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2 1. Signpost Recovery Signpost Recovery is Scottish based registered charity limited by guarantee (SC ). Signpost Recovery has grown considerably over the six years and has demonstrated year on year growth. We now have an annual turnover of 1.9 Million. Signpost Recovery is governed by a Board of Directors and is strategically led, managed and operated on a day-to-day basis by a Senior Management Team consisting of a General Manager and an Operations Manager. Signpost Recovery has objectives whereby we provide advice, information, support and access to care, treatment and support for clients and their families affected by substance misuse in the Forth Valley area- Stirling, Falkirk and Clackmannanshire. Signpost is now involved in a number of initiatives with Clackmannanshire Council, Falkirk Council, Stirling Council, Forth Valley Alcohol & Drug Partnership, NHS Forth Valley and Falkirk Criminal Justice Social Work for the provision of addiction, recovery, care and support services in community, outreach and prison settings. In addition to its main substance misuse service provision, Signpost Recovery now co-ordinates and/or provides a number of other social care and support services such as Clackmannanshire Healthier Lives (CHL) and the Social Inclusion Project (SIP). Whilst we are a not for profit organisation we are using an entrepreneurial leadership approach whereby we are actively turning financial profit into 'social profit' and are deploying additional resources to the benefit of our client groups, communities and key stakeholders. Signpost Recovery now have a portfolio of 13 services, projects, contracts and partnership arrangements including the General Practitioner Prescribing Service (GPPS), Time 4 Us, the Addiction Recovery Service (CARS, FARS & SARS), Harm Reduction Service, Clackmannanshire Healthier Lives (CHL), Core Drug and Alcohol Services, Enhanced Addiction Casework Service, Social Inclusion Project, Forth Valley Alcohol Related Brain Damage (ARBD) Service, Criminal Justice Substance Misuse Link Worker, Criminal Justice Link Nurse, Arrest Referral and the Tackling Inequalities & Improving Outcomes Project. 2 P a g e

3 Signpost Recovery s objectives are the advancement of health and the relief of those in need by reason of ill health, disability, financial hardship or other disadvantages by providing community access drug, alcohol, substance misuse and/or social care services in the local authority areas of Clackmannanshire, Falkirk and Stirling (Forth Valley). Signpost Recovery carries out the following activities in the attainment of the aforementioned objectives: 1. The provision of information, advice and support to substance users, carers and/or families that, where appropriate, enables access into treatment, care and support services that encompass and/or constitute a Recovery Orientated System of Care (ROSC); 2. The facilitation of clinics, appointments, outreach services and Drop-in provision for those identified as being affected by substance misuse and a resident of Forth Valley; 3. The identification, development, promotion and maintenance of partnerships and/or working relationships with the relevant individuals, services, agencies, commissioners, communities and key stakeholders; 4. Maintaining a service structure that allows for the provision of advice, information, support, treatment, training and guidance to individuals, families, groups, services, organisations and communities in the Forth Valley area who are affected by or impacted upon by substance misuse and/or its effects; and 5. The identification, development, planning, co-production and provision of care, support and treatment services to new and emerging client groups in carefully planned and well organised projects. Examples of which include the Clackmannanshire Healthier Lives (CHL) initiative, Social Inclusion Project (SIP) and the Forth Valley Alcohol Related Brain Damage (ARBD) Service. Signpost Recovery continues to develop and expand in accordance with client needs, emerging demand, stakeholder assessment, policy and legislation. 3 P a g e

