youthzone day care of children

YouthzoneDay Care of ChildrenWesterlea11 Ellersly RoadEdinburghEH12 6HY

Type of inspection: Unannounced

Inspection completed on: 15 July 2014

ContentsPage No

Summary 31 About the service we inspected 52 How we inspected this service 63 The inspection 104 Other information 235 Summary of grades 246 Inspection and grading history 24

Service provided by:Capability Scotland

Service provider number:SP2003000203

Care service number:CS2010239197

If you wish to contact the Care Inspectorate about this inspection report, please callus on 0345 600 9527 or email us at [email protected]

Inspection report continued

Youthzone, page 2 of 25

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 5 Very Good

Quality of Management and Leadership 5 Very Good

What the service does wellThe manager had a clear vision for the service and provided strong leadership forstaff.

Dedicated staff developed positive relationships with the young people and were verygood at responding to their individual needs.

Staff were very good at encouraging young people to engage in the range ofstimulating and enjoyable activities provided.

What the service could do betterYouthzone asked parents to evaluate the quality of the service. They should nowprovide parents with feedback from these evaluations to let them know how they willaddress any issues or ideas raised.

What the service has done since the last inspectionYouthzone was maintaining the high quality of service observed at the last inspection.



ConclusionYouthzone continues to provide a valuable respite service for young people and theirfamilies. The committment of staff and the range of activities offered make this anenjoyable and worthwhile experience for the young people attending.



1 About the service we inspectedBefore 1 April 2011 this service was registered with the Care Commission. On this datethe new scrutiny body, Social Care and Social Work Improvement Scotland (SCSWIS)took over the work of the Care Commission. This means that from 1 April 2011 thisservice continued its registration under the new body, SCSWIS

The service is registered to provide respite sessions to a maximum of eight youngpeople aged between 10 and 16 years, with delayed development, physical, learningand sensory impairment, who live in the Edinburgh Area.

The service operates from Westerlea, Capability Scotland Headquarters, Edinburghfrom 9.30am to 1.30pm on Saturdays throughout the year.

The aim of the service is:To provide support to young people, to develop self-help skills, and social skills andbuilding a social/peer group, whilst giving parents some weekend respite.

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 - Grade 5 - Very GoodQuality of Management and Leadership - Grade 5 - Very Good

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.careinspectorate.com or by calling us on 0345 600 9527 or visiting one of ouroffices.



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 inspectionWe asked the service to complete an annual return and a self-evaluation. Both ofthese were completed and submitted before the inspection took place.

We sent five parent/carer questionnaires to the service to distribute to parents and atthe time of inspection two of these were returned to the Care Inspectorate.

We made an unannounced inspection of the service on Saturday 12 July 2014 andthere was four young people present and three members of staff.

We gathered evidence for this report through:

• observation of the staff working with the young people• discussion with the manager about how the service was delivered• speaking with a member of staff• speaking with a parent• review of the accommodation in relation to resources, safety and cleanliness• reference to information relating to the support needs of the young people

attending• reference to risk assessments carried out• reference to the completed questionnaires returned to us.

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 service had completed the Self Assessment form to a high standard. Thisdocument was used to inform the inspection process.

Taking the views of people using the care service into accountThe four young people present during inspection were settled and fully engaged inthe activities provided for them. It was clear they were comfortable with staff andconfident in their interactions with them. We saw that staff were responsive to theyoung people and provided support for them in the activities of their choice.

Taking carers' views into accountWe sent five questionnaires to the service to distribute to families and two of thesewere returned. These indicated an overall high level of satisfaction with the serviceprovided. This view was also reflected by the parent we spoke to. Parents commentsincluded:

"All the young people and staff get on so well.""They provide a highly professional service""Staff are amazing, brilliant and friendly."

Further comments included that it would be helpful if funding was available so thatthe service could be extended up to 18 year olds. They felt this would reflect newlegislation coming in with regard to vulnerable children and young people. Anothercommented that they would like to see more outings to places such as Vogrie Parkand swimming.



