Tag: Care Inspectorate

Edinburgh care home awarded top marks by Care Inspectorate

A FAMILY-owned care home can lay claim to being one of the best in Edinburgh, after becoming one of the only care homes in the city to score a rarely awarded six out of six, following an annual inspection by the sector watchdog.  

Cluny Lodge Care Home, owned by Elder Homes Ltd, received top marks for supporting the wellbeing of its residents and staff in its most recent Care Inspectorate report. 

Scored as ‘excellent’, the highest mark awarded, the report commended the home’s excellent health and wellbeing outcomes, co-production and the relationships between staff, residents, and relatives.  

The care home has a holistic approach contributing to the high health and wellbeing outcomes of the residents. In addition to the usual roles it takes to make a care home work well, the team also includes in-house physiotherapists, social & leisure team and nutritional support workers.  

Marcela Patriche, Care Homes Manager at Elder homes, said: “We really believe that elderly living should come with a purpose, as moving into a care home should be a new chapter in your life. 

“This outstanding inspection result reflects our team’s commitment to providing truly person-centred care.  

“I continue to be amazed by the outstanding feedback from our staff, residents and families. We’re all so proud of the work we do creating an at home environment whilst providing high quality care. 

“We work with our residents and staff to innovate new ways of enhancing wellbeing and quality of life, and it’s so rewarding to have this reflected in such a glowing report.” 

With over 180 members of staff, many of whom have worked for the care home for over 20 years, the care home is able to consistently provide one on one care meeting the residents’ varying needs. The home has a dedicated training team, ensuring each team memberfrom senior leadership to support staff, receive dementia awareness and role specific training.  

The report also scored Cluny Lodge’s leadership as ‘very good’, highlighting that staff were provided with regular support and supervision, whilst praising the care homes inclusion of family representatives in quality and improvement-based discussions.   

Residents at Cluny Lodge, and sister care home, Chamberlain, have access to a wide range of activities, outings, concerts, and events aimed at providing social, mental, and physical stimulation. The home also provides one-on-one interactions that help residents maintain connections to their local community. 

In addition to social events, the care home utilises innovative technologies including electronic medication dispensaries and Artificial Intelligence to assess pain levels to assist in managing the use of pain medication.   

The Morningside care home is currently home to 65 residents, who come from a wide range of backgrounds, all of whom receive 24-hour care who according to the Inspectorate are receiving the best care possible. 

Driven by a personal need for exceptional later in life care, Loren and Julie Hufstetler established the family-run Elder Homes in 1984. For almost 40 years, Elder Homes has provided individualised support and compassionate service to seniors requiring assistance with daily living. 

The full inspection took place in August, and the full report can be found here: https://www.carehomeedinburgh.co.uk/docs/cluny-inspection-report.pdf  

To find out more about Elder Homes, please visit: 

https://www.carehomeedinburgh.co.uk/  

Scotland’s first outdoor nursery at a football facility receives high praise from Care Inspectorate

WILLOW DEN SCORES AT SPARTANS

Willow Den at Spartans, Scotland’s first outdoor nursery at a football facility, received 5’s across the board in its first review visit by the Care Inspectorate.

Based in Ainslie Park Stadium, home to Spartans Community Football Academy, Willow Den aims to improve the health and wellbeing of children in Scotland through access to fully outdoor early learning and childcare.

The nursery scored 5’s or ‘Very good’ across the board for care, play, learning, setting, leadership and staff team. The report commented, “Children were very happy, settled, and confident in the setting. They were supported by kind, gentle and nurturing interactions, helping children to feel safe and loved.”

Deborah Grant, Chief Executive at Willow Den said, “We are delighted to receive such positive feedback from our first inspection. Our nursery is based in an innovative outdoor setting, which enables children to follow their curiosity and develop their knowledge and skills.

“Research shows outdoor play as vital to emotional, physical, and mental health and well-being and critical to all aspects of childhood learning and development. This is why we are ambitious and want to open in more locations so more children and families in Scotland can play and learn in nature from nature.”

