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Glasgow Supported Living Services Housing Support Service 2045-2047 Maryhill Road Glasgow G20 0AA Inspected by: Tony Valbonesi Type of inspection: Unannounced Inspection completed on: 1 November 2012 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 12 4 Other information 23 5 Summary of grades 25 6 Inspection and grading history 25 Service provided by: Loretto Care, wholly owned subsidiary of Loretto Housing Service provider number: SP2006008236 Care service number: CS2008173361 Contact details for the inspector who inspected this service: Tony Valbonesi Telephone 0141 843 6840 Email [email protected] Glasgow Supported Living Services, page 2 of 26 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 5 Very Good Quality of Staffing 4 Good Quality of Management and Leadership 5 Very Good What the service does well The service was offered in a flexible and person centred way. Service users' support plans were generally well written and gave a good picture of the needs and wishes of the service user and what staff needed to do to help support the person. What the service could do better The outcomes from participation methods should be clearly evidenced in the inspection self assessment and the Service Improvement Plan. Managers needed to ensure all staff received appropriate ongoing training and supervision now that the restructuring of the service was complete. What the service has done since the last inspection Since the last inspection, a reorganisation of Loretto Care services had taken place and this had resulted in this service being extended to cover locations in the Maryhill and Whiteinch areas of Glasgow. The reorganisation had included changes in the management and staffing structure and had meant some redundancies. At the same time, the local authority had taken forward an agenda of personalisation within the learning disability care services it commissioned and this involved service users at Glasgow Support Living Services. Despite this unsettling period of change we could see that a very good level of care and support to service users had been maintained. Glasgow Supported Living Services, page 3 of 26 Inspection report continued There was now a programme in place for carrying out service users' care reviews on a more regular basis than in the past. The Maryhill location of the service had installed a new security entry system for service users' added protection. Conclusion We continued to find that staff and managers at this service worked hard and meaningfully so that the service met the needs of those people receiving its support. Who did this inspection Tony Valbonesi Glasgow Supported Living Services, page 4 of 26 Inspection report continued 1 About the service we inspected The Care Inspectorate regulates care services in Scotland. Prior to 1 April 2011, this function was carried out by the Care Commission. Information in relation to all care services is available on our website at www.scswis.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 needs to do more to improve, 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 based on best practice or the National Care Standards. - A requirement is a statement which sets out what is required of a care service to comply with the Public Services Reform (Scotland) Act 2010 ("the Act") and secondary legislation made under the Act, or a condition of registration. Where there are breaches of Regulations, Orders or conditions, a requirement may be made. Requirements are legally enforceable at the discretion of the Care Inspectorate. Glasgow Supported Living Services is a combined housing support and care at home service, managed by Loretto Care, a wholly owned subsidiary of Loretto Housing. Previously, the service had a different name and was based in the Maryhill area of the city. However, following a restructuring exercise, resulting in changes taking place for registered managers and the services they manage, it is now located in both Maryhill and Whiteinch. The service offers a range of support to adults with learning disabilities, mental health or alcohol dependency needs. Some people who use the service live in the same location, others in flats with 42 hour staff support. The aim of the service is.. "To provide the support that enables people to reach their full potential and achieve the goals they set." Glasgow Supported Living Services, page 5 of 26 Inspection report continued Based on the findings of this inspection this service has been awarded the following grades: Quality of Care and Support - Grade 5 - Very Good Quality of Staffing - Grade 4 - Good Quality of Management and Leadership - Grade 5 - Very Good 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. Glasgow Supported Living Services, page 6 of 26 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 We wrote this report following an unannounced inspection by Tony Valbonesi, Inspector. It took place over two days, 30 October and 1 November 2012. As requested by us the care service sent us an annual return. The service also sent us a self assessment form. We sent out twenty questionnaires to people who used the service prior to the inspection and received 18 back. During the inspection we spoke with eight service users. We also gathered evidence from various records and other documents, including: * Service information brochure * Annual Report * Registration Certificate * Support plans * Incident records * Complaint records * Medication records * Staff training records * Quality Audit Tools * Newsletter * Service User Meeting Minutes * Evidence folders * Noticeboards * Questionnaires sent out by the service to family carers, staff, external agencies and service users * Discussions with various people including: - the service manager - two depute managers - two support staff - people who use the service. Glasgow Supported Living Services, page 7 of 26 Inspection report continued 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. 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 Glasgow Supported Living Services, page 8 of 26 Inspection report continued What the service has done to meet any requirements we made at our last inspection The requirement The service must manage service users' medication in line with, The Royal Pharmaceutical Society of Great Britain's, "The Handling of Medicines in Social Care". In order to achieve this, the provider must: - maintain a complete and accurate record of all prescribed medicines administered. What the service did to meet the requirement Since the last inspection, medication procedures had been revised, staff had received associated training and monitoring of medication management within the service had improved. In general, we could see that the action taken had met the requirement, but a few lapses by staff were still being highlighted by managers and indicated that this remained an area for improvement. We provided the manager with new good practice guidelines on medication management for staff to consider and adopt. The requirement is: Met What the service has done to meet any recommendations we made at our last inspection We made one recommendation following the last inspection that the service introduce systems for periodic spot checking and monitoring of individual staff, This recommendation was now met. 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.

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