4 2. Clackmannanshire Healthier Lives Clackmannanshire Healthier Lives (CHL) CHL was formed in September 2008 with objectives to tackle health inequalities, respond to the most marginalised in our communities and promote long term positive physical, mental and emotional health and wellbeing in the Clackmannanshire population. CHL is an anticipatory care project that achieves its success because its integrated approach and because it s a partnership between NHS Forth Valley, Clackmannanshire Council and the Third Sector. CHL is co-located with and coordinated by Signpost Recovery on a day-to-day basis. This unique programme focuses on those Clackmannanshire citizens experiencing the most disadvantages in our communities, thus reducing socioeconomic and health inequalities. This work is undertaken by the various elements which constitute our CHL provision: Tullibody Healthy Living (THL) Initiative; Health & Personal Development Officer; Community Food & Development Worker; Alcohol Counsellor; Substance Misuse Worker (Alcohol); and the Active Communities Officer. CHL clearly demonstrates that an asset based holistic approach to care planning enables individuals to become more confident, skilled and better equipped to contribute to their families and/or the wider community. This year saw the development of a group work programme for those identified as having hoarding type behaviours that were impacting upon their living circumstances (See Figure 2.1). To the best of our knowledge this is the first programme of its kind in Scotland (Clackmannanshire Council, ). 1. Clackmannanshire Council (2016). Press Release. [Online]. Available from: [accessed 19 th December 2016]. 4 P a g e

5 New Course Announcement on Clacks Web Source: Clackmannanshire Council Fig 2.1 CHL offers a range of approaches to support sustainable long term changes, delivery which, is aligned to Integration Joint Board and the Clackmannanshire Alliance objectives: The identification of health, social and emotional issues that are barriers to an individual s potential; Support to tackle lifestyle risk factors; smoking cessation, weight management and alcohol support etc.; The promotion of positive wellbeing and positive behaviour change; Access to support, new life skills and opportunities; Work towards increased independence and employability; Engagement with community and voluntary sector groups to promote a social model supporting real behaviour change; and The recognition of community assets as opposed to deficits. Our aim is to tackle the inequalities that prevent Clackmannanshire reaching its potential. Reducing such inequalities will play a significant part in creating a skilled, resilient population who assert control over their lives, look after their health and participate in the local economy. 5 P a g e

6 3. Achievements CHL is an award winning project, both in terms of a project (Age Scotland, ; Clackmannanshire Council, ) and for our staff, with our Health & Personal Development Officer winning an award for Leadership in Furthermore, CHL has been identified as a model of best practice in terms of its anticipatory care and innovative approaches to addressing health inequalities (Alloa & Hillfoots Advertiser, ; Scottish Government, ; Voluntary Health Scotland, ). 2. Age Scotland (2013). Congratulations to Clackmannanshire Older Adults Forum: Winner of Partnership Working Award 2013 [Online]. Available from: [accessed 19 th December 2017]. 3. Clackmannanshire Council (2009). Award for Healthier Lives Project [Online]. Available from: [accessed 19 th December 2017]. 4. Alloa & Hillfoots Advertiser (2017). Clackmannanshire Council launches five-a-side football initiative to support mental wellbeing. [Online]. Available from: ide_football_initiative_to_support_mental_wellbeing/ [accessed 20 th December 2017]. 5. Scottish Government (2013). Joint Improvement Team: Examples of Practice Clackmannanshire Healthier Lives. [Online]. Available from: [accessed 19 th December 2017]. 6. Voluntary Health Scotland (2015). Living in the Gap. Edinburgh: VHS. 6 P a g e

7 Signpost Recovery, owing in part to CHL, had the honour of reaching the final of the 2016 Clacks Business Awards having been nominated in the Best Not for Profit Organisation Award category. THL then followed with a nomination in their own right this year. This is the first time that Signpost Recovery and THL have been nominated at these awards, and we were very proud to be a runner up in this category. In addition, CHL has also regularly featured in academia and research (Diaz, ; Moane, ; Moane ). 7. Diaz, L.R., & Mazuera, N.R., (2015). Leadership characteristics that shape the leadership style of leaders of financially sustainable social innovation projects: An exploratory study of the perceptions of project managers in the UK. [Online]. Available from: [accessed 19 th December 2017 []. 8. Moane, N., (2014). The role of entrepreneurial leadership within the third sector in delivering the Re- Shaping Care Strategy within Stirling and Clackmannanshire. Edinburgh: Edinburgh Napier University. 9. Moane, N., (2018). Exploring the role of entrepreneurial leadership within Scottish Third Sector Health and Social Care Organisations. Unpublished DBA Thesis, Edinburgh: Edinburgh Napier University. 7 P a g e

