience a safe and fulfilling lifestyle, which maximises their health and wellbeing through skilled support". What people told us We spent time with all people living in the home, and also two people who were staying for respite. Some people were able to tell us that they were happy with the care and support they received and comments included; "I like living here". "The staff are very good". "We went to Edinburgh shopping and I really enjoyed that". "Had a great time at the Pantomime - it was very good". Where people were unable to communicate verbally we observed them to be relaxed and at ease with the support from staff and within their environment. It was evident that staff supported people in a kind, caring and respectful way and that they knew individual's support needs very well. We spoke with relatives of people who lived in the home and also with a parent of a person who stays on a regular basis for respite care. They were very happy with quality of the care and support and told us; "He has been coming for respite for around 3 years and gets on well". "Very good communication between us and staff". "He is perfectly happy coming to stay here". Self assessment We are not requesting self-assessments from providers for this inspection year. Issues relating to quality assurance, acting on feedback from people using the service and the quality of the service's improvement plan are considered throughout the inspection. From 1 April 2018 the new "Health and Social Care Standards will replace the existing Care Standards. These Standards seek to provide better outcomes for people who experience care and services should now be familiarising themselves with these. We would encourage services to prepare for the implementation of the standards by working with staff and people experiencing care to raise awareness and explore what they mean in their specific setting, and consider how they impact on their work. page 2 of 7
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 5 - Very Good not assessed What the service does well The service continues to provide a very good level of care to enable people to meet their needs, wishes and outcomes. There was a varied range of activities provided within the home and on a one to one basis. Some people were able to tell us how much they enjoyed these, in particular the thera-ponies and entertainers. Some service users who need support to mobilise had accessed the beach with specialised wheelchairs. They were able to be on the sand and close to the sea which had promoted positive outcomes such as trying out new exiting experiences. The service worked in close consultation with other professionals to ensure positive healthcare outcomes for each person. The training provided for staff ensured they could competently support people to meet their individual, and often complex healthcare needs in a safe and consistent way. People were supported in a kind, sensitive and respectful way and staff were committed to promoting each person's independence, choices and preferences. Staff were observed to be motivated and enthusiastic within their role and they knew the needs, choices and preferences of the people they supported very well. There were regular team meetings and one to one supervision to ensure staff were supported within their role. Staff described the training as very good and we saw this to be organised well. New staff were complimentary of training and support they had received since starting which promoted confidence within their role. What the service could do better The service should develop detailed medication support plans for each service user. We have signposted the provider to "Guidance about medication personal plans, review, monitoring and record keeping in residential care services". Information relating to explained and unexplained bruising was recorded in different places which made it difficult to evaluate. A more clear and auditable record of explained and unexplained bruising should be developed. (Recommendation 1) page 3 of 7
People were supported to manage their finances in a way that met their individual needs and choices. Robust systems and checks were also in place to ensure this was carried out consistently and safely. The service should develop a comprehensive financial policy and procedure for the management of service user's finances. Some staff were due to attend an update in Adult Support and Protection. We were told this was planned for the beginning of the year. A recommendation about the safety of the water supply has been repeated. (Recommendation 2) Requirements Number of requirements: 0 Recommendations Number of recommendations: 2 1. monitoring and evaluating explained and unexplained bruising. National care standards, Care homes for people with learning disabilities - Standard 14 Keeping well - healthcare; Standard 5 Management and staffing arrangements. 2. The provider should ensure that there are robust checks and systems used to protect service users and staff from risk of harm from the water supply. National Care Standards, Care Homes for people with learning disabilities - Standard 4 Your. Complaints There have been no complaints upheld since the last inspection. Details of any older upheld complaints are published at www.careinspectorate.com. Inspection and grading history Date Type Gradings 21 Mar 2017 Announced (short notice) Care and support Management and leadership page 4 of 7
Date Type Gradings 29 Dec 2015 Announced (short notice) Care and support Management and leadership 19 Apr 2016 Re-grade Care and support Management and leadership 5 Aug 2015 Announced (short notice) Care and support Management and leadership 20 Jan 2015 Unannounced Care and support Management and leadership 27 Jan 2014 Unannounced Care and support Management and leadership 27 Mar 2013 Unannounced Care and support Management and leadership 22 Mar 2012 Unannounced Care and support 5 - Very good 5 - Very good Management and leadership 28 Sep 2010 Unannounced Care and support 5 - Very good Management and leadership page 5 of 7
Date Type Gradings 27 Apr 2010 Announced Care and support Management and leadership 9 Dec 2009 Unannounced Care and support 5 - Very good Management and leadership 7 Jul 2009 Announced Care and support 5 - Very good Management and leadership page 6 of 7
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 7 of 7