Brediland Inspection Report ECSPB
Renfrewshire Council · 9 March 2023
Back to Education and Children's Services Policy Board — 9 March 2023 and its agenda
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___________________________________________________________________ To: Education and Children’s Services Policy Board On: 9 March 2023 ___________________________________________________________________ Report by: Director of Children’s Services ___________________________________________________________________ Heading: Care Inspectorate Inspection of Brediland Residential House ___________________________________________________________________ 1. Summary 1.1 Brediland Children’s residential house was inspected by the care inspectorate In December 2022. This was in keeping with the routine schedule of inspection for all registered children’s residential services. 1.2 The Care Inspectorate publishes the inspection reports on its website. In addition to awarding grades in each of the themes inspected, the Care Inspectorate can make a recommendation or put in place a requirement. A recommendation will set out an action that would improve or develop the quality of the service, but failure to meet a recommendation would not result in enforcement by the Care Inspectorate. Requirements are legally enforceable and set out what is required by a care service to comply with the Regulation of Care (Scotland) Act 2001 or with the conditions of registration. 1.3 Brediland Residential Children’s house in Linwood is one of 4 registered houses we provide in Renfrewshire. Brediland Road provides care for 4 young people. 1.4 This was an exceptionally positive inspection which has a particular focus on the quality indicator of ‘How well do we support children and young people's rights and wellbeing? The inspection highlighted no formal requirements or recommendations and awarded a grade of ‘very good’. _________________________________________________________
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2. Recommendations 2.1 Members of the Education and Children’s Services Policy Board are asked to note this positive evidence of very good care being delivered at Brediland residential Children’s house. _________________________________________________________ 3. Background 3.1. Social work and social care services are subject to a range of audit and scrutiny activities to ensure that they are undertaking all statutory duties and providing appropriate care and support to vulnerable individuals and groups. Several social work and social care services are required to register with the Care Inspectorate. These registered services are subject to regular inspection by the Care Inspectorate. Typically, residential facilities will be subject to one inspection per year which will be unannounced. 3.2. The Care Inspectorate utilises the following gradings across each of the areas considered during each inspection: 1. Unsatisfactory 2. Weak 3. Adequate 4. Good 5. Very good 6. Excellent 3.3. Brediland Children’s House was inspected on 15th of December 2022. The inspection report published by the Care Inspectorate details 6 key messages from the findings of the inspection: Young people felt safe and protected from harm within the service. The quality of relationships between staff and young people was recognised as a key strength where young people felt loved with their views listened to and respected. Staff were confident and well trained to meet the needs of the young people. Relationships with family and friends were well supported and young people who previously used the service, maintained contact with young people and staff. The home environment was of a high standard where young people had an input and participated in the decoration throughout. All young people had the opportunity to take part in a variety of activities tailored to their interests. 3.4. The care inspectorate highlighted that they were able to evidence that young people were kept safe and protected from harm and that staff had particularly good knowledge of all the young people and what made them feel safe. Relationships with external professionals strengthened safety planning and risk assessments.
