Annual Review 2017-2018
South Carntyne Supported Accommodation
penumbra.org.uk Annual Review 2017-2018
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About Penumbra
Penumbra is one of Scotland’s largest mental health charities. We support around 1600 adults and young people every week.
Founded in 1985, we provide a variety of innovative services in communities across Scotland: 1st Response and Crisis Support - Short term support for people experiencing a mental health crisis. ARBD - Recovery focused support for people with Alcohol Related Brain Damage (ARBD). Carers Support - Support for people who are caring for someone with a mental health challenge. Nova Projects - Services that promote recovery, social inclusion and self- management. Peer Support – Services where staff use their own experience of mental ill-health to help other people recover. Self Harm Projects - Services for both adults and young people who self-harm. Short Breaks - Supportive breaks for people to focus on their recovery. Supported Accommodation - Supported housing and tenancy projects. Supported Living - Practical and emotional support provided in people’s own homes. Wellness Centre - Access a range of services in the community which promote positive mental health and support people to recover from mental ill health.
Our vision for Scotland
We envisage a society where people with mental health problems expect recovery and are accepted, supported and have the resources to fulfil their potential. To achieve this vision our Strategic Plan sets out five aims (RPIII):
Recovery - To ensure that all mental health services and activities are hopeful, personalised and recovery focused. People - To ensure a highly valued, skilled and involved workforce. Innovation - To develop, support and provide innovative responses that promote recovery, social inclusion and citizenship for people with mental health problems. Influence - To promote mental health and wellbeing in communities by influencing; policy makers, funders and others. Improvement - To ensure quality and continuous improvement in all business processes to achieve our mission.
RPIII is supported by objectives and a results and monitoring framework. As part of this framework, Penumbra services compile an Annual Review which summarises the work undertaken to meet the five key aims, to achieve our mission, and to realise our vision for society. This Annual Review is based around the RPIII structure, with sections for Recovery, People, Innovation, Influence, and Improvement.
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Service overview
Contact details
Penumbra 351-359 Inverleith Street Glasgow G32 6EG Click here to enter text. e [email protected] t 0141 778 0989
About the service
The Carntyne Supported Accommodation is a registered Care Home service that supports individuals with long-term mental health issues to work towards outcome focused goals, by aiming to maximise their independence and resilience, and working towards their own recovery. We support individuals through the service, ideally starting in the main house in a shared supportive environment, where the people we support build on their daily living skills, and moving on to an adjoining independent flat when they are ready to further develop their independence. The next step would then be to support the individuals to move on to independent tenancies within the community.
Types of support provided
The Carntyne SA is a moving on project and therefore the main focus of the service is to help individuals build the skills they need in order to move on and successfully maintain a tenancy in the community.
Our daily support ranges from assisting with daily life skills such as budgeting, personal care, housework, cooking. We also support individuals to meet their health needs, establish and maintain personal and social networks, as well as providing emotional support and crisis intervention.
Other areas of support may include meaningful leisure and recreational activities, socialisation, confidence, coping skills, self-esteem and wellbeing. Our practice is recovery focused and promotes independence, aiming to empower individuals to manage their own life. The support is carried out in accordance with each individual's care plan.
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People who use our services
The individuals we support are referred to our service by Glasgow Health & Social Care Partnership Mental Health Commissioning Team; the initial referral process is managed via SARA (Supported Accommodation Resource Access) online platform. Referrals
4
3
Referred 2 Exited 1
Number ofpeople 0 2016/17 2017/2018
In 2017/18 our service saw one individual moving on and one new referral joining the service. Any vacancies in the service in the past 2 years have been filled immediately.
Referrals by gender
10
8 Male 6
4 Female
2 Not Number ofpeople 0 disclosed 2016/2017 2017/2018
In the past two years the majority of the people who use our service, as well as the new referrals, have been male.
R eferrals by age
6
5 4
3 2016/2017 2 1 2017/2018
0 Number ofpeople 15-19 20-24 25-34 35-44 45-54 55-64 65+ Ages (years)
We support adults from a very varied age range, at the moment the majority of our tenants are between 45 and 65 of age.
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Recovery
I.ROC
The Individual Recovery Outcomes Counter (I.ROC) is an outcome measurement tool Penumbra created to measure recovery journeys. People who use our services complete an I.ROC by scoring 12 wellbeing indicators every three months. These scores allow us to build up a picture of their wellbeing over time, and assess and measure their personal recovery journey. Scores for everyone using a service can be averaged to show general trends.
Average Baseline Scores 6 Average Scores in April 2018 5
4
3
2
1
0
The I.ROC data from Carntyne shows that people who use the service report an improvement in all of the 12 indicators following support. The priority indicators for people were Physical Health, Exercise & Activity, Social Network and Hope for the Future when they entered the service. Differences between baseline and current scores show the service is making a positive impact in all of these areas, particularly in Hope for the Future. The biggest difference in reported scores following support is in Personal Network. In the current I.ROC Safety & Comfort is the highest, while Physical Health is the lowest scoring indicator.
