Royal Blind School - Canaan Campus School Care Accommodation Service The Royal Blind School Canaan Lane Campus 43-45 Canaan Lane Edinburgh EH10 4SG Telephone: 0131446 3120 Inspected by: Shelagh McDougall Type of inspection: Unannounced Inspection completed on: 26 October 2012 Inspection report continued Contents 1 2 3 4 5 6 Page No 3 5 7 11 24 25 25 Summary About the service we inspected How we inspected this service The inspection Other information Summary of grades Inspection and grading history Service provided by: Royal Blind Asylum and School Service provider number: SP2003002572 Care service number: CS2003010898 Contact details for the inspector who inspected this service: Shelagh McDougall Telephone Email [email protected] Royal Blind School - Canaan Campus, page 2 of 27 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 The Royal Blind School provided a very high quality service for children and young people. They were good at making sure that children and young people's wishes were known, including those who needed help with communicating. Staff were warm and friendly to the children and young people, and made sure that they enjoyed their time at the Royal Blind School. What the service could do better The service needed to make sure that information held was kept up to date. They needed to continue to find ways to ask parents for their views about the service and use these in planning improvements. What the service has done since the last inspection Since the last inspection, the service had worked on the way they recorded incidents to make it easier to identify where these had happened. They also confirmed which actions needed to be taken as a result, and who needed to do this. They were continuing to work toward integrating Craigmillar Campus and Canaan Lane Campus. Conclusion The Royal Blind School continued to provide a high quality service where children and young people were happy. They provided a wide range of opportunities for children Royal Blind School - Canaan Campus, page 3 of 27 Inspection report continued and young people, to help them experience as much from their time there as possible. Who did this inspection Shelagh McDougall Lay assessor: Ms Jenny Reaves Royal Blind School - Canaan Campus, page 4 of 27 Inspection report continued 1 About the service we inspected The Royal Blind School is an independent, grant-aided, charity based organisation which is overseen by a Board of Governors. The Royal Blind School provides care for up to 81 young people. All have a visual impairment or a visual impairment and additional physical impairment and/or learning disabilities. The School is situated within two campuses, Craigmillar Park and Canaan Lane. Canaan Lane is registered to provide a care service to a maximum of 26 children with multiple disability and visual impairment, aged between 5 and 19 years, operating during term time. Craigmillar Campus is registered to provide a care service to a maximum of 55 children with multiple disability and visual impairment, aged between 5 and 19 years. Previously, each campus was registered separately with the Care Inspectorate. Since the last inspection, the service had moved to one registration for both sites, and were moving toward the service being provided from Canaan Campus from 2014. Children and young people live in the residential units full time, during the school week, part time or on a respite basis. At Canaan Lane Campus residential accommodation is provided within three well equipped and spacious units, Jura (respite care), Gigha and Canna. At Craigmillar Campus, residential accommodation is provided in three units. Two of the three, Drever and the Hostel, are located within houses adjacent to the main building. The third unit, Islay, is situated in the main school building. Both Canaan Lane Campus and Craigmillar Campus are situated within residential areas of the City of Edinburgh and have good access to public transport and local amenities. The Royal Blind School's statement of purpose and function states that "all young people, regardless of their age and gender, who live away from home are provided with a clear sense that their emotional needs are cared for. All young people, regardless of disability, should enjoy a full and decent life, in conditions that ensure safety and dignity, promote choice, and self reliance including their integration and participation in the larger community. All care should be planned, appropriate in design, achievable and effective in it's delivery. Care must be based on the unique needs of the individual young person, embracing their ethnicity, language, culture and faith." Royal Blind School - Canaan Campus, page 5 of 27 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 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 0845 600 9527 or visiting one of our offices. Royal Blind School - Canaan Campus, page 6 of 27 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 This unannounced inspection took place between Wednesday, 24 October 2012 and Thursday, 25 October 2012. The inspection was carried out by Shelagh McDougall, with our Lay Inspector Jenny Reeves. We gave feedback to the service on 26 October 2012. During the inspection we met with children and young people, both informally over mealtimes and in their houses. For some young people we asked staff to help us understand the children and young people's views. We met with parents and social workers attending a review during the inspection. We spoke with the Principal, the Head of Care, a Depute Head of Care, and the Lead Nurse. We spoke with Senior Care Staff, Care Staff and Ancillary Staff during the inspection and looked at policies and records held, including: • • • • 4 young people's files incident records minutes of meetings evidence folders in the houses We looked at the premises and observed the interactions between staff and children and young people throughout the inspection. We took all of the above evidence into consideration when writing this report. We also took into account the Public Services Reform (Scotland) Act 2010 and associated statutory instruments, The National Care Standards for school care accommodation services, and the Scottish Social Services Council (SSSC) Codes of Practice for Social Service Workers and Employers. Royal Blind School - Canaan Campus, page 7 of 27 Inspection report continued In the weeks following the inspection we consulted with parents/carers and social workers from the placing authorities. Their views are included in the body of the report. 