Loretto Personalised and Self Directed Support Services (North Lanarkshire) Housing Support Service 14 McGregor Street Craigneuk Wishaw ML2 7SE Telephone: 0141 274 8081 Type of inspection: Unannounced Inspection completed on: 13 April 2017 Service provided by: Loretto Care Service provider number: SP2006008236 Care service number: CS2014333902
About the service Loretto Personalised and Self Directed Support Service (North Lanarkshire) is registered with the Care Inspectorate to provide an integrated care at home and housing support service. A new registration with the Care Inspectorate was created for this service in April 2015 following an internal reorganisation that resulted in a split from the previous service which was called Loretto Care Lanarkshire Supported Living Service. The service is available to adults and older people with a learning disability, mental health problems, drug and alcohol problems, physical disabilities and whom may be at risk of homelessness living in their own homes. At the time of this inspection the service was supporting twenty four people. The aim of the service is to build a positive, empowering framework for care and support giving individuals the freedom to direct their own care and support to achieve their own unique support package. What people told us We met with four people who use the service, at the office base and visited one person using the service and their relative at their home address. Seven people also shared their views of the service via the questionnaires that we asked the provider to circulate to people using the service. High levels of satisfaction with the service being provided, the quality of staff and the way that the service was managed, were expressed. Self assessment The Care Inspectorate did not request that the provider complete a self-assessment during 2017/18. At this inspection visit, we took account of the services own improvement and development plans. All services should have such a plan as part of their quality assurance. From this inspection we graded this service as: Quality of care and support Quality of staffing Quality of management and leadership 6 - Excellent not assessed 5 - Very Good What the service does well People whom we spoke with were able to articulate the positive differences that this service had made to their lives, we refer to these as outcomes for people. We found staff to be conversant with the needs of the people whom they were supporting and those needs were well documented in regularly reviewed support plans that we found to be informative and gave a sense of the individual. Peoples interests and assets and what was important to them had been recorded. This helped staff to work consistently. page 2 of 5
People we spoke with were very complimentary about the staff team and expressed confidence in the ability of staff. The positive working relationships that had been developed with staff had helped to contribute to good outcomes for people being supported. Staff were attentive to people's health needs, with evidence of health promotion. Changes in physical and mental health presentation had been quickly responded to and concerns communicated to key stakeholders. And where specialist support was required this had been appropriately sought from health partners. Support staff we met with, some of whom were long term workers, demonstrated good values and presented as motivated. Staff told us how much they enjoyed their job and indicated the ways in which they felt that they were helping to improve the lives of the people whom they were supporting. Mandatory training, we noted, was on-going and informed staff practice and it was good to see that additional training, specific to people's needs, had been sourced for staff working with some of the new service users. It was evident that a personalised support service was being provided. A community engagement and activities officer had been recruited since our previous inspection and we saw how this role had helped to complement the services already excellent involvement opportunities. The organisations goals and objectives were evident within the corporate plan and at a local level, a service plan helped to drive up improvements at this service. A range of monitoring and audit tools helped to maintain quality and contributed to keeping people safe and we noted that staff had recently completed Adult Support and Protection training. Staff whom we spoke with were able to identify the ways in which they used leadership skills in their day to day role. There were opportunities for staff to make suggestions for improvements at the service and they said that they felt listened to. Some staff had taken on additional roles which had benefited the service, such as champions and mentors and managers recognised and valued the contribution of staff generally. What the service could do better Whilst in the main, the quality of recorded information we looked at was excellent, we found that some risk assessments still lacked clarity about what the perceived risks were and it was not clear how the level of risk had been determined. And whilst risk assessments were being reviewed, it was not evident that strategies to reduce risks were being evaluated in terms of the impact upon the safety of the person and others. The provider should ensure that where people they are supporting lack the capacity to make decisions and are subject to a section 47 certificate, a copy should be sought from the GP and made available within the file. A section 47 certificate allows the doctor and other staff to provide the medical treatment that a person may require. Whilst the management team carry out a training needs analysis and this helps to inform a training plan, we felt that there could have been more of a focus on the promotion of best practice to help to ensure that staff are conversant with current legislation and evidence based approaches. page 3 of 5
To promote staff development, we signposted the service to the Scottish Social Services Council (SSSC) resource Promoting Excellence in Dementia. http://www.sssc.uk.com/workforce-development/supporting-your-development/promoting-excellence-indementia-care 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 11 Apr 2016 Unannounced Care and support 5 - Very good Environment Not assessed Staffing 5 - Very good Management and leadership 5 - Very good page 4 of 5
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 5 of 5