New Trinity Centre Support Service Care at · PDF fileNew Trinity Centre Support Service Care at Home 7a Loaning ... a Have Your Say network to pass concerns ... New Trinity Centre

New Trinity CentreSupport Service Care at Home7a Loaning RoadEdinburghEH7 6JETelephone: 0131 661 1212

Inspected by: Donald Preston

Type of inspection: Unannounced

Inspection completed on: 21 July 2011

ContentsPage No

Summary 31 About the service we inspected 52 How we inspected this service 63 The inspection 94 Other information 165 Summary of grades 176 Inspection and grading history 17

Service provided by:Capability Scotland

Service provider number:SP2003000203

Care service number:CS2003011114

Contact details for the inspector who inspected this service:Donald PrestonTelephone 0131 653 4100Email [email protected]

Inspection report continued

New Trinity Centre, page 2 of 18

SummaryThis report and grades represent our assessment of the quality of the areas ofperformance which were examined during this inspection.

Grades for this care service may change after this inspection following otherregulatory activity. For example, if we have to take enforcement action to make theservice improve, or if we investigate and agree with a complaint someone makesabout 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 N/A

Quality of Management and Leadership N/A

What the service does wellNew Trinity provides activities and support to a large number of individuals withdisabilities. These are valued by the people that attend the centre. They are constantlyreviewing the way they involve and stimulate people with a variety of communicationmethods.

What the service could do betterIt has been recognised by the service the need to upgrade parts of the building andthis is being progressed. Also that resources and space needs to be better organisedand used throughout the building.

Regular staff meetings are starting to be re-established but need to be maintained onan ongoing basis.

What the service has done since the last inspectionThe service has improved certain areas of the environment and has plans for moreimprovements. This is being carried out through suggestions & discussions withpeople who use the service.



ConclusionThis is a very good service, involving people in lots of ways and providing a servicethat meets individual needs.

Who did this inspectionDonald Preston



1 About the service we inspectedNew Trinity Centre is a day centre which provides day care for individuals with physicaldisabilities. There are places for 80 people and it is currently used by 69 individuals.The centre is located in north east Edinburgh and within easy reach of local shopsand within a mile of a large shopping centre and other amenities. A bus routeis nearby also. The service operates from Monday to Friday from 9am-4pm.

There is a comprehensive programme of organised activities with personal care givento individuals where required. Lunch was available each day also.

The aims and objectives of the support service are 'to support people with disabilitiesin taking control of their lives and gaining full access to all the opportunities andchoices to which they aspire. To work closely with those who use the service, theirfamilies, friends and carers, to ensure that the support provided is relevant to policiesand legislation.'

The service was formerly registered with the Care Commission and since 1 April2011 with Social Care and Social Work Improvement (to be referred to as CareInspectorate).

Based on the findings of this inspection this service has been awarded the followinggrades:

Quality of Care and Support - Grade 5 - Very GoodQuality of Environment - Grade 5 - Very GoodQuality of Staffing - N/AQuality of Management and Leadership - N/A

This report and grades represent our assessment of the quality of the areas ofperformance which were examined during this inspection.

Grades for this care service may change following other regulatory activity. You canfind the most up-to-date grades for this service by visiting our websitewww.scswis.com or by calling us on 0845 600 9527 or visiting one of our offices.



2 How we inspected this service

The level of inspection we carried outIn this service we carried out a low intensity inspection. We carry out theseinspections when we are satisfied that services are working hard to provideconsistently high standards of care.

What we did during the inspectionDuring the inspection time was spent with the manager of the service, many serviceusers and staff members.

Time was spent in various group activities including computers, music, cooking,sensory story telling, and a men's group .

Also time was spent during morning and lunch breaks talking to service users andstaff members.

A selection of records were observed during the visit including incident forms,minutes of staff meetings, service user meeting minutes, Have Your Say forms andindividuals care plans.

Grading the service against quality themes and statementsWe 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'. Undereach quality theme are 'quality statements' which describe what a service should bedoing well for that theme. We grade how the service performs against the qualitythemes 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 ourinspections. These are extra checks we make on top of all the normal ones we makeduring inspection. We do this to gather information about the quality of these aspectsof care on a national basis. Where we have examined an inspection focus area we willclearly identify it under the relevant quality statement.



Fire safety issuesWe do not regulate fire safety. Local fire and rescue services are responsible forchecking services. However, where significant fire safety issues become apparent, wewill alert the relevant fire and rescue services so they may consider what action totake. You can find out more about care services' responsibilities for fire safety atwww.firelawscotland.org



The annual returnEvery year all care services must complete an 'annual return' form to make sure theinformation we hold is up to date. We also use annual returns to decide how we willinspect the service.Annual Return Received: Yes - Electronic

Comments on Self AssessmentEvery year all care services must complete a 'self assessment' form telling us howtheir service is performing. We check to make sure this assessment is accurate.The self assessment was completed to a good standard. It highlighted many strengthswithin the service and some areas for development.

