Motherwell Integrated Day Service Support Service Without Care at Home Airbles Road Centre 49-59 Airbles Road Motherwell ML1 2TP Telephone: 01698 210027 Inspected by: Arlene Woods Type of inspection: Unannounced Inspection completed on: 16 February 2012 Inspection report continued Contents Page No Summary 3 1 About the service we inspected 5 2 How we inspected this service 6 3 The inspection 9 4 Other information 20 5 Summary of grades 21 6 Inspection and grading history 21 Service provided by: North Lanarkshire Council Service provider number: SP2003000237 Care service number: CS2009236869 Contact details for the inspector who inspected this service: Arlene Woods Telephone 01294 323920 Email [email protected] Motherwell Integrated Day Service, page 2 of 22 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 3 Adequate Quality of Staffing 4 Good Quality of Management and Leadership 3 Adequate What the service does well The service supports older people to participate in activities within a day-care setting. It assesses service users' healthcare and social needs and level of independence helps them access other services for example housing support and care at home or opticians.. The support plans were person centred and being reviewed monthly. What the service could do better The service should develop ways to encourage its service users to comment on the quality of the service. It should effectively record this participation, develop action plans and take action on issues raised. It should then inform service users and their families of what action it has taken in response to their comments. What the service has done since the last inspection This is the first inspection of the service since it was registered. Conclusion This service is appreciated by those who use it. It is building up its service user group and is still developing its connections with other services. It involves people in Motherwell Integrated Day Service, page 3 of 22 Inspection report continued activities they enjoy in a pleasant environment. They do this in a respectful and dignified way. Who did this inspection Arlene Woods Motherwell Integrated Day Service, page 4 of 22 Inspection report continued 1 About the service we inspected Motherwell Integrated Day Service is a North Lanarkshire Council service which is working in partnership with NHS Lanarkshire. It is based in an National Health Service (NHS) owned building on Airbles Road Motherwell. The building is shared with other NHS services and the accommodation used was once a hospital ward. This is a temporary base; a purpose built building has been commissioned and should be opened in 2013. The project provides a building based support service. It operates from 8am until 8pm from Monday to Saturday, for up to 25 older adults with a range of support needs. There were 12 people using the service on the day of the inspection. The service used local taxies and there was access to public transport and to local amenities nearby. The service aims to "provide a holistic approach and provide service users with a "one stop shop" for all health needs", "to provide rehabilitation and assessment services while promoting personal independence and educational opportunities". The service was formerly registered with the Scottish Commission for the Regulation of Care (the 'Care Commission'). The Care Commission merged on 1 April 2011 with the Social Work Inspection Agency and the section of HMIE responsible for inspecting services to protect children, to form the new scrutiny body SCSWIS' 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 3 - Adequate Quality of Staffing - Grade 4 - Good Quality of Management and Leadership - Grade 3 - Adequate 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. Motherwell Integrated Day Service, page 5 of 22 Inspection report continued 2 How we inspected this service The level of inspection we carried out In this service we carried out a medium intensity inspection. We carry out these inspections where we have assessed the service may need a more intense inspection. What we did during the inspection In this service we carried out a medium intensity inspection. We wrote this report after an unannounced inspection by Arlene Woods inspector, which took place between 10 am and 4.30pm on 16/02/12. As requested by us, the care service sent us an annual return. The serviced also sent us a self assessment form. We issued 20 Questionnaires to friends, relatives or carers of people who used the service. 9 Questionnaires were returned before the inspection. All of the questionnaires returned agreed or strongly agreed that people were treated with dignity and that individual support needs were met. In this inspection we gathered evidence from various sources, including: * Evidence from the service's most recent self assessment * Personal plans of people who use the service * Training records * Health and safety records * Accident and incident records * Complaints records * Questionnaires that had been requested, filled in and returned to the care service from people who use the service, their relatives or advocates, and staff members * Discussions with various people, including: * the manager * care staff * the people who use the service * relatives and carers of the people who use the service * observing how staff work * examining equipment and the environment (for example, is the service clean, is it set out well, is it easy to access by people who use wheelchairs?) Motherwell Integrated Day Service, page 6 of 22 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 Motherwell Integrated Day Service, page 7 of 22 Inspection report continued 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. Social Care and Social Work Improvement Scotland received a fully completed self assessment document from the service provider. We were satisfied with the way the service provider had completed this and with the relevant information they had given us for each headings that wed grade them under. Taking the views of people using the care service into account "The staff are great" "this room is just like a big living room, its nice" "the food is good and the girls are lovely" "The buildings ok for what we need" Taking carers' views into account We spoke to one carer "my husband is very happy here" "he seems to like the food as he's not complained and he would if he was not happy". Motherwell Integrated Day Service, page 8 of 22 Inspection report continued 3 The inspection We looked at how the service performs against the following quality themes and statements. Here are the details of what we found. Quality Theme 1: Quality of Care and Support Grade awarded for this theme: 4 - Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the care and support provided by the service. Service strengths The service was developing a written participation strategy to inform service users and their carers of the different ways they could give their opinions on the quality of the service received. This would include six monthly reviews, meetings, questionnaires, the complaints procedure and a suggestion box. It will also include the way service users and carers will be informed of actions the service had taken in response to issues raised.