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 Royal Blind School - Canaan Campus, page 8 of 27 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. We received a completed self assessment from the service before the inspection took place. In this they had identified where they thought they showed strengths as well as some areas where they thought they could make improvements. Taking the views of people using the care service into account Children/young people we spoke with, and those we observed who did not communicate verbally, were relaxed and confident in their interactions with staff. They were generally very happy with the service and some told us they "really liked being at the Royal Blind School". Comments included : "Staff are brilliant." "The hostel is the best place to be." "The food is much better now. We get to have things we choose at tea time like cheesy potatoes." "I like being here with all my pals." "There's lots of activities you can do. In fact I've had to give some up as I was too busy." We issued 47 Care Standards Questionnaires (CSQs) to children/young people before we did the inspection. 26 were completed and returned. 14 strongly agreed, and 11 agreed with the statement " Overall, I am happy with the quality of care I get here." Other comments included : "****** loves his school and his residential area, and the staff are fantastic if a little stretched." Royal Blind School - Canaan Campus, page 9 of 27 Inspection report continued "I am worried about moving to Canaan as there is nowhere to play outside. How will we get to the pool? Where will my Mum park?" Taking carers' views into account We spoke with four parents/carers during the inspection and afterwards by phone. Generally they were very happy with the service. Comments were mainly positive and included : "Staff really know our son. They anticipate the moves he may make and take appropriate action." "Staff take on board our suggestions." "Staff are open and very good at communicating about our child." "Meetings about are child are open and everyone contributes." "There was an issue with agency staff not understanding that while our child was very sociable at night, he needed his sleep. They needed better guidance about the way they should manage this." "I think the school want to consult us but they don't really want to hear what we have to say." "Senior staff should have more of an overview so that they check that staff are following the care plan correctly, particularly after swimming." "I feel it's a bit of 'them and us' with senior managers." "There's too many times staff are moved to cover absence in other units - it used to be much more consistent." "I feel very lucky that my son is at the Royal Blind School." "I realise how much my son has benefited from being at the school, he has really progressed." "Staff in my son's house are phenomenal." "The keyworker is there for the whole family. They support us all." Royal Blind School - Canaan Campus, page 10 of 27 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: 5 - Very 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 We found that the Royal Blind School had very good systems in place to make sure that children and young people's views were routinely asked for. We saw that Managers then took account of these views in planning improvements for the service. We concluded this after discussions with the children/young people, staff, the Manager, parents, and social workers, and from reviewing records. We saw evidence that:• Parent/carers, children/young people and social workers were given good information about the service before a child/young person was placed at the Royal Blind School. Before a child/young person was offered a place at the Royal Blind School, staff visited them to assess whether the Royal Blind School could offer them a placement which would meet their needs. Where possible, the child/young person and their parents/carers visited the school, and could have an overnight stay to help them decide if this was where they wanted the child/young person to be. Through these strategies it meant that all knew what the service could provide, and were then in a better position to assess whether their experience matched expectations. • Each child/young person had a care plan outlining the way that staff were going to meet the child/young person's care needs. These were reviewed regularly which provided an opportunity for the child/young person, their parent/carer and also their social worker to make suggestions or comments about the service provided. • Each child/young person was allocated a keyworker. This was a member of staff who attended any meetings with them (like reviews, or Hearings of the Royal Blind School - Canaan Campus, page 11 of 27 Inspection report continued • • • • • • • Children's Panel); had responsibility for keeping in touch with the family and any workers such as Social Workers, or health professionals involved in the child/young person's care; worked individually with the young person to help them develop their skills; identified where they may need more support and made sure this happened; provided support and encouragement, and linked with teaching staff to support the child/young person's education. Keyworkers arranged to meet regularly with the child/young person to work through areas of support identified in their care plan. This meant the child/ young person had an opportunity to pass on their views directly to their keyworker. Where the child/young person used non-verbal communication, or was not confident in expressing their views, keyworkers developed skills in interpreting the signs or indications that their keychild was happy or not, and advocated on their behalf. Staff at both campuses arranged meetings for the young people, using a range of methods to provide ways for the children/young people to pass on their views. 