Taking the views of people using the care service into accountA large number of service users were spoken to as part of this inspection visit. Therecomments were mostly very positive about the centre with the support and activitiesbeing good. Some of things said were as follows;

"The centre is really good and I do lots of things that I enjoy"

"The staff ask me what I want to do and I can try things out as well"

"The garden area has been improved by volunteers and it is much better and otherareas of the centre are being redecorated"

"Service users mentioned about the garden and things were improved"

"I have a key worker and we can meet at times and before reviews"

"I get good support from staff members in my volunteering role within the centred"

"I have been trained and supported to do mealtime assistance and it is good to beable to help others"

"The Nip Yer Heid group is a good way of suggesting things or raising issues with themanager."

Taking carers' views into accountNo carers were spoken as part of this inspection



3 The inspectionWe looked at how the service performs against the following quality themes andstatements. Here are the details of what we found.

Quality Theme 1: Quality of Care and SupportOverall grade awarded for this theme: 5 - Very Good

Statement 1We ensure that service users and carers participate in assessing and improving thequality of the care and support provided by the service.

Service strengthsCapability Scotland have various ways in which they involve service users including aUser Involvement Strategy; a Have Your Say network to pass concerns / suggestion tosenior managers; there is a National Users Group; and services users sit on the Boardof the organisation.

All service users have regular reviews and have been offered Person Centred Planningmeetings - with over 25 having been carried out. There are key work meetings whichare recorded and discussions / support given leading up to reviews. The service is toextend the key working role to include support worker assistants to spread workloadsand to develop other staff in this area of work.

The reviews along with activities feedback provide individual views which help theplanning of peoples programmes and the overall timetable for the centre.

The service is looking to have six monthly support plan reviews and six monthlyperson centred plan reviews so as to ensure all aspects are discussed on a regularbasis.

A Health Care questionnaire has been sent out to families / carers to update theservices knowledge on any issues that may affect the activities that people take partin that may not be known to the service staff. Support Plans will be updated ifrequired.

New Trinity continue to offer taster sessions and respond to the feedback received inlooking at offering the activity on a more regular basis if people say that they enjoyedthem.



There are also six weekly music and art workshops starting soon with feedbackplanned so as to look at the outcomes for individuals from attending these sessions.

The summer programme offered a lot of interesting and new outings / experiencesfor people which some people had suggested. There were photo's of lots of theactivities around the centre and both staff and service users talked positively aboutthem during the visit.

The service users produce a newsletter with the support of staff to keep people up todate on service and staff changes.

There are also frequent National Surveys which encourage comments from Serviceusers, parents and carers. These are used to influence policy and planning.

Service users continue to be involved in interviews for staff within the centre and theorganisation.

There has been a consultation exercise held by City of Edinburgh with the support ofNew Trinity Centre staff which has asked for the views of service users and what theywould like for the future. Meetings have used a variety of formats to enablecommunication. This was organised by the local authority but facilitated by thecentre. The outcomes will hopefully have a positive impact on how the service movesforward in relation to self directed support in the future.

Areas for improvementThis statement is characterised by major strengths.

The service should continue to involve parent and carer's as much as possible ingaining their views on the service and it is looking at ways of doing this.

The service should continue to develop communication tools for both staff and serviceusers to expand skills and opportunities.

Continue to promote Person Centred Plans as a way of empowering serviceuser control of their service and linking this in with the review system to ensureaspects of support & planning are not overlooked.

Grade awarded for this statement: 6 - Excellent

Number of requirements: 0

Number of recommendations: 0

Statement 4We use a range of communication methods to ensure we meet the needs of serviceusers.



Service strengthsThe service is committed to using different type of communication aids with the useof assertive technology being expanded throughout the centre.

These include talking mats, communication books, makaton,individualised assistivetechnology, IPads with the option to use Skype, Capability Scotland Intranet and usepowerpoint for reviews.

Every person attending New Trinity is assessed for the best way of assisting themwith their communication and this is reviewed on a regular basis.

Areas for improvementThe service has recognised that it would be good to buy new items to help withcommunication

Staff require to continue to get training on different communication methods.

Grade awarded for this statement: 5 - Very Good



Quality Theme 2: Quality of EnvironmentGrade awarded for this theme: 5 - Very Good

Statement 1We ensure that service users and carers participate in assessing and improving thequality of the environment within the service.

Service strengthsCapability Scotland's Mission and Vision are on display within New Trinity along withsymbolised copies of the Care Standards and staff have attended awareness sessions.

Questionnaires are used with service users and parents/carers to enable them toexpress their feelings about the service. This can include different aspects such astransport, catering, rooms and activities.