Willow Den was founded by Inspiring Scotland to accelerate outdoor nursery provision in Scotland and further its work developing outdoor play and learning. 

Celia Tennant, Chief Executive of Inspiring Scotland said, “We are delighted Willow Den at Spartans has received such positive feedback from its first inspection.

“Our work over the past 15 years at Inspiring Scotland has highlighted the impact of high-quality outdoor play as an essential catalyst for healthy childhood development and a fundamental part of growing up in Scotland.

“We know outdoor play is a life-enhancing experience and together we want all of Scotland’s children to thrive outdoors.”

Debbi McCulloch, deputy Chief Executive from Spartans Community Football Academy said, “It is our vision to be a welcoming and inclusive social home for our local community.

“Hosting an outdoor nursery is part of this vision – it is wonderful to see pre-school children having fun and learning right here on our doorstep. Our education pathway now extends from nursery school all the way to college. The Edinburgh Care Inspectorate report is testament to the hard work of everyone involved.”

In 2021, the social enterprise secured £225,000 loan funding from Social Investment Scotland (SIS) matched by a £225,000 grant from the SIS Growth Challenge to support its launch.

Chris Jamieson, head of investments at SIS said, “It is great to see Willow Den thriving and receiving such a positive first review, as well as great feedback from parents.

“The outdoor nursery is an excellent example of a high-impact social enterprise that is meeting an immediate community need for early years education. We look forward to working with Willow Den as the organisation develops and grows in the years ahead.”

“Throughout the report, parents commented, “It is clear their number one focus are the children and making the nursery a safe and nurturing environment where the children thrive” and “we know that this is a very special place with very special people who care for and support our child completely.”

Willow Den is currently looking for more locations to expand outdoor play in Edinburgh. If you would like to find out more, please visit willowden.scot/

Recruitment campaign to boost childminding workforce in Edinburgh City extended

A campaign to recruit new childminders in targeted urban and rural areas to help establish more childminding places for families has been extended, providing more time for people living in Edinburgh City to tap into funding and support available to get started in a new career.

Led by the Scottish Childminding Association, and funded by Scottish Government and participating local authorities including Edinburgh City Council, the ‘Scottish Childminding Partnership’ aims to increase the number of childminding businesses in areas where there are currently not enough childminders to meet the level of demand from families seeking local, high-quality, nurturing and flexible childcare.

A fantastic package of fully funded support and training available to successful applicants, providing everything needed to establish a new childminding business.

The campaign has seen almost 60 new childminders complete or apply for registration with the Care Inspectorate to establish new childminding businesses throughout Scotland but more are needed throughout target areas, including Edinburgh City, to help address the need for more high-quality childcare for families.

Skye Jolly has started her own childminding business in Moray after accessing support and funding available through the recruitment campaign and is delighted with her new career.

“When I first decided to become a childminder I didn’t have a clue where to start so I did some research online and quickly found this new childminder recruitment campaign.

“I think this is a brilliant way for anyone thinking about becoming a childminder to get started because you’re very supported every step of the way. I’m so glad I decided to take the leap, I really love my new career!”

No previous childcare experience is required to become a childminder but applicants do need to be passionate about working with children. It’s an extremely rewarding career option – contributing to children’s development, learning and wellbeing and providing a valuable childcare service within the local community.

Often, people who are looking to get back into work, or who want to switch career into professional childminding, do so to enable them to combine caring for their own children whilst running their own business from home and earning an income.

Those who apply and are accepted on to the pilot will be supported every step of the way by a dedicated member of the SCMA team, from induction training and support through the registration process to establishing their new business.

On completion of registration, new childminders have access to a start-up grant so that they can be reimbursed for some of the initial costs associated with setting up their new business from home*. They will also receive a unique package of childminding-specific training courses.