8 4. Improving the Quality of our Services Within CHL, our care, treatment and support work is tailored to the needs of the adults, children and families that we provide services to and for. We know our work delivers good results but we are constantly striving to improve how we do things and the outcomes that we achieve. This is done through learning what works best and then using what we have learned across the organisation. Effective, evidence-based care, treatment and support underpin every aspect of our services and we continue to utilise the appropriate research in order to ensure this. We take our responsibilities to the service users and their families seriously and are committed to delivering safe, effective and efficient services regardless of whether you are the referrer, supporting a person that is using our services or you are the actual client; you can be confident that the care, treatment and support we provide will be informed by the best available evidence and subject to governance, audit and management review. Signpost Recovery and CHL also hosted a Multi-Agency Case File Audit in March 2017 at our Alloa office. CHL files in respect of alcohol patients were included in the audit. In terms of the background, we recognise that staff working as a part of Clackmannanshire & Stirling services work very hard to provide excellent care and support to families. We continually try to improve how we do this by learning what is working well and by identifying what could we do better. The Clackmannanshire & Stirling Child Protection Committee s Performance Management & Quality Assurance Sub-Group, wanted to look at a number of adult and children s records as part of a multi-agency audit of 'How well are we improving the lives of children, young people and families? The audit included records held by different agencies such as social services, health, education, substance misuse services and third sector partners. 8 P a g e

9 5. Innovation in Delivery Trainee Substance Misuse Worker Programme Following a number of unsuccessful recruitment campaigns, it was clear that social care vacancies outnumbered the available candidates, however, reports indicated that this was also a national issue, therefore; it would require an imaginative solution. The Signpost Recovery Board of Directors and the Senior Management Team (SMT) agreed to invest in organisational development and future capacity building through the design of a Trainee Substance Misuse Worker programme. The SMT utilised their experience of supporting student placements, vocational training and modular learning to develop an in-house, work based Substance Misuse Worker Training Programme that would meet the learning outcome requirements for a Scottish Qualifications Authority (SQA) recognised Scottish Vocational Qualification (SVQ) - Level 3 in Health & Social Care. The programme commenced in December 2016 with the recruitment of 2 Trainees. Following an initial induction, each trainee was allocated a Mentor to oversee their time in the various aspects of our service provision. CHL s Substance Misuse Worker, Agnes Thomson was deemed to be an excellent member of staff to undertake the duties in respect of a Mentor role, a credit to both herself and CHL. The Trainees, Mentors and Team Leaders were supported with some bespoke documentation that had been developed specifically for the training. The programme leads will utilise feedback from Team Leaders, Mentor(s), service users and the relevant stakeholders to identify the most appropriate substantive posts for successful trainees in accordance with their individual skills, preferences and the exigencies of the service. 6. Workforce Development Continuous Professional Development (CPD) is a major priority for the organisation and its component projects, services etc. The Board and Senior Management Team of Signpost Recovery believe in a developed, skilled and educated workforce and in this context, CHL staff have done exceptionally well in terms of their achievements over the years. Despite the difficult fiscal climate we have continued to invest in CPD during the last few years and the organisation has been able to support a range of both vocational and academic learning opportunities. In this reporting year, Signpost Recovery and CHL has supported staff to achieve the following qualifications: 2 Members of the Signpost Recovery management team completed the BA Business & Enterprise and graduated with Distinction from Edinburgh Napier University (ENU); 1 member of CHL staff successfully achieved a Postgraduate Certificate in Drug and Alcohol Studies via the University of the West Coast of Scotland (UWS); 9 P a g e