'Participation' was now a standing item on the agenda for all meetings., so that staff routinely discussed and considered the views of children/young people and their parents/carers. We made a recommendation about this at our last inspection and assessed that this was now met. A Parent's Consultative group had been formed some years ago and provided another opportunity for parents/carers to pass on their views. Formal systems such as the Pupil Council, Food Committee and young people's meetings with the Head of Care were in place and used by children/ young people to pass on their views. They told us they were confident in telling staff what they thought, and that this could lead to changes being made as a result. Parents and social workers we spoke with confirmed that staff kept them updated with the child/young person's progress, as well as any events, incidents or changes in their routines. They also said that staff made sure that they were informed promptly about any meetings planned to discuss the child/young person's care, which allowed them to make arrangements to attend. One parent commented " My son's keyworkers have been amazing, really superb. They are on the phone, or email, with any good news or highlights, as well as if anything happens". The school had several events throughout the year, to which parents/carers attended (such as Christmas concerts and open days). These were informal, helping parents/carers to get to know staff better and possibly meet members of the board. They were encouraged to pass on any suggestions. Issues raised through consultation with children/young people, and parents/ carers were discussed at staff meetings and managers meetings, providing a route for these views to have an impact on planning improvements. Royal Blind School - Canaan Campus, page 12 of 27 Inspection report continued Areas for improvement The school needed to look at ways that they could consult more with parents/carers. While the Parent's Consultative group was in place, it was not as widely used as it might be. The school could develop this and introduce other opportunities for consultation. They planned to continue to work on 'The Little Things' (discussed in the previous report) which followed from a presentation made by a parent at a staff training day. This highlighted how listening to families' feedback and making changes as a result, even about small changes, could make a big difference to the outcome for the child or the parent/carer. They intended to develop the 'key team' (Keyworker and teacher) linking care and education for each child/young person. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Statement 3 We ensure that service users' health and wellbeing needs are met. Service strengths We found that the service was performing well in the areas covered by this statement. We concluded this after talking with staff, children/young people, the Lead Nurse, and looking at records held. We also saw the way that staff interacted with children/ young people during the inspection. Some of the evidence included:• Children/young people's health needs were identified clearly in their care plans. Staff were knowledgeable about children/young people's medical conditions, and the resulting implications for their care. • There were good links between care and nursing staff, as well as with other health professionals involved with the children/young people. Effective systems were in place to make sure that all staff were kept updated about any changes to the medical care for the children/young people. • Systems for storing, administering and recording medication given worked well. These were checked routinely to make sure that they were right. Staff knew the times that children/young people needed their medication and planned ahead so that the children/young people's medicine regimes did not restrict their enjoyment of activities, as far as possible. • Staff had built up very positive relationships with children/young people, providing a warm and happy atmosphere. We saw that children/young people were spoken to with respect and were treated as individuals. • Our Lay Inspector commented "At Canaan Lane Campus, place-mats were provided in the dining room for each child/young person who needed help with their meals. These included advice on how the young person liked to be seated and the position they liked to eat from; the type of food and drink they Royal Blind School - Canaan Campus, page 13 of 27 Inspection report continued • • • • • • needed was listed; (for example mashed, or finger food) and a reminder to give only a small drink as these could be too heavy to be held. Carers were reminded to allow the young person to smell the food they were to eat and to tell them what it was. Specific support cutlery that the young person needed to enable them to feed as independently as possible was listed. There was also advice on how the young person communicated, and skills that they needed to practice. A list of vocabulary was included for each young person together with any Key Points that carers needed to know such as food likes and dislikes. The dining room at Craigmillar Campus had been rearranged following consultation with Speech and Language Therapists, in order to provide the best conditions for individual young people's eating. A wide range of healthy and nutritious meals were provided, taking account of each individual's dietary needs. Staff ensured that children/young people had regular access to fresh air and energetic activities such as Samba Band, swimming or judo. We saw that appropriate physical