Graeme McAlister, Chief Executive, Scottish Childminding Association, said: “Whether in rural areas, towns or cities, this form of high-quality childcare is a vital asset to families and the recruitment of more childminders is another important step towards addressing the urgent demand for high-quality childcare from parents and carers.

“This is a fantastic opportunity for people who may be considering getting back into work, or looking for a change of career which supports a better work / life balance, to access a wealth of support in setting up their own sustainable childminding business and to begin a new, rewarding career working with children.”

More information and how to get started by visiting :

www.childminding.org/childminder-recruitment

  • *£750 minimum business start-up. The value of start-up grant may vary across local authority areas
  • SCMA is a national charity and is the only organisation dedicated to supporting all aspects of childminding in Scotland. We provide a wide range of support and professional services including training and events as well as delivering local services for childminders, children and families.
  • More childminders are needed across the whole of Scotland. This unique pilot is helping to address the specific and urgent need for childcare in particularly remote and rural areas as well as specific urban areas.
  • Childminding settings provide low child-adult ratios. This means a childminder can provide tailored one-to-one care for each child.  Evidence has shown this form of childcare can enhance a child’s early learning, confidence and their social development and is particularly helpful in supporting children with additional support needs, or for children who may struggle in a larger childcare setting such as nursery. 

Care Inspectorate is looking for young volunteers

We’re looking for young people with a personal experience of care to volunteer with us.  So, if you have used a care service, you could be just who we are looking for.  

You don’t have to have qualifications – personal experience is what counts.  You must be aged between 18-27 to apply.

Download our information leaflet here.

Complete our application form here.

Hear what some of our young inspection volunteers said here.

If you would like to find out more about becoming young inspection volunteer, need help to complete the application form or would like us to post you an application form – please email Julie Brown at get.involved@careinspectorate.gov.scot

Become_a_young_inspection_volunteer_2023Download

New Health and Social Care Standards for care homes

Anne’s Law: Reinforcing the rights of residents to have visits and care from loved ones

Changes to the national Health and Social Care Standards for Scotland’s adult care homes will put Anne’s Law into practical effect while legislation is being prepared.

 Two new Standards set out the expectation that people living in care homes should have the right to see someone who is dear to them, even during a Covid-19 outbreak, and be able to name a person or persons who can directly participate in meeting their care needs.

The Standards should be reflected by care homes in their policies, and the Care Inspectorate will consider whether they are being met when registering, inspecting and supporting homes.

Anne’s Law aims to ensure people who live in adult care homes have rights to see and get support from those who are important to them.

The stepped approach to its introduction – new Standards followed by legislation – follows a public consultation which found overwhelming backing for Anne’s law and for a change to the Standards. The new Standards are supported by the body representing care homes, Scottish Care.

Social Care Minister Kevin Stewart said: “We are fulfilling our pledge to introduce the provisions of Anne’s Law as quickly as possible by using our existing legal powers to help ensure care home visitors can be involved in the care and support of their loved ones.

“We will go further by including Anne’s Law within the new National Care Service Bill, with that legislation due to be introduced to the Scottish Parliament in the coming months. We are clear in our expectation that care home residents must have their care delivered in a dignified manner that reflects their rights.”

Donald Macaskill, Chief Executive of Scottish Care, said: “I am pleased to commend the new Social Care Standards which have been published today. They make explicit what we all recognise, namely the critical role that family and friends play in the care support of a resident in a care home.

“They clearly underline the rights of residents, should they wish, even during a managed infectious disease outbreak, to have family and friends support them in visiting and support.

“In the months ahead staff, providers, families, and residents will work together to ensure that these rights are understood and that the new Standards are a success.”

Edith Macintosh, interim Chief Executive of the Care Inspectorate said: “The Care Inspectorate welcomes the new Standards. We know  that having regular contact with people is essential for wellbeing and good mental health.  

“Meaningful contact must be included in personal care plans, with clear strategies in place for staff to support it. This includes people experiencing care from those close to them when that is their choice.

“These new Standards will be reflected in how we register, inspect and support adult care homes in Scotland, to ensure care services embed them in their practice.”