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3.5. All young people expressed that they felt safe. One young person commented, "I have finally found a place that I feel safe". Relationships with family and friends was identified as a key strength with evidence that staff understood how maintaining important relationships supported positive outcomes for young people. 3.6. The inspector highlighted that staff supported and prompted young people's individual ambitions and interests and that young people were engaged in the care and support they received. 3.7. The inspector identified that staff worked closely with education staff ensuring the young people received individually tailored support to participate in a positive and meaningful way in learning. 3.8. Brediland Road was first inspected on 16th February 2021 and a subsequent report published. The overall grade was Very Good. This most recent inspection concluding on 15th December 2022 provides evidence of consistency in the high standard of care provided in Brediland with no changes to the grade awarded from the previous inspection. The report concludes that the staff team demonstrated a real passion to support positive outcomes for all young people. ___________________________________________________________________ Implications of the Report 1. Financial - None 2. HR & Organisational Development - None 3. Community/Council Planning – engaging with, and learning from external inspection, ensures that our Renfrewshire is thriving: high standards of care ensures that children and young people are given the best start in life so that they promote and contribute to a more prosperous, fairer society. The inspection process also supports delivery of the Council Plan crosscutting theme of improving outcomes for children and families as well as other Council Plan key strategic outcomes, for example: 4. Legal – None 5. Property/Assets - None 6. Information Technology - None 7. Equality & Human Rights - The Recommendations contained within this report have been assessed in relation to their impact on equalities and human rights. No negative impacts on equality groups or potential for infringement of individuals’ human rights have been identified arising from the recommendations contained in the report. If required following implementation, the actual impact of the recommendations and the mitigating actions
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will be reviewed and monitored, and the results of the assessment will be published on the Council’s website. 8. Health & Safety - None 9. Procurement – None 10. Risk - None 11. Privacy Impact - None 12. Cosla Policy Position – N/A 13. Climate Risk - None _________________________________________________________ List of Background Papers - The inspection report is published on the care inspectorate website. __________________________________________________________ Author: Kevin Smith, Acting Children’s Services Manager Kevin.Smith@renfrewshire.gov.uk
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35 Br35 Brediland Rediland Rooadad Care Home Service 35 Brediland Road Linwood Paisley PA3 3RA Telephone: 01416 185 960 Type of inspection: Unannounced Completed on: 15 December 2022 Service provided by: Service provider number: Renfrewshire Council SP2003003388 Service no: CS2018371531
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About the service 35 Brediland Road is a residential children's house owned and managed by Renfrewshire Council. The house can accommodate up to four young people aged between eight and 20 years old. At the time of inspection there were four young people residing in the house. The service is situated in the Linwood area of Renfrewshire. The house is a purpose-built bungalow and provides a lounge with open plan dining area, large kitchen, utility room, games room and relaxation/quiet room. There are four bedrooms each with ensuite. There is a large garden that includes a decking area. Local amenities are in close proximity. About the inspection This was an unannounced inspection that took place on 12 and 13 December 2022. One inspector carried out the inspection. To prepare for the inspection we reviewed information about this service. This included previous inspection findings, registration information, information submitted by the service and intelligence gathered since the last inspection. To inform our evaluation we: • spoke with three young people using the service and one young person who previously used the service • spoke with two family members • spoke with six staff including the manager • spoke with three external professionals • observed practice and daily life • reviewed documents. Inspection rInspection reporteport Inspection report for 35 Brediland Road page 2 of 6
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Key messages • Young people felt safe and protected from harm within the service. • The quality of relationships between staff and young people was recognised as a key strength where young people felt loved with their views listened to and respected. • Staff were confident and well trained to meet the needs of the young people. • Relationships with family and friends were well supported and young people who previously used the service, maintained contact with young people and staff. • The home environment was of a high standard where young people had an input and participated in the decoration throughout. • All young people had the opportunity to take part in a variety of activities tailored to their interests. From this inspection we evaluated this service as: In evaluating quality, we use a six point scale where 1 is unsatisfactory and 6 is excellent How well do we support children and young people's rights and wellbeing? 5 - Very Good Further details on the particular areas inspected are provided at the end of this report. Inspection rInspection reporteport Inspection report for 35 Brediland Road page 3 of 6