10 1 member of CHL staff completed an accredited module in Cognitive Behaviour Therapy (CBT) with the UWS; 1 member of the CHL team was awarded a Post Graduate Diploma in Cognitive Behaviour Therapy (CBT) through Queen Margaret University (QMU); 1 member of the CHL Team completed the MSc in Human Nutrition at Glasgow Caledonian University (GCU); and Importantly, we still have a colleague working towards the following qualification: 1 CHL Manager is now entering the final phase of a Doctorate in Business Administration at ENU; 7. Feedback from Clients re: CHL Access to Services A recent independent evaluation conducted by the National Quality Development Professionals from the Scottish Drugs Forum highlighted that the majority of service users (66%) experienced no barriers to accessing the CHL service. A small number (less than 10% for each) noted mental ill health, physical ill health, cost of transport or caring for dependents as barriers. THL is just around the corner. CHL staff will go out of their way to make sure they can see you quickly. How do the majority of service users hear about CHL? 38% heard about the service through word of mouth. 19% heard about the service via family and friends. 10% heard about the service through flyer or social media. 24% accessed CHL via professional referral / signposting. 10 P a g e

11 It started off that I went to talk to the keep well nurse. I had an appointment for a health check and everything and, I said is there nowhere to go for as I don t want to go for a right diet thing but healthy eating instead, so he suggested that I came here to CHL to see Debbie Community Food & Development Worker. The THL services that form part of CHL were mainly accessed through dropping into their shop front premises after having heard about their provision through the community and/or word of mouth. There was one day I was up Tron Court and I seen the new place had opened so I went in to be nosey. I could be in two or three times a week. CHL Service users/clients also really valued the availability of local exercise classes. I go to this class because it s run in the area and I can t rely on a car because I don t drive. Service Environment Service users were asked what they thought of the service environment and were overwhelmingly positive. The staff are all very welcoming when you enter, help you whatever situation. A happy cheery place, glad they're there. However, there were several suggestions that THL premises are too small for the multitude of activities held there. Staff Skills, Qualities and Knowledge All service users spoke very highly of the integrated CHL staff and their flexible, engaging and can do approach. Service users valued their empathy, their humour, their support. They also highlighted that staff are a gateway to additional advice, information and provision from the wider universal and community type services such as support for carers and housing services. All the staff & volunteers have been of great benefit to me over the years and I am very glad, happy and healthier for them. Service users agreed that staff made them feel respected. I can go there and I know I m not going to be looked down on. They re there for reassurance about practical issues but there s also the emotional part. 11 P a g e

12 Service User Feedback by Number and by CHL Programme Initiative Attended CHL Programme Initiative and/or Service No. of Clients 1-1 support for hoarding counselling for comorbidities underlying the alcohol misuse support for personal well-being issues and development needs 9 Health Assessment Check with the Active Communities Officer care management for alcohol misuse care, treatment and support 6 Tullibody Healthy Living (See Table 1.3 for Details) 38 Attending CHL Exercise Class(es) 33 Community Food & Development: Weight management/dietary help 7 Training 14 Other 6 Survey Information Source: SDF National Quality Development Team (2017) Table 7.1 Service User Feedback: THL Services Utilised by THL Specific Respondents - Table 1.2 (n.38)* **Nb. whilst there were 38 respondents, service users could be accessing more than one part of THL s provision at any one time. THL Programme Initiative and/or Service No. of Clients % Fruit Barra 34 43% Administrative Type Supports (IT Access, Phone Use etc.) 28 35% Walking Group(s) 24 30% Access to other Services, Clinics and Supports on THL Premises 20 25% Garden Project & Services 15 19% Singing for Memories Club 12 15% Community Events 24 30% Survey Information Source: SDF National Quality Development Team Table P a g e

13 Service User Feedback: Impact of CHL by Outcome** and Achievement % **Service users were given the option of responding not applicable for each issue. Thus, allowing them to be removed from the calculation for that particular outcome. Outcomes Achieved through Attending CHL No. of Clients I feel physically healthier 98% I feel less isolated 92% My self-esteem levels has increased 97% I am more able to cope when things go wrong 92% My diet is healthier 88% My quality of life is better 97% I am more skilled in certain activities 85% I feel more connected with my community 96% I feel more in control 88% I am more active 93% I spend more time with other people 95% I drink less alcohol 48% I have gained a qualification 57% My confidence has increased 95% Survey Information Source: SDF National Quality Development Team (2017) Table P a g e

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