Care and Social Services Inspectorate Wales
Care Standards Act 2000
Inspection Report
Bridgend County Borough Council Glyn Cynffig
Glyn Cynffig School Road Kenfig Hill Bridgend CF33 6DT
Type of inspection – Baseline Date of inspection – 4 October 2013 Date of publication – 22 November 2013
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Summary
About the service Glyn Cynffig is registered to provide a rehabilitation service for up to 16 people who have mental health problems or a dual diagnosis of mental health and substance or alcohol misuse. The service aims to maximise independence and community integration, prevent unnecessary admissions to hospital and to provide a respite service.
Glyn Cynffig is located in Kenfig Hill near to community facilities. The accommodation consists of single person flats, bedsits and shared flats. The registered provider is Bridgend County Borough Council. The responsible individual is Susan Cooper and the registered manager is Christopher Mogg.
What type of inspection was carried out? This was a scheduled baseline inspection. Information was collated for this report using the following methods:
Scrutiny of the self assessment of service document returned by the registered persons An unannounced inspection visit Discussions with the manager and staff Discussions with people using the service Examination of two staff files Examination of three files of people using the service Examination of policies and procedures Observation of interactions of staff with people using the service.
What does the service do well? The agency is well run and people receive a good level of support during their rehabilitation.
What has improved since the last inspection? A new admission booklet has been produced to provide useful information for people using the service on admission.
What needs to be done to improve the service? There were no areas of non compliance.
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Quality of life
Overall we found that people using the service were satisfied with the support that they were receiving and felt they were treated with dignity and respect by the staff. We saw that staff knew people using the service well and were able to provide appropriate and responsive care and understood their individual needs and preferences.
We saw that people were supported by using a recovery model focussing on improving their quality of life. People were encouraged to become actively involved and have control over their lives. Staff at the hostel worked closely with the care managers and we saw that people using the service were involved with the planning of their care from the outset through to their discharge. A dedicated team then worked with people admitted for the first month to introduce them to local amenities and assess their skills. We looked at the support plans of three people using the service and they were detailed and showed involvement of the individual when planning care. The files also contained risk assessments and the documents had been reviewed regularly. The support plans incorporated personal choice and we saw that people were supported to maintain links with other healthcare professionals and support groups. The support plans encouraged independence and assisted people to reach their potential.
We saw that rehabilitation was integral to the support people using the service received. We saw that individuals were encouraged to establish or re-establish their social support networks. People were supported to undertake educational and recreational activities which included educational courses, voluntary work, sports and music events. Activities and resources available at the hostel included gym equipment, table tennis, computer game consoles, arts and crafts, and there were cooking and walking groups. We also saw that people were supported to spend time away from the hostel with their family and friends to assist in maintaining relationships. We saw that people were supported to manage their financial affairs.
People were assisted to live in a group whilst ensuring that they took responsibility for their own rooms, personal hygiene, laundry, shopping and cooking. The level of support given was dependent on the individual skills of people using the service. The privacy of people was promoted by staff and other people using the service.
People were encouraged to make healthy choices with regards to diet and staff assisted individuals to improve their cookery skills.
We saw that staff were kind and caring, and provided emotional support as well as physical support. We spoke with several people residing at the hostel and they were complimentary about the service and the staff, and about the support they had received to assist them with their recovery. We were informed that a number of ex-service users maintain contact with the hostel and regularly visit, also using Glyn Cynffig as a point of contact during crises.
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Quality of staffing
Overall we found that staff were caring, competent and motivated. There was a stable staff team at Glyn Cynffig and several staff had been employed there for many years. This provided continuity of care for people using the service. There is a low turnover of staff and agency staff are not used at the hostel.
There were positive outcomes for people using the service. This is because people felt supported by their care needs being anticipated and met by competent and consistent staff. This was evidenced on the day of inspection when it was seen that staff knew the people well and provided support when needed. A key worker system was used so that people using the service received one to one time.
We spoke with staff and they said that they felt that the people using the service were well supported and that the staff team worked well together. They were aware of the needs of people and liaised regularly with other relevant health professionals for advice and support.
