Moredun Young People's Centre Care Home Service 15 Moredun Park Court Edinburgh EH17 7EY Telephone: 0131 664 5297 Type of inspection: Unannounced Inspection completed on: 22 August 2016 Service provided by: City of Edinburgh Council Service provider number: SP2003002576 Care service number: CS2003010920
About the service Moredun Young People's Centre (Moredun YPC) was previously registered with the Care Commission and transferred its registration to the Care Inspectorate on 1 April 2011. Moredun YPC is operated by City of Edinburgh Council Social Work department. The home is a purpose built property situated within a housing estate on a main route to Edinburgh. The home provides care for a maximum of eight young people who are aged from 12 to 18 years, who for a variety of reasons are unable to reside with their families. The home is within close proximity to local amenities and public transport. What people told us During this inspection we spoke with 3 of the young people who were living at Moredun Young People's Unit. They told us that they got on with some of the staff and all of them could identify staff that they could talk to. In situations where they did not get on with staff they were able to speak to the manager about that and she tried to help them resolve their differences. Comments included: "It can be a bit intimidating" "I like going fishing and camping" "I don't know the rules and it's a bit boring" "I'm not sure if the staff listen to me" "Some of the staff are cheeky and wind me up" "Would like a foosball table" Self assessment The Care Inspectorate received a fully completed self assessment from the provider. The provider identified what it thought the service did well and gave examples of improvement. The self assessment clearly identified some key areas that the provider thought could be improved and showed how the service intended to do this. 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 Recently some of the young people living at Moredun had been unsettled and had become involved in unsafe behaviour. At the time of the inspection we heard that young people and staff were more relaxed. We saw that page 2 of 7
there were some very strong relationships between staff and some of the young people. Staff were trying very hard to establish positive relationships with all of the young people. We saw that they spent quality time with young people, taking an interest in the things that were important to them and inviting them to try new activities. Young people benefited from the wide range of interests and knowledge within the staff group. They enjoyed activities such as fishing and camping, alongside craft projects. Young people were well prepared for independence and we saw that there had been some success for young people in the transition into adulthood. Young people were encouraged to maintain relationships and return to the home for informal visits. In this way staff provided support to help young people manage in their own tenancy or maintain relationships within their family home. All of the young people had care plans which identified their goals and areas where they would like to make changes in their lives. Some of the plans clearly identified strategies to help young people achieve their ambitions and keep themselves safe. Incident records were sufficiently detailed and included management reflection to identify how incidents could be minimised. Staff continued to try to engage all of the young people to help them express their views. The 'Moredun Mumbler' was a very established newsletter produced by staff and occasionally young people. The newsletter offered a light-hearted way to involve young people in changes within the home and encourage participation. All of the staff were registered with an appropriate professional body and had or were working towards achieving a relevant qualification. Staff were aware of current practice themes and had taken up opportunities to attend conferences and had participated in some core training for example, child protection and awareness of child exploitation, which helped them in their work with young people. The staff told us that they felt very supported by their managers. They said that some informal supervision had taken place and that they were always able to speak to a manager if they needed support. Most staff had received an annual professional development review where they identified their skills and considered areas for development. In discussion with the manager we assessed that she had a clear vision for the future of the service and the type of culture and ethos she wanted to establish. She had a very positive approach to problem solving and had established plans to drive forward improvement. What the service could do better We heard that there had been some disruption to the staff team. Sickness and staff vacancies meant that staffing had been substantially covered by locum and temporary staff. This had impacted on the consistency of care for the young people and on opportunities for staff supervision and team meetings. At the time of feedback we were told that this was being addressed and permanent staff had been recruited. At the last inspection we made a recommendation. We said that the service provider should continue to monitor and review the new care plans and risk assessments and ensure they clearly identify young people's targets and strategies. They should evidence progress and next steps. We said that care plans also need to be more accessible to young people. At this inspection we found that, whilst all of the young people had care plans, they varied in quality of information and some were not up to date. We recognised that this had happened as a result of staffing issues and the unsettled nature of the home. However we stressed that care plans needed to clearly page 3 of 7
reflect young people's goals and identify agreed strategies for staff to help them achieve. The care plans were important in order to provide consistency of care for young people and to recognise success or changes in approach. This is particularly important in times of significant changes in staffing. We have made a recommendation about this. (see Recommendation 1) The programme of formal staff supervision had been disrupted and some staff had not received formal supervision for some time. In addition team meetings had not taken place. We stressed the importance of formal supervision and team meetings in order to support staff and provide opportunity to reflect on practice. We have made a recommendation about this. (see Recommendation 2) Requirements Number of requirements: 0 Recommendations Number of recommendations: 2 1. We recommend that the management team at Moredun develops a system to audit care plans to ensure that they are up to date and relevant. This is in order to provide staff with guidance about the strategies they should use to help young people to achieve their goals. National Care Standards, Care homes for children and young people: Standard 4 - Support arrangements 2. The manager should ensure that all staff receive formal recorded supervision on a regular basis in order to support them in their work with young people. Regular team meetings should be re-established to provide a forum for staff to discuss practice themes. National Care Standards, Care homes for children and young people: Standard 7 - Management and staffing 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 8 Dec 2015 Unannounced Care and support 5 - Very good 5 - Very good Management and leadership page 4 of 7
Date Type Gradings 10 Nov 2014 Unannounced Care and support 5 - Very good Management and leadership 12 Mar 2014 Unannounced Care and support Management and leadership 11 Sep 2013 Unannounced Care and support Management and leadership 18 Mar 2013 Unannounced Care and support Management and leadership 20 Sep 2012 Unannounced Care and support 2 - Weak Management and leadership 2 - Weak 27 Mar 2012 Unannounced Care and support 30 Nov 2011 Unannounced Care and support 2 - Weak 9 Dec 2010 Unannounced Care and support page 5 of 7
Date Type Gradings 2 Jun 2010 Announced Care and support Management and leadership 3 Mar 2010 Unannounced Care and support 20 Aug 2009 Announced Care and support 5 - Very good Management and leadership 17 Mar 2009 Unannounced Care and support 15 Oct 2008 Announced Care and support 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