In 2018 our staff have been working with a representative from Glasgow Life in order to support people to take advantage of the Glasgow Club Access Card initiative and promote physical activity and exercise. The services on offer through Glasgow Club range from semi-structured gym sessions to belly-dancing, walking football & netball. Two supported people have signed up for the 6 week trial so far, and another individual is planning to do so later in the year.
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Recovery story
Many of the people we support are referred to us as they are being discharged from hospital, after having spent a significant amount of time in a ward environment. One individual, who moved into one of the self-contained flats in 2017, had spent more than 20 years in hospital wards. He is now fully enjoying the freedom and independence of living in his own flat, while also feeling secure in the knowledge that there is a competent staff team ready to assist him in any areas where he may require help and support.
“I try to be as independent as I can, but I know staff are just a phone call away. The staff, the flat, the whole picture is excellent!”
In the past year he has set himself a number of goals, achieved them all, and frequently expresses surprise over how much he’s accomplished since being discharged. For him the highlights of the year have been finding a work placement and attending several Rangers football matches with staff.
“My advocacy worker asked me ‘If I had told you two years ago, when you were in hospital, that in a couple of years you’d be in paid employment, living in your own flat, and going to Rangers matches, what would you have said to me?’ And I tell him that I would have thought he was talking nonsense.”
He is hoping that the employment opportunity, which is currently arranged on a temporary basis, will be made into a permanent placement…
“They always complement me on how clean I keep the place so I think they would like to offer me permanent work.”
…and making excellent progress in working with our staff and his care team towards further independence and an independent flat in the community in the future.
“I try to be as independent as I can, but I know staff are just a phone call away. The staff, the flat, the whole picture is excellent!”
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Recovery story
Another individual we support spent a number of years in different ward settings prior to moving into one of the self-contained flats in 2016. She values that staff are always at hand to provide emotional and practical support when she requires it. This gives her a sense of security as 'staff are always across the road'.
"I like to look after my flat myself but I know that I occasionally need prompting to keep on top of things. I feel I am doing well at the moment."
In the past 6 months she has made great progress which has given her confidence and self- belief. She has achieved a number of goals she set in her My Plan such as finding a volunteering opportunity in the catering sector, attending an exercise group on a weekly basis, and independently managing her grocery shopping and other household tasks. This has given her purpose and positivity and an opportunity to rebuild social relationships with people she had previously encountered through the years.
"Being given a chance to prove myself in my old environment (catering) has given me hope as I would like to get a part time job in the future as the days are long and I like to keep busy."
She is working closely with staff and her care team on taking the next step towards moving into an independent flat in the community.
"I didn’t like to take support from staff when I first arrived at the service, as I felt my independence was being taken from me. I didn't realise that I needed more help. The longer I have stayed here the more I've realised that the support is used to prepare people for the outside world and their own tenancy and I know that this is a big step. My confidence can be low at times and I tend not to see the progress I have made. Receiving positive feedback from staff and my care team helps me see how far I've come. I feel hopeful for the future."
“Receiving positive feedback from staff and my care team helps me see how far I've come. I feel hopeful for the future.”
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People
Staff
The Service has 12 permanent members of staff: the Support Manager, two Recovery Practitioners and nine Recovery Workers. In addition we have regular Relief Workers working with the team. In 2017 the service offered placements for OT students, HNC students have also been part of the staff team in the past. We hope to offer placements for OT and HNC students again in the future.
Training
Staff have attended regular training events throughout the year. These include Penumbra Medication training, I.ROC and HOPE Toolkit, Group Facilitation and Induction training.
In addition, the team attended a 2 day Motivational Interviewing training course in 2018. The team members found this to be very valuable, as it offered new skills and strategies for promoting involvement in daily support as well as when completing I.ROC questionnaires and My Plan reviews. Following the training we have further explored the practical application of Motivational Interviewing in our setting through team workshops. This included a discussion on the article 'Motivational Interviewing of People With Schizophrenia' by Patrick W. Corrigan, and a further workshop on specific examples of how to use motivational interviewing to manage our dual roles as recovery workers who both wish to elicit the service user’s perspective while also fulfilling their professional responsibilities.
In order to build on these skills further training plans include an introduction to CBT and a team exercise on how to use Cognitive Behaviour Approach in support planning. Later in the year the staff team will take part in training days on Recovery in Practice, Outcome Focused Planning and the Power of Coaching Questions.
Each member of staff is also completing online training independently and records completed courses in a personal training log. Online training courses include Data Protection, Safeguarding, Equality and Diversity, Duty of Candour, Health and Safety, Fire Warden training, and Safe Administration of Medication.
SSSC registration
All staff members are registered with the SSSC in appropriate part of the register.
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Innovation
Gardening Group
In 2017 our project started working with Concrete Gardens to explore ways in which we could use our back garden to grow fruit and vegetables locally. Recovery worker Callum Smith took the lead in this initiative and successfully applied for funding from Volunteering Matters and Central Scotland Green Network Trust. In 2017 we set up a gardening group with the help of volunteers from Concrete Gardens who ran several gardening workshops with the people we support.