A spokesperson for Care Home Relatives Scotland (CHRS) said: “CHRS is pleased the new Social Care Standards have been published and the importance of maintaining contact with care home residents at all times has been formally recognised.

“Relatives and close friends of those in residential care are not simply visitors, but continue with a caring role and as the voice and representative for our loved ones. It is reassuring to know we will always have the right to uphold that essential contact.

“We look forward to working together with all care home staff to ensure the Standards are respected and upheld.”

The Health and Social Care Standards set out what people should expect when experiencing health, social care or social work services in Scotland. As with the existing Standards, the Care Inspectorate will be under a duty to consider how care service providers are upholding them in relation to registering, inspecting and supporting care services.

The Scottish Government will provide further support and resource to enhance the Care Inspectorate’s role in supporting visiting rights. This additional resource will enable the Care Inspectorate to proactively champion the implementation of the new Standards and rigorously monitor its progress.

The two new Standards are:

  • If I am an adult living in a care home and restrictions to routine visiting are needed to prevent infection, I can nominate relatives/friends (and substitutes) to visit me.  My nominated relatives/friends will be supported by the care home to see me in person day-to-day and to be directly involved in providing my care and support if that is what I want 
  • If I am an adult living in a care home, I can nominate relatives/friends (and substitutes), who will be supported by the care home to be directly involved in providing my day-to-day care and support if that is what I want

The Standards follow on from updates to the Scottish Government’s Named Visitor policy during COVID-19 outbreaks in care homes and will be followed by Anne’s Law, which will be incorporated into primary legislation in the National Care Service Bill, due to be introduced by the end of this Parliamentary year.

Progress Review reports improvement to older people’s services in Edinburgh

Delivery of older people’s services in Edinburgh has shown good progress since 2017, according to a joint report published by the Care Inspectorate and Health Improvement Scotland.

Following an initial inspection in May 2017, the Edinburgh Health and Social Care Partnership has received acknowledgement from the Joint Inspection team across the Care Inspectorate and Health Improvement Scotland, that the review has now closed.

The latest report cites the partnerships efforts in driving forward – with pace – a clear vision and structured approach, that is now seeing positive progress in a number of areas.   

It follows a challenging progress review in 2018 and contains a number of recommendations but, based on progress, the Joint Inspection team has noted that no further review activity is now planned.  

Chair of the Edinburgh Integration Joint Board, Cllr Ricky Henderson, said: “We very much welcome this latest and final review, and the deserved recognition it gives all who work for, and with the partnership.

“The publication of the report in 2017, was a difficult read for all who were working in the Partnership at the time but the strategic vision, practices, and structures that have since been developed and implemented, are the backbone to the significant and good progress being made.

“Whilst there remain challenges – particularly with the current system pressures faced – the strengthened relationships built, strategic aims, and the cohesive approach to the work of the partnership, deserve this positive recognition.

“These are significant strengths for how the partnership will continue to push forward over the challenging winter period and beyond, and I would like to take the opportunity to thank every single person who directly or indirectly provides care in Edinburgh, for their incredible hard work and commitment to all in our care.”

Read the report:

Edinburgh-older-people-services-progress-review-Nov-Download

£250,000 Childminding initiative supports Edinburgh families back into employment

The Scottish Childminding Association (SCMA) is seeking a bank of childminders to match with the parents and carers of school age children, who are looking to get back into employment.

The ‘Access to Childminding’ (A2C) service received £250,000 of funding from the Scottish Government’s Access to Childcare Fund, announced within the School Age Childcare Progress Report earlier this year, and aims to help move more parents and carers into employment by matching them with professional childminders in their local area who can provide flexible childcare, before and after school.

The scheme is being piloted initially initially in City of Edinburgh, Dumfries & Galloway, Fife, Midlothian and North Lanarkshire, with the aim of it becoming more widely available across the country.