Further views from parents are contained within the body of this report.



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 SupportGrade 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 strengthsWe found that the service were performing very well in the areas covered by thisstatement.

Carers and their children/young people were invited to visit the service prior tostarting. This provided an opportunity to view the accommodation, meet with staff,and ask any questions they may have. Carers were asked to complete a Child/YoungPerson Profile which includes the opportunity for the Carer to express theirexpectations of the service and care requirements for their child. Parents wereencouraged to involve their child in expressing their views and answering thequestions in this document.

Carers could speak with staff when they dropped of and collected their child. Thisregular contact enabled discussion about plans for the day and feedback about whathappened during the session. The Team Leadertold us that Carers often shared information about their child for example if they havebeen on holiday or if there has been any developments at school. Theservice took account of parents suggestions and ideas when planning how they woulddeliver the service to young people. These approaches allowed staff to take the needsof individual children into consideration when attending the service.The service provide an evaluation form for young people to complete at the end ofeach session. This considers what they liked, disliked, favourite activity, what theywould like to do next time they attend and their view of the facilities available. This isdone in writing, verbally, using symbols or using pictures taken throughout thesession. Most young people complete this on an individual basis. This means that



staff receive immediate feedback and they can use this information to inform howthey will run future sessions.

Parents/Carers and young people were offered an opportunity to formally evaluatethe service twice a year. They were asked to evaluate different aspects of the serviceincluding settling in, attending youthzone, suggestions for improvements and theiroverall experience of using the service. Information gathered was shared betweenCapability Scotland and City of Edinburgh Council in order to inform a service levelagreement that continues to meet the needs of the young people using the serviceand their families.

In addition to the above Capability Scotland has on ongoing programme of continuousimprovement. To inform this process they have developed a system for Carers/youngpeople to put forward suggestions directly to the senior management team. 'HaveYour Say' forms also contribute to the improvement agenda and encourage commenton any issues that have arisen, if there is potential for something to go wrong orideas with would help to improve the service.

The above range of approaches ensured that young people and their cares had arange of very good opportunities to have their say and influence developments withinthe service.

Areas for improvementWe spoke with the team leader about providing parents/carers with feedback fromthe formal evaluations carried out so that all service users had an overview of whatpeople liked about the service and how any issues raised would be addressed. Seerecommendation 1.

Grade awarded for this statement: 5 - Very Good

Number of requirements: 0

Number of recommendations: 1

Recommendations

1. Carers/young people should be provided with feedback from formal evaluations sothat they are aware of how the service will address any suggestions or issues theyhave raised. Standard 13: Improving the service - National Care Standards - earlyeducation and childcare up to the age of 16.



Statement 3We ensure that service users' health and wellbeing needs are met.

Service strengthsWe found that the service provided a high standard of support to meet the youngpeople's health and wellbeing needs.

Capability Scotland promoted an ethos of supporting people to achieve their potentialand a positive quality of life.This ethos was evident through a range of approachesincluding the very favourable staffing ratios which enabled young people to have avery individualised experience. This meant that staff had time to get to knowindividuals well and become familiar with their ways of communicating. A parentcommented that this level of staffing contributed to the high quality of care andactivities and gave them confidence that their young person would be well cared forwhile attending the service.

We saw examples of the information gathered to ensure that individual needs weremet. The Local Authority drew up an assessment of needs for each youngperson which identified diagnosis, medication, health needs and individual personalpreferences. This together with the profile completed by the service in consultationwith parents gave a very good description of the young person and accuratelydescribed how to care for them. The identified needs of the young person resulted intraining to ensure that staff had the appropriate skills and knowledge to care forthem, for example, safer assistance, epilepsy awareness and administration ofmedication. We saw that staff were sensitive to the needs of individuals and ran thesession accordingly.