activities were provided to suit each child/young person's needs and abilities. An updated Infection Control Policy was about to be implemented at the time of the inspection. Where children/young people needed help and guidance to manage their behaviour, strategies were in place. We found that staff knew what these were, which allowed for a consistent approach. We saw that young people who were moving on from the service were offered support and guidance to help them, and their parents/carers, choose the most appropriate service for their needs. We saw that planning began in good time, and social workers we spoke with confirmed that their views were routinely sought during the transition process. Areas for improvement While Risk Assessments were in place for each child/young person, these did not contain some of the detail that was known to some staff. We discussed the need to ensure that the Risk Assessments identified known risks, as well as the actions staff should take to minimise their impact. Some information held in Care Plans was found to be out of date. The service needed to make sure that all information and contact details were accurate, to ensure that care plans were effective and communication was not hindered by inaccurate contact details. A parent we spoke with had concerns that pieces of equipment for her child's wheelchair had not been attached which had resulted in discomfort. The service needed to make sure that all staff followed the guidance for young people's equipment laid out in care plans. Royal Blind School - Canaan Campus, page 14 of 27 Inspection report continued Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Royal Blind School - Canaan Campus, page 15 of 27 Inspection report continued Quality Theme 2: Quality of Environment Grade awarded for this theme: 5 - Very Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the environment within the service. Service strengths Evidence found in Quality Theme 1, Statement 1 also applied to this statement. We found that the service used the same processes to consult children/young people and parents/carers about the environment. Our Lay Assessor visited Canaan Lane and said "Canaan Lane is a purpose built facility and the environment was therefore extremely good. Wide corridors made wheelchair access easy and hoists and other support devices seemed to be provided wherever they were needed, for example in the changing room of the hydrotherapy pool. The site benefited from a hydrotherapy pool, sensory room and sensory garden and it was obvious that these facilities were well used and much appreciated. Each residential unit had a comfortable sitting room and a well-equipped kitchen and adjacent dining room. Young people had their own rooms and were able to decorate these to their own taste. There were regular young people's meetings in each unit and suggestions were taken forward and acted upon. For example a new TV set was being installed at the request of the young people in one unit and they had provided photographic evidence of the faults on the previous set via their mobile phones." Areas for improvement Areas for improvement identified in Quality Theme 1, Statement 1 also applied to this statement. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Statement 2 We make sure that the environment is safe and service users are protected. Royal Blind School - Canaan Campus, page 16 of 27 Inspection report continued Service strengths We found that the Royal Blind School had very good systems in place to make sure that children/young people were cared for safely. We concluded this after discussions with staff, children/young people, managers and parents/carers. We looked at records held on incidents, accidents and child and adult support and protection. Some of the evidence we saw included:• The residential houses were securely locked, and staff were aware of any visitors to the premises. Some of the older young people had key fobs to give them independent access, based on an assessment of their abilities and risks. • Staff carried out risk assessments for the premises and made sure that any repairs were reported so that they could be carried out in good time. A range of health and safety checks were carried out in accordance with best practice guidance and legislation.(for example Fire Safety, electrical appliance checks and Legionella checks). • Through building up positive and trusting relationships with staff, especially their keyworker, children/young people were more likely to pass on any concerns about their safety and well being. We saw that staff advocated on the behalf of children/young people routinely. • Staff were trained in the best way to calm situations where young people were agitated, upset or angry, and the techniques for holding safely if this was necessary. They had regular updates to this training, which was known as MAST (Management of Aggression Strategies and Tactics). We saw that the way that incidents were recorded had been reviewed to include a summary front sheet, more details of the incident, identifying whether the incident raised child protection concerns, which had been considered by the Principal, whether the Risk Assessment needed to be updated and any subsequent actions required. It outlined any de-briefing, and confirmed that parents/ carers had been informed, when and by whom. • An updated Child and Adult Support and Protection policy was in place. Staff confirmed that they had updated training on Child and Adult Support and Protection and knew the actions they should take if they had any concerns. They said that they felt well supported by senior staff and would be confident to ask for guidance from them if they were unsure about any part of the child/adult protection procedures. Areas for improvement The service should continue to develop the very good practice which we saw at this inspection. As we discussed in Quality Theme 1, Statement 3, they needed to make sure Risk Assessments for children/young people were detailed and up to date, and that information held regarding contacts was up to date. The procedures for recording incidents and de-briefing had recently been introduced. We made a recommendation about this at our last inspection. While we assessed that this had been met, we will Royal Blind School - Canaan Campus, page 17 of 27 Inspection report continued continue to monitor progress on the implementation of the processes at our next inspection. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Royal Blind School - Canaan Campus, page 18 of 27 Inspection report continued Quality Theme 3: Quality of Staffing Grade awarded for this theme: 5 - Very Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of staffing in the service. Service strengths Evidence found in Quality Theme 1, Statement 1 also applied to this statement. We found that the service used the same processes to consult young people about staffing. Areas for improvement Areas for improvement identified in Quality Theme 1, Statement 1 also applied to this statement. We made a recommendation at the previous inspection about children/ young people's involvement in recruitment. The service had not been in a position to recruit staff since our last inspection and we will carry this recommendation forward to our next inspection. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 1 Recommendations 1. The school should identify ways in which children, young people and their parents/ carers can be further involved in staff recruitment, staff training and development, and service promotion. The Parent's Consultative group should be consulted regarding this. National Care Standards for schoolcare accommodation : Standard 7 - Management and Staffing and Standard 10 - Contributing to your care Statement 3 We have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Service strengths We found that the service was performing well in the areas covered by this statement. The Royal Blind School continued to use safe recruitment practices for new staff and Royal Blind School - Canaan Campus, page 19 of 27 Inspection report continued ensured they were appropriately qualified or working toward qualification. All care staff were expected to register with the SSSC. In order to register, all staff were expected to achieve their Scottish Vocational Qualification (SVQ) 3 and Higher National Certificate (HNC) by the end of their third year of employment. All staff were registered, for whom this was required. Evidence we found included :• staff confirmed that they had regular supervision and annual appraisal. These provided opportunities to discuss their practice and identify any training which might enhance their professional development or improve their practice. • Staff met daily at change over, and weekly at staff meetings, which allowed them to keep updated about changes to children/young people's care plans and any changes to procedures. They also were given information from Managers by email, to ensure that those staff who were not on shift had the means to be kept up to date. • Staff were very enthusiastic about their work, and showed a strong commitment to providing the best possible care for the children/young people. They knew about best practice guidance in the work they carried out, and relevant legislation. • Where staff were provided by an agency, we saw that the service were provided with confirmation of their PVG checks (Protection of Vulnerable Groups) and qualifications they held. • At the last inspection we made a recommendation about supporting the delegation of responsibility and overview of key pieces of work to individuals and sub groups within the staff team. We discussed progress made on this. Staff confirmed that they had taken up individual pieces of work and took on additional responsibilities. Areas for improvement The service should continue to develop the very good practice which we saw at this inspection. They will need to show they can sustain this very good practice in order to maintain this grade. We found that, as may be expected, staff at Craigmillar Park Campus were anxious about the future of the service as they moved toward the closure of the main school building at Craigmillar Park. The Manager and senior staff were aware of their concerns and we discussed the need to continue to offer additional support through the process of change. While we saw that progress had been made on the previous recommendation regarding delegation of responsibilities, we will continue to monitor progress on this at our next inspection. Royal Blind School - Canaan Campus, page 20 of 27 Inspection report continued Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Royal Blind School - Canaan Campus, page 21 of 27 Inspection report continued Quality Theme 4: Quality of Management and Leadership Grade awarded for this theme: 5 - Very Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the management and leadership of the service. Service strengths Evidence found in Quality Theme 1 Statement 1 also applied to this statement.We found that the service used the same processes to consult with children/young people, and their parents/carers, about the management of the service. Areas for improvement Areas for improvement identified in Quality Theme 1 Statement 1 also applied to this statement. They will need to show they can sustain this very good practice in order to maintain this grade. Two parents we spoke with commented that while they had very regular contact with staff involved in the care of their child, they had little or no contact with senior managers or the Principal. They did not feel that they could approach members of the board through any of the channels outlined in Quality Theme 1 Statement 1. The service should continue to look at ways that this can be resolved. