Hopeman Avenue Service Care Home Service

Transcription

1 Hopeman Avenue Service Care Home Service 29 Hopeman Avenue Thornliebank Glasgow G46 8SG Telephone: Type of inspection: Unannounced Inspection completed on: 13 January 2017 Service provided by: The Richmond Fellowship Scotland Limited Service provider number: SP Care service number: CS

2 About the service Hopeman Avenue is a registered care home that accommodates up to eight adults with mental health problems. The home is modern in design, and built to a high standard. It is comprised of individual rooms with en-suite facilities, two spacious lounges, communal kitchen and utility room. One of the lounges had been re-furbished and now provided a well appointed games room. There is also a smaller lounge that is designed to offer a quieter environment where people can relax. The accommodation is on one level with easy access to the enclosed garden area at the rear of the property. This offers a substantial area that is well used and offers opportunities to exercise and learn gardening skills. The recent addition of a smoking shelter had been well received by supported individuals. The service is staffed 24 hours a day with staff sleepover support during the night. What people told us We sent eight Care Inspectorate care standard questionnaires for the manager to distribute to supported individuals. We received four completed questionnaires. The responses in those returned questionnaires reflected the positive feedback we received in our meetings with people in the care home. We met with six people during our inspection. We were told that staff were supportive and people felt their views were important and valued by staff. All those we asked told us they felt safe. The following were comments made to us during our one-to-one meetings and responses in the questionnaires: "The staff work hard and I trust them to do a good job" "If I was worried or had a problem I would speak with x she is the boss" "I like all the staff. They are kind" "They have helped me to get better" "You don't need to bother about us we are all fine. The staff are great" "We have group meetings in our services and they ask us if there is anything they can do for us" "They listen when I speak and also understand me" "Staff do a very good job. I do not think they could do any better" "Staff offer me adequate time for support. I never feel rushed". We attended a meeting that was chaired and attended by supported individuals. A supported individual took the minutes of the meeting which we thought was very good practice. We saw that people were encouraged to participate at their own pace; it was clear that people's views were important and there were many examples of how those views informed a range of improvements and developments. Self assessment The Care Inspectorate received a completed self assessment document from the provider. The provider identified what it thought the service did well, some areas for development and any changes it had planned. The self assessment contained a record of strengths and areas for improvement under each quality statement. The provider also told us how people who used the service had contributed to the self assessment process. We further discussed the self assessment and suggested some improvements, particularly around the identified areas for improvement. We noted that although areas for improvement were identified there was often no detail in how these would be progressed. Some, for example the intention to pursue further education, were ambitious page 2 of 7

3 in nature and did not link clearly to outcomes for people. We made a few suggestions, including the development of an action plan that linked with identified areas for improvement. 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 During this inspection we found continued improvement that linked well to the needs and subsequent outcomes for supported individuals. The successful 'move-on' programme for some individuals reflected the changing priorities for the service. Staff showed a very good understanding of the importance of continually developing the service and were motivated to promote better outcomes for people. We found that supported individuals were frequently asked to evaluate the effectiveness of their care and support. Systems to gather such feedback included, service questionnaires and surveys, service planning days and review meetings. People told us they felt their views were valued and offered examples of how their comments had influenced change within the service. Those changes included environmental improvements and suggestions for activities. There had been an emphasis on health initiatives and we noted the efforts that went into the promotion of healthy eating with associated weekly cookery classes. Outdoor games, art groups and other activities were aimed at providing a more structured monthly schedule. Attendance at exercise classes and other services outwith the care home provided useful links with the community. Sampled review minutes showed that staff worked hard to ensure that people were encouraged to be involved in aspects of the community that were important to them. We observed a staff member assisting an individual with their medication which was in line with the provider's policies and procedures. The process was person-centred and was linked to outcomes that were rooted in the aim of independence in key daily tasks. We were impressed with the knowledge the individual had of their medication; staff helped people to make informed choices around this area of treatment. The promotion of advance statements was a particularly good development and we observed further discussion of this document at the meeting we attended for supported individuals. Records in sampled support plans showed that staff were competent in interpreting behaviours that indicated ill health and relapse. Appropriate supports were sought for both physical and psychiatric help. People we met told us they were confident that staff would provide support consistent with a person-centred approach. Staff performance records were aimed at making sure staff were appropriately supported and that they could demonstrate an understanding of good practice guidance and associated legislation. We found that quality assurance processes provided effective monitoring that aimed to assess the service and to make sure identified performance measures were met. These included key performance indicators, complaints, and an annual audit by the area manager. Other service evaluation tools were made accessible to all involved, using the format of a yearly report, service improvement plan and a record of the planning day. page 3 of 7

4 What the service could do better We concluded that nutritional planning could be improved by better organisation of the current paperwork. For those people who require to be assisted with weight gain or reduction we would like to see more detailed food planning. We suggested food diaries and weight charts that are linked to outcomes. We noted the role of the nutrition champion and directed her to some additional best practice guidance that would inform improved practice in this area. See recommendation 1. While we acknowledged the successful move to more independent accommodation for some individuals we discussed making the 'move-on' processes more focused. We understand that some people who have been accommodated in the care home for some years may never move on. However there is now an understanding that all new referrals will be supported to move on after an agreed timescale. We made some suggestions that helped to reiterate that planned outcome. For example, making clearer the areas that individuals need to focus on to ensure that skills are maintained and/or developed in line with the aim of independent living. We concluded that staff may benefit from further learning opportunities around motivational interviewing. Staff told us that there can be challenges in getting some people to participate in service and community activities. We were told that this can occasionally affect staff morale as there is understandable disappointment when people may maintain a certain level of health but do not improve in accordance with the service aims and objectives. Requirements Number of requirements: 0 Recommendations Number of recommendations: 1 1. The manager should review current recording processes to improve the ways in which supported individual's nutritional needs are assessed, recorded and reviewed within an outcomes approach. This would include food preferences and any special dietary needs. NCS - Care homes for people with mental health problems - Standard 13 - Eating well Complaints There have been no complaints upheld since the last inspection. Details of any older upheld complaints are published at page 4 of 7

5 Inspection and grading history Date Type Gradings 21 Jan 2016 Unannounced Care and support Management and leadership 12 Jan 2015 Unannounced Care and support Management and leadership 3 Mar 2014 Unannounced Care and support Management and leadership 9 Jan 2013 Unannounced Care and support Management and leadership 5 Oct 2011 Unannounced Care and support Management and leadership 13 Dec 2010 Unannounced Care and support Management and leadership 10 May 2010 Announced Care and support Management and leadership 16 Dec 2009 Unannounced Care and support 4 - Good page 5 of 7

6 Date Type Gradings Management and leadership 16 Jun 2009 Announced Care and support 4 - Good 4 - Good 4 - Good Management and leadership 4 - Good 16 Dec 2008 Unannounced Care and support 4 - Good 3 - Adequate Management and leadership 2 May 2008 Announced Care and support 4 - Good 3 - Adequate 4 - Good Management and leadership 4 - Good page 6 of 7

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 Contact us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com Find us on Facebook 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