Capability Scotland has "Have Your Say forms" (HYS) as part of our CustomerInvolvement Procedure. These are available both in paper or electronic forms. Serviceusers can be helped to use them to raise concerns, ideas or comment on any aspectof their service. For example one of these has been used by a service user to requestrepairs be carried out to the centre. A similar system of reporting, known as "InternalReporting System" is available to staff.



A maintenance request book is available to anyone to report defects which areactioned by the janitor or if necessary by external contractors.

Work has begun to develop a room previously used by community dentists into a newcoffee shop at the suggestion of service users as this will create a better space.People have been consulted about access, positioning of work surfaces and colors ofdecor. It is also planned that alterations can be made to other rooms to improvefacilities. It is also planned to create independent work areas / quieter spaces forpeople to carry on their own personal projects.

Other things planned are the upgrading of two toilet areas with tracking beinginstalled and the kitchen being moved to larger area which will allow support onvarious independent living tasks to be given. An area for individual work and anotherone for physio / passive exercises will also be created.

Feedback about the service is encouraged from people through a number of routes.Service users can express their opinions within Key work sessions, reviews, PersonCentred Plans, HYS, and by talking with staff. Similarly parents/carers are asked tocomplete a section of the Customer Feedback Questionnaire as part of the reviewprocess. They are also encouraged to discuss any matters of concern, ideas andsuggestions with the management team.

A suggestion box is available for all service users.

Areas for improvementThis area is characterised by major strengths and the continued involvement ofservice users in the upgrading of the centre will enhance this area of the service.




Statement 4The accommodation we provide ensures that the privacy of service users is respected.

Service strengthsAll care staff receive training upon the priority of ensuring the dignity of the peoplewe support. This is reinforced through the SVQ programme, Values Workbook andfrequent supervision and discussion of practice.

Capability Scotland has Policies and Procedures which put the wellbeing of the serviceuser including health and safety.



Personal care facilities are available with doors and locks and when gender specificare marked with appropriate symbols. Where possible staff assist service users of thesame gender. If this is not possible permission is sought from the individual and everyattempt is made to maintain dignity.

Service users are provided with lockers if they want to keep belongings safe andsecure.

Staff receive training on the Protection of Vulnerable Adults and are issued with acopy of the SSSC codes of practice.

The provider has a policy on confidentiality of service user information. This isintroduced to new staff at their induction training.

Service user files are kept in lockable cabinets which are in offices where their keyworkers are based.

The service has space for meetings to be held in private when this is required orrequested.Individuals can have time in private with their Key worker, Link worker or a managerof the service if they request this or leading up to review meetings.

Independent Advocacy services are available to people with support provided.

Areas for improvementThere are many strengths in this area of the service.

The service has recognised along with service users the need to create space forindividual to work in a quieter area of the centre and be able to carry out their ownindividual activities.






Quality Theme 3: Quality of Staffing - NOT ASSESSED



Quality Theme 4: Quality of Management and Leadership - NOTASSESSED



4 Other information

ComplaintsNo complaints have been upheld, or partially upheld, since the last inspection.

EnforcementsWe have taken no enforcement action against this care service since the lastinspection.

Additional Information

Action PlanFailure to submit an appropriate action plan within the required timescale, includingany agreed extension, where requirements and recommendations have been made,will result in SCSWIS re-grading the Quality Statement within the Management andLeadership Theme as unsatisfactory (1). This will result in the Quality Theme forManagement and Leadership being re-graded as Unsatisfactory (1).



5 Summary of grades

Quality of Care and Support - 5 - Very Good

Statement 1 6 - Excellent

Statement 4 5 - Very Good

Quality of Environment - 5 - Very Good



Quality of Staffing - Not Assessed

Quality of Management and Leadership - Not Assessed

6 Inspection and grading history

Date Type Gradings

17 Nov 2010 Announced Care and support 5 - Very GoodEnvironment Not AssessedStaffing Not AssessedManagement and Leadership Not Assessed

27 Oct 2009 Announced Care and support 5 - Very GoodEnvironment 5 - Very GoodStaffing 4 - GoodManagement and Leadership 5 - Very Good

15 Jan 2009 Announced Care and support 4 - GoodEnvironment 4 - GoodStaffing 4 - GoodManagement and Leadership 4 - Good

All inspections and grades before 1 April 2011 are those reported by the formerregulator of care services, the Care Commission.



To find out more about our inspections and inspection reportsRead our leaflet 'How we inspect'. You can download it from our website or ask us tosend you a copy by telephoning us on 0845 600 9527.

This inspection report is published by SCSWIS. You can get more copies of this reportand others by downloading it from our website:www.scswis.com or by telephoning 0845 600 9527.

Translations and alternative formatsThis inspection report is available in other languages and formats on request.

Telephone: 0845 600 9527Email: [email protected]: www.scswis.com



Documents

New Trinity Centre Support Service Care at · PDF fileNew Trinity Centre Support Service Care at Home 7a Loaning ... a Have Your Say network to pass concerns ... New Trinity Centre