A2C aims to help increase household income and families will benefit from high-quality, flexible childcare provided locally. In turn, it can help childminders to increase their business sustainability by providing access to new families who may have been unaware of how flexible childminding can support their family life.

SCMA is seeking around 100 childminders across the five pilot areas to take part, who have capacity within their setting to provide before and after school care.

Edinburgh childminder, Liz Stewart, who is taking part in Access to Childminding, said: “I’m participating in Access to Childminding because I know that finding affordable, high quality childcare locally can be difficult – especially for families who need flexible before and after school care which fits around their working day.

“I thought A2C was really great way for me to help parents who are finding childcare a barrier to getting back into work. I hope it makes a difference to know that childminding through A2C could support them.

“I’m also really excited to welcome any new families to my setting who may not have previously considered childminding as an option. Other childminders in Edinburgh who might be interested in putting themselves forward should go for it! I found the process of signing up to take part really easy and there wasn’t too much paperwork, which was great.”

Janine Ryan, Head of Childminding Services at SCMA, said: “One of the barriers to parents being able to move into employment is being able to find affordable childcare locally.

“We believe A2C will really support that initial step into employment for parents with school age children – and they’ll have peace of mind that their child is receiving professional, high-quality and nurturing childcare, while they take that exciting step back into work.

“A2C is also a fresh, new business opportunity for childminders in Edinburgh. It provides the potential for them to enhance their service by introducing new families who may not otherwise have considered using a childminder. We would really love to hear from childminders who would like to give it a try”

Funded placements are offered for up to 12 weeks for before and after school care during term-time, as well as during holiday periods. This initial time period provides a realistic window for children, families and childminders to develop relationships and helps build a foundation for long-term support.

The 12 week period also offers a bridge whilst parents settle into their new job, receive a salary and become eligible to apply for childcare benefits, where appropriate.

It is also anticipated that the parent could continue the placement with the childminder once the funding ends, as they will be able to make the payments themselves once they are receiving a regular income.

Janine continued: “92% of childminders achieve ‘good’ or above across all quality ratings at inspection by the Care Inspectorate. Evidence has shown childminding can enhance a child’s early learning, confidence and their social development.

“There are many parents who may be new to this form of childcare and may not be familiar with its benefits. The A2C project provides a unique opportunity to sample how using a local childminder could really help to support them to take that step back into work, whilst providing a safe, reliable, home-from-home childcare environment for their children.”

Childminders, parents and referral agencies who are interested in finding out more about the project should visit www.childminding.org/access-to-childminding or email a2c@childminding.org

GMB seeks assurances as care home visiting resumes

Precarious balance between compassion and safety ahead of care home visit re-start, as GMB asks for worker assurances

Speaking ahead of the re-start of indoor visits to care homes across Scotland today (Monday 1 March), Rhea Wolfson of GMB Scotland’s Women’s Campaign Unit said: “The balance between compassion and safety is precarious at this moment. Confidence is fragile among care home workers and there can be no room for complacency.

“That’s why ahead of the return to care home visits GMB has asked the Scottish Government to ensure the delivery of three basic provisions:

  • Safe levels of staffing provision in homes.
  • A whistleblowing facility for worker safety.
  • Stringent enforcement of government safety guidelines.

“Everyone wants to see families reunited but government and employers owe a great debt to these key workers after the last year, and it’s important their voices are now being heard.”

The Scottish Government has published new guidance for care homes on visiting during the pandemic plus tools and resources on visiting and supporting residents in homes with COVID-19.

You can access this here: http://bit.ly/3fY3MFq

The guidance supports adult care home residents to resume meaningful contact with loved ones. This begins with up to two designated visitors, and a total of two visits a week.This will become normal practice in all but exceptional circumstances, such as a COVID-19 outbreak.

It is hoped to gradually increase the frequency and the number of people who can visit.

A tale of two care homes

Lothians MSP Miles Briggs has expressed concern over infection control measures at an Edinburgh nursing home.