As a result of this collaboration the supported people and staff had their first harvest of peas, beans, potatoes, carrots and other vegetables last autumn. In early 2018 Concrete Gardens helped us install a poly-tunnel in the garden. In addition to continuing with previous year’s vegetable beds we have also planted tomatoes, chillies, peppers, pumpkins, watermelons and strawberries this year.
The initiative has been very successful in encouraging supported people’s participation in outdoor activities, helping them acquire new knowledge and skills, as well as raising awareness of healthy eating. In addition, it has had a positive environmental impact – as part of the gardening group activities we have set up our own composting system through which we now recycle organic waste in the service.
Three supported people from our service participated in the West Area Roadshow earlier this year and introduced the gardening group to other Penumbra services. Recovery worker Callum shared the contacts he’d developed with local volunteer networks with Penumbra staff from other areas in hopes of setting up similar initiatives elsewhere in the organisation.
POWWOWs and outreach
Wellbeing Point
In 2017 two supported people from Carntyne participated in three Self Management POWWOWs that were run in the West Area by William Wright (Penumbra SDS Manager). As a follow up to the POWWOWs William set up a Wellbeing Point in the Carntyne service. The supported people now have a designated computer in the lounge that signposts them to health and wellbeing websites and resources to help them find local information and resources in the community. The wellbeing point also includes a physical Community Asset Map and leaflets for information about health and wellbeing resources.
This year our staff has been working with an individual who has shown interest in delivering peer workshops on computing for others in the service. Later in the year he hopes to run Get Online, Get Connected workshops which aim to increase people’s IT skills, confidence and wellbeing through interactive sessions on the Wellbeing Point.
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Influence
SDS My Learning
In 2017 The Carntyne project worked with William Wright, the SDS Manager in Penumbra on gathering feedback for the Self Directed Support My Learning document, which aimed to make accessing SDS learning materials easy and quick. The document provides links to SSSC and Social Services Knowledge Scotland e-learning modules, online resources available through Self Directed Support Scotland and Pilotlight, as well as Penumbra SDS videos on Youtube.
The staff team at Carntyne trialled the SDS My Learning document, completed the online learning module and gave feedback to William regarding the function, ease of use, and layout of the learning tool, as well as the SSSC SDS Open Badge e-learning course. A representative from SSSC then visited the Carntyne project and met with the SDS manager to gather feedback on SSSC Open Badge courses and discuss future uses of the My Learning document.
ALISS
This year our service has been working with representatives from ALISS (A Local Information System for Scotland) Programme which is an online resource aiming to increase the availability of health and wellbeing information for people living with long term conditions, disabled people and unpaid carers. Our staff team participated in a training sessions on ALISS data standards. Several of our staff members now have editor rights assigned to their ALISS accounts meaning that they can add and edit information in the ALISS system and help with the community mapping initiative. We hope to expand this and organise a couple of community mapping workshops exploring helpful resources with supported people, looking at what they feel keeps them well, and adding information about these resources to the ALISS database.
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Improvement
Care Inspectorate
Our last inspection took place in December 2017. We received the following scores: 4 (Good) for Quality of Care and Support, and 5 (very good) for Quality of Environment. Quality of Staffing and Quality of Management and Leadership were not assessed. The report highlights a strong focus on promoting independence and service user participation as areas of strength. It also notes effective feedback and communication channels between the supported people, the staff team and the manager as a source of solution focused support delivery. The quality of environment scored very highly due to a homely atmosphere and supported people’s active involvement in looking after the service and maintaining it in good repair, through which they build important life skills for their own tenancy in the future.
A comprehensive training plan for the team was recommended as the main area for improvement. This is now in place and the team is currently working through the agreed training opportunities. Following a consultation with Penumbra Learning and Development team our Training Plan also includes 4 service specific workshops tailored to the needs of the service and the staff team that will be delivered later in the year.
Quality Assessment Framework (QAF)
Our last QAF report was completed in January 2018. It comments on various areas of strength including keeping excellent records of the medication support and the health needs of the supported people, our approach to Health and Safety, and supervision records that demonstrate very good use of the staff Competency Framework and discussion around reflective practice. In 2018 we have prioritised work in the areas where our QAF scores could be higher such as promoting physical activity, staff training and learning portfolios, and sharing learning from all relevant networks among supported people and the staff team.
Feedback
Whenever a new staff member is due to be confirmed in post we ask the supported people for their views on the team member’s performance. Some comments about the team members who completed their probation period in the past year include: “Good use of humour, good at giving feedback.” “Considerate and very obliging, plays his part in the progress I am making.” “Gives you respect and always helpful.” We also received some positive comments as part of a Service Review carried out by the Glasgow City Council Commissioning Team in 2017 such as "Staff do a wonderful job." "staff approachable", "excellent support" as part of carer’s feedback; and "staff professional/friendly”, “staff responsive" and "always available when I visit" from care managers.
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Contact Penumbra
Penumbra penumbra.org.uk Norton Park
57 Albion Road @penumbra_scot Edinburgh
EH7 5QY FB.com/PenumbraScotland
0131 475 2380 Instagram.com/penumbrascotland
Service
Penumbra is a charity (SC 010387) and a company limited by guarantee (SC 091542) registered in Scotland.