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Statement 4 We use quality assurance systems and processes which involve service users, carers, staff and stakeholders to assess the quality of service we provide Service strengths Some of the evidence we discussed in Quality Theme 1 Statement 1 also applied to this statement. In that statement we identified a range of ways that children/young people and their parents/carers could pass on their views. Other people who were involved with the service were known as stakeholders. These could include social workers, local authority commissioning services, health professional involved with the children/young people and other services offering support to them. We saw that the service had very good systems of quality assurance, some of which involved Royal Blind School - Canaan Campus, page 22 of 27 Inspection report continued stakeholders, staff, children/young people and parents/carers. Some of these included: • A school improvement plan and business plan were in place. These outlined areas for improvement, lead responsibilities and timescales for assessing and evaluating these. • Systems of overview from the senior managers, and from the Board of Governors were in place. Children/young people attended some of these meetings. • The service regularly held open days and professionals days, where they encouraged questions and sought feedback. • Senior Managers in all parts of the service met weekly and checked progress on the service's improvements. Records of these meetings were on the school intranet (on the computer) so that all staff could keep updated. • Board members had increased the contact they had with day to day routines in the school. For example, the Practice Assessor for some of the staff undertaking their SVQs was a board member. Areas for improvement The service should continue to develop the very good practice which we saw at this inspection. They will need to show they can sustain this very good practice in order to maintain this grade, and continue to develop the involvement of children/young people, parents/carers and stakeholders in their quality assurance processes. Staff, young people and parents/carers all spoke with us about their concerns that due to staff absences at Craigmillar Campus, other staff were covering in different units. The impact of this was that some planned activities in the original unit were not able to go ahead, and staff were not able to provide the consistency of care that young people expected. While it was acknowledged that the situation was sometimes unavoidable, Managers should look at contingencies so that planned contacts and activities could go ahead as much as possible. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Royal Blind School - Canaan Campus, page 23 of 27 Inspection report continued 4 Other information Complaints No complaints have been upheld, or partially upheld, since the last inspection. Enforcements We have taken no enforcement action against this care service since the last inspection. Additional Information Action Plan Failure to submit an appropriate action plan within the required timescale, including any agreed extension, where requirements and recommendations have been made, will result in SCSWIS re-grading the Quality Statement within the Management and Leadership Theme as unsatisfactory (1). This will result in the Quality Theme for Management and Leadership being re-graded as Unsatisfactory (1). Royal Blind School - Canaan Campus, page 24 of 27 Inspection report continued 5 Summary of grades Quality of Care and Support - 5 - Very Good Statement 1 5 - Very Good Statement 3 5 - Very Good Quality of Environment - 5 - Very Good Statement 1 5 - Very Good Statement 2 5 - Very Good Quality of Staffing - 5 - Very Good Statement 1 5 - Very Good Statement 3 5 - Very Good Quality of Management and Leadership - 5 - Very Good Statement 1 5 - Very Good Statement 4 5 - Very Good 6 Inspection and grading history Date Type Gradings 20 Feb 2013 Unannounced Care and support Environment Staffing Management and Leadership 5 - Very Good 5 - Very Good 5 - Very Good 5 - Very Good 20 Feb 2012 Unannounced Care and support Environment Staffing Management and Leadership 5 - Very Good Not Assessed 5 - Very Good Not Assessed 6 Sep 2011 Unannounced Care and support Environment Staffing Management and Leadership 5 - Very Good 5 - Very Good Not Assessed Not Assessed Royal Blind School - Canaan Campus, page 25 of 27 Inspection report continued 19 Jan 2011 Unannounced Care and support Environment Staffing Management and Leadership 5 - Very Good Not Assessed Not Assessed Not Assessed 2 Sep 2010 Announced Care and support Environment Staffing Management and Leadership 5 - Very Good 5 - Very Good Not Assessed Not Assessed 28 Jan 2010 Unannounced Care and support Environment Staffing Management and Leadership 5 - Very Good Not Assessed 5 - Very Good Not Assessed 3 Dec 2009 Announced Care and support Environment Staffing Management and Leadership 5 - Very Good Not Assessed 5 - Very Good Not Assessed 13 Mar 2009 Unannounced Care and support Environment Staffing Management and Leadership Not Assessed Not Assessed 4 - Good 4 - Good 27 Oct 2008 Announced Care and support Environment Staffing Management and Leadership 4 - Good 5 - Very Good 4 - Good 4 - Good All inspections and grades before 1 April 2011 are those reported by the former regulator of care services, the Care Commission. Royal Blind School - Canaan Campus, page 26 of 27 Inspection report continued To find out more about our inspections and inspection reports Read our leaflet 'How we inspect'. You can download it from our website or ask us to send you a copy by telephoning us on 0845 600 9527. This inspection report is published by the Care Inspectorate. You can get more copies of this report and others by downloading it from our website: www.careinspectorate.com or by telephoning 0845 600 9527. Translations and alternative formats This inspection report is available in other languages and formats on request. Telephone: 0845 600 9527 Email: [email protected] Web: www.careinspectorate.com Royal Blind School - Canaan Campus, page 27 of 27
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