Bellahouston Project Care Home Service Adults Flat 1/2 11 Orkney Street Govan Glasgow G51 2BZ Telephone: 0141 445 2319 Type of inspection: Unannounced Inspection completed on: 10 October 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 10 4 Other information 22 5 Summary of grades 23 6 Inspection and grading history 23 Service provided by: Scottish Association For Mental Health Service provider number: SP2003000180 Care service number: CS2003014314 If you wish to contact the Care Inspectorate about this inspection report, please call us on 0345 600 9527 or email us at [email protected] Bellahouston Project, page 2 of 25 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 Environment 5 Very Good Quality of Staffing 5 Very Good Quality of Management and Leadership 5 Very Good What the service does well We found that the manager and staff were familiar with resident's support needs, likes and dislikes. We decided this after reading support files and talking to the manager, staff and residents. When we talked to residents they said that they were very happy living in the Bellahouston Project. Residents are encouraged and supported to choose what they want to do, for example: meeting friends, activities, socialising and shopping. What the service could do better Service users had been meeting less frequently in the previous few months. The service should make sure it supports service users to meet regularly. Team meetings had been held less frequently, due to service commitments. The staff team should meet regularly and be held in terms of the weekly frequency stated in SAMH guidance. What the service has done since the last inspection The service has maintained its very good standard of care and has assisted people to develop skills that led to an independent lifestyle. Bellahouston Project, page 3 of 25 Inspection report continued Conclusion Everyone spoken with during the inspection was committed to making sure that the Bellahouston Project meets resident's expectations and needs. When speaking with staff and observing their practice it was evident that they work hard to make living in the project enjoyable and meaningful. Bellahouston Project, page 4 of 25 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.careinspectorate.com. The Care Inspectorate will award grades for services based on findings of inspections. Grades for this service may change after this inspection if we have to take enforcement action to make the service improve, or if we uphold or partially uphold a complaint that we investigate. The history of grades which services have been awarded is available on our website. You can find the most up-to-date grades for this service by visiting our website, by calling us on 0845 600 9527 or visiting one of our offices. 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." The Bellahouston Project is owned and operated by The Scottish Association for Mental Health (SAMH). It offers support and accommodation for up to nine adults with mental health problems. All service users live in their own flats in and around the Ibrox area of Glasgow. The service aims to 'provide individualised, holistic and needs led care packages in partnership with service users and their support networks, promoting hope of recovery'. Service users have opportunities to move to their own tenancies, continuing to receive support from the organisation's housing support team. Based on the findings of this inspection this service has been awarded the following grades: Bellahouston Project, page 5 of 25 Inspection report continued Quality of Care and Support - Grade 5 - Very Good Quality of Environment - Grade 5 - Very Good Quality of Staffing - Grade 5 - Very 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 0345 600 9527 or visiting one of our offices. Bellahouston Project, page 6 of 25 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 which was carried out by one inspector, Iain McLellan. We visited the service on Tuesday 7 and Wednesday 8 October 2014 and gave feedback to the manager on 10 October 2014. As part of the inspection we took account of the completed annual return and self- assessment forms that we asked the provider to complete and submit to us. During this inspection we gathered information from various sources, including the following: - Two support plans - Risk assessments - Review minutes - Newsletters - User involvement folder - User involvement minutes - Learning and development records - Service participation plan - Team meeting minutes - Maintenance records - Health and safety information - Registration certificate - Insurance certificate We spoke with one person who used the service, the manager and three members of staff. 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 Bellahouston Project, page 7 of 25 Inspection report continued 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 Bellahouston Project, page 8 of 25 Inspection report continued What the service has done to meet any recommendations we made at our last inspection The recommendation made at the previous inspection have been met. Please refer to Quality Statements 1.3 and 3.3 for details on how the service met previous recommendations. 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 the service under. The provider identified what it thought the service did well, some areas for development and any changes it had planned. Taking the views of people using the care service into account At the time of this inspection there were 3 people using the service. We met with 1 of the people using the service. Their comments are reflected in this eport.r Taking carers' views into account We did not have the opportunity to meet any carers during this inspection. Bellahouston Project, page 9 of 25 Inspection report continued 3 The inspection We looked at how the service performs against the following quality themes and statements.