The outdoor area provided access to activities in the fresh air. The team leaderdescribed some of the activities which included water play and picnic's in the garden.Staff also took the young people on trips to the local adventure park, Beecraigsand Vogrie Country Parks and to places of interest such as Dynamic Earth and theMuseum. The team leader told us that they encouraged young people to go out andabout in the local community. On the day of the inspection staff accompanied youngpeople to go to the local shops to buy what they needed for the baking activity. Theseoutings provided a range of interesting experiences for the young people andsupported them in exploring the wider world.

Healthy snacks were provided and a range of healthy recipes were in place forcooking activities. We saw that the young people were encouraged to wash theirhands before handling food. These approaches meant that the service was promotinghealthy food choices and encouraging good hygiene practice while the young peopleattended the service.



Staff had received training in child protection and understood their responsibilitiesin the protection of young people. Staff had received a range of training to ensurethat they understood child development and how to support young people withadditional needs.

A range of policies and procedures were in place to ensure that aspects such asadministration of medication and infection control were managed appropriately.

Areas for improvementThe service intends to maintain current approaches and to continue to review theirpractice to assess where further developments can be made.






Quality Theme 2: Quality of Environment

Grade 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 strengthsComments made under quality statement 1.1 apply.

Areas for improvementComments under 1.1 apply.






Statement 2We make sure that the environment is safe and service users are protected.

Service strengthsWe found that the service was maintaining the high standards observed at the lastinspection.

Security procedures included key pad entry to the building and visitors sign in andout. Staff were identified by badges. This meant that parents could be confident thattheir young people were protected while attending the service.

The accommodation had suitable lighting and heating and was in a good state ofrepair.

The accommodation was clean and tidy and the procedures in place ensured it waskept in this condition. Suitable contracts were in place to manage the maintenance ofthe premises.

The premises were fully accessable and had appropriate facilities such as disabledaccess to toilets and wide corridors. Staff reported any concerns about premises tothe health and safety manager.

The accommodation and equipment was suitable for young people with additionalneeds.

Capability Scotland employ a Health and Safety manager who carries out Health andSafety inspections on all the services provided by them. Quarterly Health and Safetymeetings are held and the manager can be contacted at any time if there is aquestion or concern regarding the health and safety of service users and staff.

Comprehensive risk assessments had been carried out both for indoor and outdoorareas. Outings were risk assessed. Individual risk assessments were in place for theyoung people that needed them.

The outdoor area was matted to protect young people from falls whilst allowing themto play freely and explore the outdoor environment. Staff checked the outdoor area fordamage and danger before the start of the session.

Policies and procedures regarding infection control and health and safety were inplace and known to staff.

Staff we spoke to were aware of Child Protection procedures and their responsibilitiesin terms of the young people in their care.



Areas for improvementThe service intends to maintain current approaches and to continue to review practiceto assess if further developments can be made.






Quality Theme 3: Quality of Staffing


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

Service strengthsThe comments made under quality statement 1.1 are also applicable to thisstatement.







Statement 3We have a professional, trained and motivated workforce which operates to NationalCare Standards, legislation and best practice.

Service strengthsWe found a range of evidence to show how this aspect of the service was met.

Staff had relevant qualifications that enabled them to register with the Scottish SocialServices Council (SSSC) or the General Teaching Council (GTC) as appropriate. Thismeant that they were expected to follow the codes of practice of their profession.

Staff turnover in the service was low. Parents told us they felt this provided continuitywithin the service which led to the development of open and trusting relationshipsbetween staff and parents.

We saw that staff had a professional approach to their work and were highlymotivated to provide a worthwhile experience for the young people attending theservice. They had developed positive and friendly relationships with the young peopleand encouraged them to engage in a rage of activities. Staff supported theseactivities well. For example, we saw staff supporting young people to take part in abaking activity and they took part in a game of pool. Parents agreed in ourquestionnaires that they were confident staff had the skills and experience to care fortheir child.

Systems were in place to support staff in their work. For example, there were regularsupervision and review sessions where management supported staff to assess thequality of their work. In addition, all staff had an annual appraisal where managementand staff identified training and development needs influenced by the needs of theyoung people and families they worked with.