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How well do we support children and young 5 - Very Good people's rights and wellbeing? We made an evaluation of very good for this key question. We identified major strengths in supporting positive outcomes for young people. We saw that young people were kept safe and protected from harm. Staff had particularly good knowledge of all the young people and what made them feel safe. Relationships with external professionals strengthened safety planning and risk assessments. All young people expressed that they felt safe. One young person commented, "I have finally found a place that I feel safe". All staff had received protection training and we saw examples where young people experienced therapeutic, loving and stable care from compassionate staff. Affectionate words were commonly used, and cuddles were part of everyday life. There was a culture of creating long lasting relationships. One young person who previously lived in the house continued to visit with their child and received ongoing practical and emotional support from staff. The relationships between staff and young people were strongly based on staff's understanding of child development, attachment and trauma. The knowledge and values of the staff team meant that restraint was used as a last resort. There had been a significant reduction in this practice. When this practice was used, clear processes were in place to appropriately support staff and young people. Young people felt listened to and respected by staff who strongly advocated for them. Young people were able to seek support from staff when required and from an independent advocate who visited the house. It was suggested to the service that young people would benefit from having better knowledge of their rights. Relationships with family and friends was identified as a key strength. Family and friends were invited to parties at the house and were encouraged to visit at other times. Family time continued to be facilitated within the house for a young person who was no longer living there. Family members told us of the close relationships they shared with staff. One family member described the feeling of "one big family". Staff understood how maintaining important relationships supported positive outcomes for young people. The home environment was one young people would be proud of. Young people participated in the decoration of all rooms in the house. The living/dining area was used as a place to come together and catch up and play or relax. There was a games room and relaxation room that were used well by young people and staff. The young people had access to an extensive garden, supporting their physical wellbeing. There were many photographs of the young people and staff having fun. Staff supported and prompted young people's individual ambitions and interests. There were lots of planned activities. Some young people had experienced a holiday abroad. Staff were keen for all young people to experience a holiday, and this was included in the service development plan. Young people were engaged in the care and support they received. Their views were expressed individually during one-to-one time with staff and collectively in monthly 'young person meetings'. Minutes of these meetings noted the views expressed with identified actions for staff and young people. Some young people were actively involved in their personal plans, and this was evident in the language used. Personal plans were detailed, and staff spoke about ongoing development of these plans. Increasing young people's participation in plans and identifying more specific outcomes within the written plans will further strengthen this area of practice. Inspection rInspection reporteport Inspection report for 35 Brediland Road page 4 of 6
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Young people's emotional and physical health was very well supported with an effective recoding system for appointments and outcomes noted. We were particularly impressed by the dedication of the manager and examples of him pursuing additional health supports for young people. Weekly team meetings had included inputs from mental health and addiction professionals. This contributed to the development of staff knowledge in how best to support the young people. Staff commented that specific training in mental health would make them more confident in this area of work. During weekly team meetings each young person was discussed, ensuring a shared understanding and consistent approach from the staff team. Staff rotas were reviewed weekly, ensuring young people did not miss planned activities or appointments. Most young people were in education and staff worked closely with education staff ensuring the young people received individually tailored support encouraging participation in learning. This was evident in education plans. There was also evidence that when young people were not in education, staff actively explored learning options with them. The young people were offered a varied and balanced diet. They were encouraged to participate and develop their cooking skills during 'make your own meal' on Fridays. Mealtimes were a relaxed, social time. The staff team demonstrated a real passion to support positive outcomes for all young people. One young person said, "they are some of the best staff". Complaints There have been no complaints upheld since the last inspection. Details of any older upheld complaints are published at www.careinspectorate.com. Detailed evaluations How well do we support children and young people's rights and wellbeing? 5 - Very Good 7.1 Children and young people are safe, feel loved and get the most out of life 5 - Very Good Inspection rInspection reporteport Inspection report for 35 Brediland Road page 5 of 6
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To find out more This inspection report is published by the Care Inspectorate. You can download this report and others from our website. Care services in Scotland cannot operate unless they are registered with the Care Inspectorate. We inspect, award grades and help services to improve. We also investigate complaints about care services and can take action when things aren't good enough. Please get in touch with us if you would like more information or have any concerns about a care service. You can also read more about our work online at www.careinspectorate.com Contact us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com 0345 600 9527 Find us on Facebook Twitter: @careinspect Other languages and formats This report is available in other languages and formats on request. Tha am foillseachadh seo ri fhaighinn ann an cruthannan is cànain eile ma nithear iarrtas. Inspection rInspection reporteport Inspection report for 35 Brediland Road page 6 of 6