David Cargill House Care Home Service 6/7 Great Western Terrace Glasgow G12 0UP Telephone: 0141 339 4733 Type of inspection: Unannounced Inspection completed on: 26 April 2017 Service provided by: David Cargill House, Management Committee Service provider number: SP2003000009 Care service number: CS2003000834
About the service David Cargill House Care Home is managed by David Cargill House, Management Committee. The service is located in the West End of Glasgow and provides residential care for up to 45 people. The service is situated in a listed Victorian building and offers residents a homely, comfortable and pleasant environment to stay. There are 11 twin rooms and the remainder are single. None of the rooms have en-suite facilities. There are a number of communal rooms which have been developed well and give people varied choices within the building. These include a bright conservatory, a reminiscence room, a hairdressing room, a library/study room and several living rooms with television. There is also a well maintained attractive and secure garden with a greenhouse, and a sensory garden managed by the residents' "green finger group". The service aims to provide the level of care and support people need to ensure that, as far as possible, independence and individuality are maintained whilst respecting individuals' rights to freedom of choice, privacy and personal dignity. The Care Inspectorate regulates care services in Scotland. Information about all care services is available on our website at www.careinspectorate.com. What people told us We could see how much importance was placed upon building and sustaining positive relationships and the mental and physical health benefits resulting from this. People living in the home and relatives provided many excellent examples of how people's experiences had been broadened and enhanced since moving into the home such as enjoying the wide range of relaxation therapies provided. Some comments made included:- "I do not think anything can be improved upon." One relative particularly praised end of life care and stated that it "meant a great deal to me knowing that she was in safe, nurturing and loving environment." Another person was "impressed by the high level of imaginative support received. Despite having been in hospital for many years, she was encouraged to develop her independence skills and to form new friendships." Enabling people to develop new experiences and interests was regularly commented and praised by both relatives and people living here. Another relative said that "I know my mother is happy. If I have any issues, Manager, deals with them immediately." Another relative emphasised that they "have no complaints at all as the staff are first class." Self assessment We did not ask the provider to submit a self assessment this year. From this inspection we graded this service as: Quality of care and support Quality of environment Quality of staffing Quality of management and leadership not assessed not assessed page 2 of 6
What the service does well The excellent outcomes achieved are based on open communication and strong relationships taking place with equal collaboration between staff, management team, families and other health agencies. This enables care to be consistently achieved at an exemplary high level in partnership with people with long-term conditions. We observed these excellent relationships continually between staff and service users. External agencies gave many additional excellent examples why this service is exemplary. They confirmed that this is achieved by effective partnership working with agencies and actively empowering service users and families in deciding the right levels of support at the right time. This empowering relationship of equals consistently ensures all options available are fully explored. A recent visit was arranged by another agency to enable students to witness "high quality care for adults with incapacity." The management team lead by example in maintaining this open culture. Again external professionals confirmed care planning approaches that are enabling people to articulate their own issues, at their pace when exploring best solutions. Examples of excellent outcomes achieved daily included people saying that they had greater access to interests in the community. Excellent views were also shared relating to communication, where there was detailed information about how people liked to communicate and what different facial expressions, behaviour and actions might indicate. Staff ensure people have ample choices and that care is delivered with consent. For example, the ramblers group suited a person as their agitation is reduced by daily escorted outings. We observed people to be supported thoughtfully and discreetly to make choices. Another health professional observed that over a sustained period when a person was becoming distressed that they were impressed by "both the physical and emotional care being given. Each staff member had a slightly different approach but always with...at the centre." We were pleased to see the excellent strategies used through a robust managerial oversight of the importance of tailoring services to meet unique individual needs. Where people lacked capacity, appropriate actions have been taken to ensure decisions are made in the person's best interests. Other compliments were "that without the good observation and communication from the staff - changing symptoms may not have been observed so quickly". Consistently staff were observed to respect privacy and dignity at all times and interacted with people in a caring professional manner. Staff were able to talk about the values of the service and expectations about the care provided. They felt the leadership was open and approachable. They also felt listened to and as a result flexible staffing numbers and qualitative training had continued to demonstrate creative practices. What the service could do better The service is consistently well led. The established staff team work in an open culture, and are sensitively supported by a well informed management team. The service uses excellent quality assurance systems and identified shortfalls are addressed promptly. As a result, the quality of the service is continually evolving and improving. The service should continue to explore ways to consolidate and improve service delivery by continuing to explore various means of communication to continue to deliver an excellent support service that delivers excellent outcomes. Requirements Number of requirements: 0 page 3 of 6
Recommendations Number of recommendations: 0 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 3 Jun 2016 Unannounced Care and support Management and leadership 30 Apr 2015 Unannounced Care and support 29 Apr 2014 Unannounced Care and support 21 Jun 2013 Unannounced Care and support Management and leadership 28 Jan 2013 Unannounced Care and support Management and leadership 20 Jan 2011 Unannounced Care and support page 4 of 6
Date Type Gradings Management and leadership 14 May 2010 Announced Care and support 25 Mar 2010 Unannounced Care and support Management and leadership 11 Sep 2009 Announced (short notice) Care and support 4 - Good 13 Feb 2009 Unannounced Care and support 29 Oct 2008 Announced Care and support 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