People can feel confident that their care is provided by staff that have received a satisfactory level of training. We saw that new staff underwent an induction programme and were supported by more senior members of staff prior to undertaking full duties to ensure their efficiency. New staff also underwent a probationary period. We saw that the training provided was relative to the needs of people using the service. Staff training took into account the changing needs of the service user group to enable them to respond to more complex demands. We saw that the majority of staff were in possession of or working towards a level 3 qualification in care.
We saw that the well being of people using the service is promoted and protected. This is because staff attend training in safeguarding awareness and are aware of their responsibilities.
People can be confident that there is a robust recruitment procedure in place. We looked at a sample of staff records and found that the required documentation was present. We saw that staff received supervision on a two monthly basis or more often if this was required. We saw evidence of annual appraisals which took into account future development and training needs of staff. There were regular staff meetings to ensure a good level of communication between the team and these were recorded and retained in the minutes of the meeting.
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Quality of leadership and management The Statement of Purpose and Service User's Guide for Glyn Cynffig were combined in one document and included information for service users, their representatives and other stakeholders about the accommodation, the service, its aims and objectives and also the terms and conditions relating to the provision of the service.
People using this agency can be confident that they are safe because the service is well run. The manager is a registered mental health nurse who has worked in social care for over twenty years. He is supported by three senior care officers, a clerical assistant and twelve social care workers. Staff informed us that the manager was approachable and they felt comfortable in discussing any issues with him. The staff team provide care and housing related support.
The members of the management team were given specific areas of responsibility depending on their specialist knowledge areas.
We saw that people received an assessment of their care needs on commencement of the care and thereafter this was reviewed on a regular basis or as needs changed. The process for reviewing care was robust and those inspected had been undertaken in a timely manner. This ensured that people received the care they required at all times.
The people receiving care can be confident that any personal information is stored in an appropriately secure environment which can only be accessed by senior staff.
There were a range of policies and procedures which staff could access online and which had been recently reviewed. The main policies and procedures were stored in hardcopy in a file at the hostel. However we saw that the review date on these policies was several years old. The manager informed us that he would replace these with the reviewed policies.
People can be confident that the registered manager and the management team continue to improve the service provision by undertaking quality monitoring reviews. On an annual basis the views of service users, relatives, staff, care managers and other agencies involved with Glyn Cynffig are sought. A quality of care report is produced which details how the service has performed and any improvements that have been made as a result of feedback received.
We were informed that regular service user meetings were held to assist people in having an active part in the running of the hostel.
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Quality of environment This section of the report is not relevant to domiciliary care agencies.
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How we inspect and report on services We conduct two types of inspection; baseline and focussed. Both consider the experience of people using services.
Baseline inspections assess whether the registration of a service is justified and whether the conditions of registration are appropriate. For most services, we carry out these inspections every three years. Exceptions are registered child minders, out of school care, sessional care, crèches and open access provision, which are every four years.
At these inspections we check whether the service has a clear, effective Statement of Purpose and whether the service delivers on the commitments set out in its Statement of Purpose. In assessing whether registration is justified inspectors check that the service can demonstrate a history of compliance with regulations.
Focussed inspections consider the experience of people using services and we will look at compliance with regulations when poor outcomes for people using services are identified. We carry out these inspections in between baseline inspections. Focussed inspections will always consider the quality of life of people using services and may look at other areas.
Baseline and focussed inspections may be scheduled or carried out in response to concerns.
Inspectors use a variety of methods to gather information during inspections. These may include;
Talking with people who use services and their representatives Talking to staff and the manager Looking at documentation Observation of staff interactions with people and of the environment Comments made within questionnaires returned from people who use services, staff and health and social care professionals
We inspect and report our findings under ‘Quality Themes’. Those relevant to each type of service are referred to within our inspection reports.
Further information about what we do can be found in our leaflet ‘Improving Care and Social Services in Wales’. You can download this from our website, Improving Care and Social Services in Wales or ask us to send you a copy by telephoning your local CSSIW regional office.
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