The Care Inspectorate carried out an unannounced virtual inspection of Lorimer House Nursing Home, Lanark Road, on 27 January and followed this up with a visit with Healthcare Improvement Scotland on 5 – 8 February.

They reported ‘significant concerns relating to infection protection.’

Cleaning agents did not meet current best practice guidance and there was inadequate staff access to both PPE stations and clinical waste disposal bins.

Several soiled mattresses and mattress covers were found during the inspection and some dining room furniture was contaminated by food waste.

Edinburgh Health & Social Care Partnership has been informed of the findings and a follow up inspection to monitor progress will take place.

Lothian MSP, Miles Briggs, said: “The majority of care home residents have received their first vaccination for Covid-19, but it is still vital that infection prevention control measures are strictly followed.

“Care homes have had months to fully implement proper protocols and there is no excuse for not following guidance to the full.

“These concern from the Care Inspectorate must be immediately addressed to ensure the safety of care home residents at Lorimer House Nursing Home.”

Management at Lorimer House say the report does not tell the full story, however, and they fully expect to be exhonerated on appeal.

Sean Black of Lindemann Healthcare, who operate Lorimer House, responded: “The safety and wellbeing of our residents is our highest priority, and Lorimer House has always received the highest standards during inspections.

“We are appealing against the recent rating from the Care Inspectorate, as we were graded at this level because we were using a different cleaning solution to the one specified.

“Lorimer House has a robust cleaning regime which was previously inspected at the NHS Covid assurance visit, and the detergents used in the home are a suitable alternative to bleach-based solutions, which are registered to British safety standards.

“It is unfortunate and disappointing that this information was released before the appeal process was complete. We strongly believe that our appeal will be successful and hope that the corrected rating will be reflective of our consistent high standards.”

No such issues at Northcare Suites Care Home on Telford Road, however; the care home received a glowing report.

Northcare was inspected between 13 -19 January using virtual technology.

Feedback from residents, families and visiting health professionals was very positive, and essential visits at end of life were both encouraged and supported.

Northcare ranked ‘very good’ across the board: in people’s health and wellbeing, infection prevention and control practices and staffing arrangements.

Concern over conditions in capital care home

Lothians MSP Miles Briggs has expressed concern over a failure to improve conditions at Braid Hills Nursing Centre.

The latest Care Inspectorate report reads:

Braid Hills Nursing Centre is registered to provide care to 95 older people and 24 adults with a physical disability. The provider is BUPA Care Homes (ANS) Limited.

We carried out an initial inspection of the service on 29 September and 1 October, with NHS Lothian. The findings were outlined in the report laid before Parliament on 14 October.

We completed a further visit on 12 November with NHS Lothian to follow up on the improvements required in relation to cleanliness, infection prevention and control, waste management, the use of PPE and staff knowledge. The findings were outlined in the report laid before Parliament on 25 November.

We determined that further progress was still required.

We visited the service again on 29 December. Improvements were not sufficient in respect of the standard of cleanliness, waste management, the use of PPE, staff practice and knowledge. Overall, the management oversight and quality assurance systems were ineffective.

We issued a letter of serious concern to the provider on 29 December which detailed immediate action the home must take.

We returned to the service on 2 January 2021. Although the service had made plans to address our concerns, progress was not sufficient to reassure us that people were being supported safely during the pandemic. We issued the service with an improvement notice on 4 January 2021.

We have informed Edinburgh health and social care partnership of our findings.

We will undertake a further visit to monitor the improvement notice.

This was a follow-up inspection. We did not change the service evaluations.

Lothians MSP Miles Briggs said: “This is extremely concerning that Braid Hills Nursing Centre has failed to make the necessary changes to make the care home safe.

“The care home has repeatedly been told to follow the necessary measures in respect to the standard of cleanliness, waste management, the use of PPE, staff practice and knowledge, but have refused to do so.

“Increased levels of Covid-19 in the community puts elderly care home residents at even greater risk and Braid Hills Nursing Centre’s license must be reviewed if they will not meet the necessary standards to keep residents safe.”