Staff attended regular development days to discuss practice issues and explore ideaswhich helped them to keep up with current practice themes. For example, staff hadattended training in 'sign along' and epilepsy training within the last year.

We saw that staff worked well together as a team. The Team Leader workedalongside staff demonstrating good practice and providing guidance and support. Aparent commented that they thought all staff were caring and patient and this gavethem confidence in leaving their young person in the care of staff.

Capability Scotland published comprehensive staff guidance on an intranet systemwhich was accessible to all staff. This system supported staff in their work withthe young people attending the service. It also provided access to CapabilityScotland's policies and procedures such as, grievance procedure and the whistleblowing policy.



Areas for improvementThe service intends to maintain current approaches and to continue to review theirpractice to assess where further developments can be made.






Quality Theme 4: Quality of Management and Leadership


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

Service strengthsComments made under quality statement 1.1 also apply to this statement.







Statement 4We use quality assurance systems and processes which involve service users, carers,staff and stakeholders to assess the quality of service we provide

Service strengthsA range of systems were in place to promote assessment of the quality of servicedelivered.

Parents and young people had opportunities to contribute their views and influencehow the service was delivered through systems identified in quality statement 1.1.

The Team Leader provided effective leadership for staff. He had a clear understandingof the elements that contribute to providing a quality service and was dedicated toensuring that young people attending the service were provided with apositive experience. From our discussion it was evident that he was committed tocontinuous improvement within the service. Staff told us they felt well supported bythe Team Leader. A parent commented that they thought the team leader was"highly professional" in his approach to running the service. This meant that youngpeople benefited from a well run, professional service which encouraged youngpeople to engage in activities and enjoy their time there.

Capability Scotland had achieved ISO 9001 (International Organisation forStandardisation). This is an internationally recognised management system which isindependently certified.The quality management system provides a framework for evidencing that the serviceis on track to meet their stated objectives. Internal review systems identify andaddress issues and provide a structure for training and career growth.All staff had access to the quality policies through the company intranet system.These policies and procedures support staff in delivering the service to the youngpeople in their care.

The Team Leader told us about procedures in place to report to The City of EdinburghCouncil. A monthly report was submitted capturing data regarding sessions delivered,young person development, complaints received and evidence to demonstrate howthey are achieving their targets. This process kept the council informed of theeffectiveness of the service they had commissioned from Capability Scotland.

Capability Scotland has a robust complaints policy and procedure that all staff areaware of. Service users are encouraged to use this system if they wish to make aformal complaint. Care Inspectorate contact informationwas also displayed in the service for parents who may wish to make a complaint.



Capability Scotland published an annual report which was available to all service usersand stakeholders allowing them to review the performance of managers deliveringservices throughout Capability Scotland.

Areas for improvementThe service intends to maintain current approaches and to continue to review practiceto assess where further developments can be made.






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 InformationNo 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 the Care Inspectorate re-grading a Quality Statement within the Qualityof Management and Leadership Theme (or for childminders, Quality of StaffingTheme) as unsatisfactory (1). This will result in the Quality Theme being re-graded asunsatisfactory (1).



5 Summary of grades

Quality of Care and Support - 5 - Very Good

Statement 1 5 - Very Good


Quality of Environment - 5 - Very Good



Quality of Staffing - 5 - Very Good



Quality of Management and Leadership - 5 - Very Good



6 Inspection and grading history

Date Type Gradings

2 Aug 2011 Unannounced Care and support 5 - Very GoodEnvironment 5 - Very GoodStaffing 5 - Very GoodManagement and Leadership 5 - Very 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 0345 600 9527.

This inspection report is published by the Care Inspectorate. You can get more copiesof this report and others by downloading it from our website:www.careinspectorate.com or by telephoning 0345 600 9527.

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

Telephone: 0345 600 9527Email: [email protected]: www.careinspectorate.com



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