Glenlaw House Care Home Service Children and Young People 10 Hospital Street Dundee DD3 8DL Telephone: 01382 424189
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Glenlaw House Care Home Service Children and Young People 10 Hospital Street Dundee DD3 8DL Telephone: 01382 424189 Inspected by: Marianne Bain Susan Donnelly, Professional Adviser, Mental Health Type of inspection: Unannounced Inspection completed on: 17 February 2014 Inspection report continued Contents Page No Summary 3 1 About the service we inspected 5 2 How we inspected this service 7 3 The inspection 11 4 Other information 25 5 Summary of grades 26 6 Inspection and grading history 26 Service provided by: NHS Tayside Service provider number: SP2004006958 Care service number: CS2004081246 Contact details for the inspector who inspected this service: Marianne Bain Telephone 01382 207200 Email [email protected] Glenlaw House, page 2 of 28 Inspection report continued Summary This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change after this inspection following other regulatory activity. For example, if we have to take enforcement action to make the service improve, or if we investigate and agree with a complaint someone makes about the service. We gave the service these grades Quality of Care and Support 4 Good Quality of Environment 4 Good Quality of Staffing 4 Good Quality of Management and Leadership 4 Good What the service does well Staff had created very good, individualised and person centred care plans for each child and young person which identified their specific needs. What the service could do better The service should review the arrangements for providing sufficient staff cover so that booked respite is not being cancelled. We also suggested that they improve their records of concerns/ complaints to include the measures taken to resolve the issues raised and the subsequent outcomes. What the service has done since the last inspection Significant changes have been made to the housekeeping routines. Additional funding had been made available for the appointment of two domestic staff who will provide cleaning duties over 7 days per week. At the time of the inspection, recruitment to these posts was underway. In the meantime the nursing staff were undertaking the housekeeping duties at night to ensure clinical care was not compromised. Conclusion Children were very well cared for by a caring and enthusiastic team of staff. Glenlaw House, page 3 of 28 Inspection report continued Who did this inspection Marianne Bain Susan Donnelly, Professional Adviser, Mental Health Glenlaw House, page 4 of 28 Inspection report continued 1 About the service we inspected The Care Inspectorate regulates care services in Scotland. Information about all care services is available on our website at www.careinspectorate.com. This service was previously registered with the Care Commission and transferred its registration to the Care Inspectorate on 1 April 2011. Requirements and recommendations If we are concerned about some aspect of a service, or think it could do more to improve its service, we may make a recommendation or requirement. - A recommendation is a statement that sets out actions the care service provider should take to improve or develop the quality of the service but where failure to do so will not directly result in enforcement. - A requirement is a statement which sets out what is required of a care service to comply with the Public Services Reforms (Scotland) Act 2010 and Regulations or Orders made under the Act, or a condition of registration. Where there are breaches of the Regulations, Orders or conditions, a requirement must be made. Requirements are legally enforceable at the discretion of the Inspectorate. Glenlaw House provides short breaks to children who are not independently mobile and have complex health care needs. The service is provided by Tayside NHS Trust and care is provided for a maximum of 6 children at any one time. The accommodation is a single storey building in the grounds of Kings Cross Hospital in Dundee. The rooms used by children are a large open plan living room/dining room/kitchen, four single bedrooms and one double bedroom (all with direct access to an adapted bathroom or shower room) and a sensory room. The building also has a meeting room, a laundry, a treatment room and small rooms used for storage, staff room and office accommodation. The philosophy of care states that "Glenlaw House aims to provide individualised respite support for children and families, offering a safe and secure environment in which the child can continue to grow and develop." Based on the findings of this inspection this service has been awarded the following grades: Quality of Care and Support - Grade 4 - Good Quality of Environment - Grade 4 - Good Quality of Staffing - Grade 4 - Good Quality of Management and Leadership - Grade 4 - Good Glenlaw House, page 5 of 28 Inspection report continued This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change following other regulatory activity. You can find the most up-to-date grades for this service by visiting our website www.careinspectorate.com or by calling us on 0845 600 9527 or visiting one of our offices. Glenlaw House, page 6 of 28 Inspection report continued 2 How we inspected this service The level of inspection we carried out In this service we carried out a low intensity inspection. We carry out these inspections when we are satisfied that services are working hard to provide consistently high standards of care. What we did during the inspection The inspection report was written following an unannounced inspection that took place on Saturday 15 February 2014 between 8:30 and 15:30 and a second visit on Monday 17 February between 14:00 and 16:00 by Inspector Marianne Bain and Susan Donnelly, Professional Adviser, Mental Health. In this inspection evidence was gathered from various sources, including the relevant sections of policies, procedures, records and other documents, including; * evidence from the service's most recent self assessment * personal plans of children who use the service * training records * discussion with the charge nurse * discussions with care staff * discussion with the music therapist * observing how staff work * examining equipment and the environment Grading the service against quality themes and statements We inspect and grade elements of care that we call 'quality themes'. For example, one of the quality themes we might look at is 'Quality of care and support'. Under each quality theme are 'quality statements' which describe what a service should be doing well for that theme. We grade how the service performs against the quality themes and statements. Details of what we found are in Section 3: The inspection Inspection Focus Areas (IFAs) In any year we may decide on specific aspects of care to focus on during our inspections. These are extra checks we make on top of all the normal ones we make during inspection. We do this to gather information about the quality of these aspects of care on a national basis. Where we have examined an inspection focus area we will clearly identify it under the relevant quality statement. Glenlaw House, page 7 of 28 Inspection report continued Fire safety issues We do not regulate fire safety. Local fire and rescue services are responsible for checking services. However, where significant fire safety issues become apparent, we will alert the relevant fire and rescue services so they may consider what action to take. You can find out more about care services' responsibilities for fire safety at www.firelawscotland.org Glenlaw House, page 8 of 28 Inspection report continued What the service has done to meet any requirements we made at our last inspection The requirement The provider of the service and the staff team must ensure that proper provision is made for the health, welfare and safety of service users. SSI 210 SCSWIS (Requirements for Care Services) Welfare of users 4: (1)(a) Timescale for implementation - immediately on receipt of this report. What the service did to meet the requirement Care plans have been updated to include details of all health care needs of children and young people. The role of housekeeping staff had been reviewed. Recruitment to appoint two housekeepers to provide domestic support seven days a week was underway. The requirement is: Met - Within Timescales The annual return Every year all care services must complete an 'annual return' form to make sure the information we hold is up to date. We also use annual returns to decide how we will inspect the service. Annual Return Received: Yes - Electronic Comments on Self Assessment Every year all care services must complete a 'self assessment' form telling us how their service is performing. We check to make sure this assessment is accurate. The Care Inspectorate received a fully completed self assessment document from the provider. We were satisfied with the way the provider completed this and with the relevant information included for each heading that we grade services under. The provider identified what it thought the service did well, some areas for development and any changes that the NHS were planning. Glenlaw House, page 9 of 28 Inspection report continued Taking the views of people using the care service into account Five children were using the service at the first inspection visit. Although the children and young people had communication difficulties so that they were unable to speak to inspectors, they were able to communicate that they were happy spending time at Glenlaw. Taking carers' views into account Two pre inspection questionnaires were received - they were happy with the quality of care provided to their children. One parent expressed some concerns which have been reported on in more detail within the report.