Enable Scotland (Leading the Way) - Rowan Street Care Home Service 130 Rowan Street Blackburn Bathgate EH47 7EA Telephone: 01506 633 952 Type of inspection: Announced (short notice) Inspection completed on: 19 March 2018 Service provided by: Enable Scotland (Leading the Way) Service provider number: SP2003002584 Care service number: CS2003011010
About the service Rowan Street is a care home for adults with learning disabilities, provided by Enable Scotland (Leading the Way). Four women live there and have lived together for a number of years. They moved into the home from the local area and maintain their connections with family and friends. The service has been operating since 2002 and registered with the Care Inspectorate since the Care Inspectorate was formed in 2011. The home is on the ground floor of a block of flats in Blackburn, West Lothian. The women have their own bedroom and share the living room, kitchen, utility room and two adapted bathrooms. There is office space for staff to use. The home has a garden area to front and back. The objective statement for the service says, "We are a team that exists to make it possible for the people who live here to live an ordinary life, whatever that means for each of them. The people employ us to assist them in their lives and to support them in their plans for the future." What people told us We met three of the people supported on the day of our visit. We also spoke with four relatives by phone. Two of the people we met on the day of inspection were not able to freely communicate. One person was able to tell us about their holidays and how much they enjoyed these. It was clear from looking at photos that the person was happy, relaxed and was clearly enjoying their break with the staff supporting them. We saw caring, supportive and respectful interactions between the staff and the people supported. It was clear that the staff had an excellent understanding of each persons needs and the people supported responded to this. Overall, all the relatives felt their family members were very well cared for. One relative spoke about some issues they had which we discussed with the manager. The other three relatives were very happy and could not think of anything that could improve the support. Their comments included: "Excellent care could not be better, gives me peace of mind Nothing to improve second to none Support has enhanced her life, came on leaps and bounds since moving into the home." Self assessment We are not asking services to provide a self-assessment this year while we review how we inspect in the future. Instead, we will ask services for their improvement or development plan and discuss any changes they have made since the last inspection or intend to make. 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 What the service does well The staff team had continued to provide excellent, knowledgeable support to everyone in the home. There were flexible working practices to enable people to be supported in their choices of activities and lifestyles. As the page 2 of 6
people supported were unable to communicate verbally we saw that there was extensive consultation with families. This helped the people supported and the staff team gather and assess information which would lead to outcomes reflective of people's preferences for support. There was a strong emphasis on family involvement, with families going on social trips, holidays and events with both their relatives and staff. This benefited all the people supported. We saw that the core staff team had supported the service users over a number of years and this meant that the support was knowledgeable, consistent and reliable. This resulted in excellent outcomes for each person. A direct result of the staff team and manager knowing the people so well was that each activity and holiday could be assessed as to how much the person enjoyed these. This information has led to people living their lives a way they would want, given they are unable to freely communicate choices. We found that personal plans were easy to read, detailed documents which reflected each person's choices. We saw that all aspects of support was documented including reviews and outcomes, help with any health issues and help with finances. Enable (Leading the Way) had a range of policies and procedures in place which underpinned the values of their services. We saw that staff practice reflected the values of the organisation. It was clear from speaking to staff that there was a well-established, staff team who provided competent, knowledgeable care with the best interests of the people living in the home being at the heart of the support provided. We saw that all staff were up to date with relevant mandatory training. Staff had also had the opportunity to take part in training relevant to the people they supported. This enhanced their skills in supporting each service user in a person centred way. There was a comprehensive recruitment procedure in place. This included procedures for the applications, interview, appointment of staff and induction to the service. Staff had the opportunity to meet with their line manager to discuss any issues. Staff also had the opportunity to reflect on their work and develop their own goals through a yearly appraisal. We also saw there were staff meetings where policy, development and practice issues could be discussed. Development work was being carried out on the staff supervision and annual appraisal template to ensure it was more user friendly, encouraging participation from staff. We saw that staff clearly had a comprehensive understanding of the people they supported preferences and support needs. This knowledge had been built up over time, with more established staff sharing good practice within the team. In summary we found caring, responsive support, which had enabled people experience consistent reliable care. Feedback from the staff we spoke with was that the manager provided strong leadership, promoting high quality care, whilst being supportive of them as a staff team. It was clear the manager valued the team and promoted best practice within the service. What the service could do better We saw that the provider's values and objectives underpin all aspects of operational practices. However we did not see the link to these within staff supervision or appraisal. We did however see the revised format for these which were just being introduced. We saw that staff were asked to give specific examples of practice at appraisal to link into organisational objectives. This would show an understanding of the objectives in a practical way. We will follow up the completion of the revised formats at the next inspection. Whilst it was clear that people were supported to achieve their outcomes, we found gaps in clearly evidencing page 3 of 6
the positive work done by staff. We discussed ways in which people could celebrate achieving their outcomes, This would enhance the excellent support provided by the staff team. We saw the monthly reports completed by staff included what didn't go so well for that person over the last month. We discussed it would be good practice to consistently discuss these at team meetings and record any changes to practice as a direct result of what had been noted in the report. As good practice each member of staff should be encouraged to keep their own continuous professional development folder. This would contain training, reflective accounts and how they would put the training into practice. This is a requirement of registration with the Scottish Social Services council. We saw that the manager and staff team had discussed objectives to achieve over the coming year. We saw this as good practice. However we discussed that it would be of benefit to have an overall improvement plan for the care homes operated by Enable (Leading the way) to link into the new Heath and Social Care standards. Requirements Number of requirements: 0 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 7 Sep 2016 Unannounced Care and support 16 Oct 2014 Unannounced Care and support page 4 of 6
Date Type Gradings 24 Feb 2014 Unannounced Care and support 19 Feb 2013 Unannounced Care and support 9 Feb 2011 Unannounced Care and support 28 May 2010 Announced Care and support 27 Jan 2010 Unannounced Care and support 22 Jul 2009 Announced Care and support 12 Mar 2009 Unannounced Care and support 3 - Adequate 14 Aug 2008 Announced Care and support 3 - Adequate 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