Inspection on 27/11/07 for Hinwick Hall College of FE

This is the latest available inspection report for this service, carried out on 27th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Hinwick Hall College of FE Hinwick Wellingborough Northants NN29 7JD Lead Inspector Ansuya Chudasama Unannounced Inspection 27 November 2007 11:00 Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hinwick Hall College of FE Address Hinwick Wellingborough Northants NN29 7JD 01933 312470 01933 412470 bowyers@hinwickhall.ac.uk www.grooms-shaftesbury.org.uk Grooms-Shaftesbury Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Steve Bowyer Care Home 59 Category(ies) of Learning disability (59), Physical disability (59) registration, with number of places Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Maximum number of service users - 59, of whom up to 32 may permanently require the use of a wheelchair. The home can accommodate service users of either sex between the ages of 16 and 25 years of age. Where two service users required to share a bedroom, this must be subject to documented agreement from both parties, with an understanding that the age difference between the individuals is no more than four years. The following accommodation blocks - `Eastside Cottage`, `Reeves`, `Robinson` and `Stable Mews` must only accommodate service users requiring Accommodation of up to 38 weeks a year. In addition, `Eastside Cottage` and `Robinson` must only accommodate ambulant service users. Only `St Giles` and `Orlebar` may provide additional respite accommodation of a maximum four weeks total (a total of 42 weeks per year) during the summer holiday period Service users who are students of the college, and who require accommodation over 38 weeks a year, must have the opportunity to remain in their allocated accommodation, unless documented consent to temporarily move to other accommodation at the college, such as during college holidays, is obtained from them and their representatives. Service users who are not students at the college, but on respite placement during the summer holiday period, should occupy separate premises to students of the college, unless documented benefits for both groups can be demonstrated. 4. 5. 6. 7. Date of last inspection Brief Description of the Service: Hinwick Hall College is a Grade II listed building, located in a rural setting. It has several buildings within its extensive grounds being used for residential and educational purposes. On the 29th June 2007, the Shaftesbury Society merged with John Grooms. Grooms Shaftesbury now undertakes the operational activities of both the Shaftesbury Society and John Grooms. The Registered Manager and Responsible Individual arrangements are not affected by this change of provider. The service is for up to 59 young people (16 - 25 years), who have learning Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 5 disabilities, and may also have a physical disability. There are no formal entry requirements, other than evidence of the young person requiring the type of provision that is on offer, and for him/her to be capable of making significant progress. The accommodation layout and facilities are complex, and spread out over the college campus. Despite some specialist facilities e.g. individual accommodation, bathrooms, and a lift to the first floor of the Main Hall, some aspects of the environment would not be suitable for people with physical disabilities. There are four main accommodation areas, the Main Hall -‘Reeves’ (organised on the first and second floors), ‘St Giles House’ with ‘Robinson’ situated on the first floor, ‘Stable Mews’ and ‘Eastside Cottage’ (a converted single storey stable block, and a small separate cottage, both aimed at providing accommodation for service users preparing for further independence), and a recently built single storey unit - ‘Orlebar’. The Main Hall also incorporates teaching rooms for living skills and information technology, a health care centre, staff rooms and offices. The College offers courses over a three-year period aimed at enhancing and promoting the students communication and life skills. The Learning Skills Council funds all students at the college. Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. According to guidelines set by the Department of Health, a Further Education (FE) College accommodating more than 10 of its students with disabilities, who require personal or nursing care, must register the residential provision of the service, with the Commission for Social Care Inspection (CSCI) as a care home. To this end, the National Minimum Standards (NMS) for Care Homes for Younger Adults (18-65) have been used to assess how Hinwick Hall College is complying with its legal obligation to safeguard and promote the welfare of residential students. Additional guidance (NATSPEC 2004), specifically for specialist colleges such as Hinwick Hall, has also been referred to. Following the annual audit visit by Ofsted. The intake of students was reduced from 59 to 34 students in September 2007. The college has tried to reduce the impact of these barriers by, ensuring that they have a robust self assessment review, and they have put in place the required measures to have a successful Key inspection of the college early next year to enable the college to start increasing student numbers. At present the three units that were operating were Stable Mews’ and ‘Eastside Cottage’ (a converted single storey stable block, and a small separate cottage, both aimed at providing accommodation for service users preparing for further independence), and ‘Orlebar’ unit This key inspection was unannounced. The inspector spent the majority of the inspection within the Stable Mews unit and visited the small cottage and spoke to the students, the staff and the manager of the unit. The inspector also visited the Orlebar unit to look at the improvements made since the last inspection. In addition, the inspector observed the staff and the students working together and looked at records. The registered manager was also present during the inspection process. The other units in the college were not inspected on this occasion. The registered manager had completed the annual quality assurance assessment document that was sent by the CSCI and the information from this record has been used in this inspection report. The inspector would like to thank the manager, staff, and the people living in the home for their time in helping with this inspection. This inspection report should be read alongside the National Minimum Standards for Younger Adults (18-65). Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? What they could do better: The college has worked hard in meeting the needs of the students. However the care plans needed expanding to include information about how the goals of the students were being met. This information was being completed in the education section of the college. The college had introduced a new format for carrying out risk assessments but the information from the old risk assessments had not been transferred to the new format. Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 8 The college needs to continue working through the maintenance plan and to inform the CSCI of the progress being made. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The students and their families are provided with information and invited to visit the college prior to making a decision to study at the college EVIDENCE: The college had A ‘Student Guide/Induction Pack’. A version of the Student Handbook had been developed in makaton sign language in relation to complaints, physical access, health care, disciplinary procedures and help that the students could get from the college. The complaints procedure was also produced in picture format. A contract for college students was included in the pack and this contained the relevant information. It was stated that all students coming to the college are assessed against clear criteria, which looks at the individual as a whole in identifying their care requirements. All prospective students and their representatives are encouraged to visit the college. The college has reviewed the assessment pack and this is being used for new students coming to the college. A new clear format is now used for new prospective students. A student’s file that was case tracked had a student profile assessment, health care assessment and a Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 11 base line assessment. The Stable Mews unit had a student user guide. This was produced in picture format and this was good. The student and their family signed the ‘contract for college student’. Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 12 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The staff have very good understanding of the needs of the students but the care plans needed developing further to reflect how the individuals persons goals were being met. EVIDENCE: One of the student’s care planning file in the Stable Mews unit was case tracked. The information in the file was better organised and easier to find. An individual learning plan was used to meet the student’s goals. This was seen on the day of the inspection. The student that was being case tracked had a person centred day. The student did food shopping with support staff who completed a teaching session record to explain how well the student undertook the activity. The record is signed by the support staff the student and the teacher. The inspector was informed that these records were kept Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 13 with the student’s personal tutor. The records were kept for evidence to show how well the student was achieving their goals. It was stated that every time the student undertook an activity, a teaching form was completed. Copies of these forms need to be kept in the students file or made available for CSCI inspection. There was information on personal care needs, health care needs, social activities, and moving and handling care. The individual care plan did not have the teaching activities that were being carried out recorded in achieving the student’s goals. Information in the care plan needed expanding to include how the above goals were being achieved with time scales. There was information about their health care needs and keeping safe. There was information about the student’s routines and a timetable of what they did at the college. The student that was being case tracked was able to read his timetable by explaining what they did for the week. The students were observed making decisions about what they wanted to do with support from staff. Students have house meetings to discuss their views. A representative from each unit area attended the student council meeting to discuss issues that are raised in their areas. The college also has a student governor who is able to put forward views of the students to the governing body. The student that was case tracked informed the inspector that he was the student governor and explained what he did. The staff spoken to had very good understanding of the student’s individual risks. The new risk assessment format seen was good. However the information from the old risk assessments needed to be transferred to the new format. There were other risk assessments that needed developing as discussed at the inspection. A document called “record keeping -individual files” had information on access to files by parents and advocates. It stated that once a student “reaches 18, they can insist that their parents no longer have access to their files”. This gave students the right to confidentiality in what information they wanted to share with their family. Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 14 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The students are able to enjoy a full and stimulating life style with a variety of options to choose from to ensure that their individual needs for personal development are met EVIDENCE: The students undertook a variety of meaningful educational activities and all the students in the unit had structured timetables. The student Information board was also available in the unit. This had information about the students weekly charts, and menus, and anything that was happening in the college or in the community. The staff and the students spoken to stated that they did a lot of social activities. For example they played games, attended clubs, bingo, art and craft, garden centre, parks and discos on special occasions. They also Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 15 had the option of attending the singing prayer club on Wednesdays and Thursdays at lunchtime. It was stated that the students went to the pub, they watched football and rugby matches, and went to the cinema, and to the theatre. The students also went shopping to the shops to buy food and other personal items for themselves. One student stated that they wanted to live in their own flat and it was said that the staff were helping him to learn skills. The student also had a guitar and enjoyed playing this with another student on certain days. The inspector was informed a group of students were going to go on holiday soon. The students were also going to the Christmas pantomime and having Christmas lunch at the pub. The unit visited had a suggestion box for activities that the students wanted to undertake. The home used the college’s mini bus or car when going out on trips in the community. The staff took medical details of the students when going out in the community to ensure that they had the medical information if required in an emergency situation. The students spoken to stated that they liked the staff because they helped them to do things. The students living in the cottage were observed choosing their meals and going to the shops to buy them. The staff were also observed talking to the students in a positive and encouraging manner for them to learn skills to do things for themselves. There was also evidence given by staff to show how well the students were doing at the college. The staff in the unit also helped the students with their educational activities. The student file that was case tracked had consent forms that were signed by the student and their representative. This was giving the college the consent to give the student their medication, to share information with other professionals and to have treatment from the dentist. The student and the person’s family signed a ‘contract for college students’. The families of students that lived nearby visited the students at the college regularly. However those who had to travel further did not visit so often. Families and friends of the students were encouraged to visit the college. Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The college works to an efficient medication policy and staff are trained and understand the medication procedures to follow to ensure that the health needs of the students are met EVIDENCE: All staff that gave out medication had been trained and the college nurse, the manager of the unit and the registered manager for the college monitored the medication processes regularly. The medication records were inspected and evidence showed that all medication sheets seen were being completed fully. The students in this unit had their medication kept in their own cupboards in their rooms. Risk assessments were undertaken for this practice. The student that was case tracked had information about their medical history and information about the student’s knowledge and awareness about their disability. The medical records were kept up to date. This had information on Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 17 ear, eye and sight care. Information on podiatry, physiotherapy, memory, behaviour, emotional assessment, water low pressure area, postural care, mobility, emotional and memory assessment and medication was completed. Information on dietary preferences was also recorded. Weight charts were carried out once a month. A consent form signed by the student’s representative to give the college authorisation to administer medical care needs was seen in the file. The college employed a fulltime occupational therapist, a speech therapist, a nurse, a physiotherapist, a speech therapist and an assistant psychologist to meet the student’s health care needs. The inspector was informed that all students were going to have a separate health care file. This was to help staff have all the information with them when attending health appointments for students. The staff spoken to were able to provide information on how they met the personal care needs of the person who was being case tracked. The student informed the inspector that the staff maintained their privacy and dignity when giving personal care. The information on giving personal care was recorded in the care plan. It was also stated that the students were able to choose what they wanted to wear. All the students seen were individualised in their style of dressing. Annual reviews are carried out in relation to the students health needs as required. Information in the AQAA stated that no students are admitted if they are terminally ill. A procedure was available for staff to deal with a death occurring whilst a student was at the college. Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. All staff attend training on safeguarding of vulnerable adults procedures and understand the procedures well to ensure students are protected from any abuse EVIDENCE: The college had a complaints policy in makaton sign language and in pictorial form, which was student friendly. This was given to the student in their handbook. It was also stated that their key workers explained this information to the student. The student who was case tracked was able to say that they knew who to complain to if they were unhappy. The staff had very good understanding of the safeguarding of vulnerable adults policy (SOVA) and all had attended training on this. The staff spoken to were asked how they would know if the students they looked after were unhappy or being harmed in any way. The staff were able to give examples of behaviours that the students used to show how they were feeling and it was stated that they had good understanding of these behaviour. It was also said that the students would tell the staff if they were not happy and other students would also tell staff if any of the students were not happy. Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 19 The college had made three referrals to the safeguarding of vulnerable adults agency. The evidence showed that the college had followed the proper procedures in ensuring that the students are protected from any harm. One of SOVA meeting was held on the day of the inspection. The student that was case tracked had an assessment for vulnerability to minimise them from being put at any risk. Records of the student’s finances kept in the unit were being signed by staff these. However the information on how the finances of the students are managed needs to be in their care plan. (See the section on staffing regarding staff recruitment procedures) The staff spoken to stated that the students were involved in fire drill practices. The students spoken to in the cottage stated that they knew what to do if the fire alarm went off. It was explained that they would go out and meet at the area that they were told to go to. Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The college has a rolling programme to improve the decoration, fixtures, and fittings to ensure that the students needs are met. EVIDENCE: The college has a 10-year maintenance programme. This was seen at the last inspection. This showed where improvements had been made and improvements that were planned. The ‘Orlebar’ unit was inspected to find out if a new kitchen was fitted to make it more accessible for the students to use the cooker and height adjustable sink to meet their needs. Evidence showed that this had been completed and that the room was more homely. The living area in Orlebar unit did not provide students with a room that they could listen to the music or watch TV in a quiet area. The lounge area, kitchen and dinning room were all in one room. The patio area was at the rear of the building was observed at the last inspection as not meeting the needs of the students living Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 21 in the home. This problem had not been resolved. The inspector was aware that the college had to prioritise the works to be undertaken. The college had a sensory garden and the students used this. The Reeves unit was closed and it was stated that this would re open when the unit was refurbished. The Stable Mews unit needed decorating as the paint was peeling off. The living area also needed a large pin board to display information. Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The organisation has robust recruitment policies and procedures to ensure the students are protected from any kind of harm EVIDENCE: Three staff records inspected showed that the staff had an application form, two identity documents, two references, CRB checks, a job description and terms and conditions of employments. The recruitment procedures followed were good. The staff records were also organised well. A copy of staff training records were provided and evidence showed that all new staff received an in dept induction and they completed the Learning Disability Award Framework training in their first six months. The staff also carried out mandatory training to safe guard the health and safety of the students. Over 50 of the care staff had completed an NVQ level 2 or 3 in health and Social Care and other staff were working towards this training. The staff spoken to stated that the college had worked very hard and had spent a Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 23 lot of money on training. Other training received includes safeguarding of vulnerable adults, diversity and equality, working with challenging behaviours, communication approaches, fire safety awareness, first aid at work, and risk assessment. The staff helped out with the educational activities in meeting the student’s goals. However it was stated that they understood that this was very important but they wanted to spend more time to work on the students care plans. This was discussed with the registered manager and it was said that they were aware and looking at resolving this issue. The managers of the units received supervision and appraisal from the registered manager. The manager of the units had meetings but it was stated that the managers wanted to have a meet with all staff but this was difficult. It was stated that one of the options of doing this was to have the meeting on the day the students returned back from home. Staffing arrangements had increased recently in one of the units due to the changing needs of one of the students in the cottage. The manager and staff spoken to at Stable Mews unit stated that they were well staffed to meet the needs of the students living in the home. It was also stated that they ‘loved’ working at the unit and enjoyed coming to work. Staff spoken to stated that they received supervision on six to eight weekly basis. Each member of staff had a training profile and an appraisal system in place. It was also stated that all annual appraisals had to be completed by the end of the month. Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. This judgement has been made using available evidence including a visit to this service. The registered manager had good understanding of the areas that needed improving and works continuously to improve services to provide an increased quality of life for the students. EVIDENCE: The registered manager has completed the NVQ level 4 training in care in and the registered managers award in September 2006. Evidence showed that the manager worked hard to ensure that the needs of the students and staff were being met. The college employed a fulltime occupational therapist, a speech therapist, nurse, physiotherapist, speech therapist and an assistant psychologist to meet the health care needs of the students. . Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 25 The registered manager stated at the inspection and in the AQAA that the following issues has made it hard for them to improve as much as they would have liked to during the last 12 months. This was due to the capping of student numbers in September 2007 by Ofsted when undertaking their inspection. The college has worked very hard on getting the processes right on education and a lot of money has been spent on training. A recent monitoring visit from Ofsted showed that the college has made improvements. The college has worked hard to put in the required measures for a successful key inspection, which will be undertaken early next year. This is so they can start preparing to admit the maximum number of student that the college is allowed to. This will also increase the funding for the college. The manager stated that many changes had been made at the college. The manager had developed a clear management structure. New care planning system had been introduced, and each student had a person centred plan. The manager also had weekly meetings with the managers of the units and monthly student meetings. The students also had meetings every half term to voice their opinions of how the college was running and issues that they wanted to discuss. A student survey was carried out to find out the views of how the college was meeting their needs. The information in the AQAA stated that the staff received training on promoting student’s rights and choices during their induction programme The college was completing regulation 26 visits on a monthly basis. These were being sent to the CSCI. Students had unit meetings to discuss their views. A representative from each living area attend the student council meetings to discuss issues that are raised in their areas. The college also has a student governor who puts forward views of the students to the governing body. This showed that a lot of work was being done to improve the service and to meet the needs of the students using the service. However an annual audit of the service, which takes place at least annually, was required. The college had a signing in and out sheet for staff, students and visitors. This was to ensure when fire drills are undertaken, a register was available for people in the college. The fire emergency information pack, which contained plans of all buildings, fire procedures, and fire risk assessment were seen. The college was maintaining a maintenance schedule for the boilers, fire systems, fire extinguishers, hoists, water testing, portable electric equipment testing. The college was also carrying out the health and safety plans. All the units had a fire safety board so all the staff and students knew who the fire and first aid staff were on duty. The fire plan for the college was also displayed. The staff spoken to stated that fire alarm testing took place every week. It was also stated fire drills were also being undertaken. A copy of fire alarm testing and emergency testing was kept at the front entrance of the main reception area. The Fire Officer had visited on the 16th of October 2007 and had made two requirements about fire training for staff. The inspector was informed that all Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 26 the staff were doing the fire training and this was being maintained on a rolling programme for completing this training. The registered manager stated that the staff were prioritised for this training and it was decided that the night staff and the unit managers completed this training first. The care and education staff were on the second tier to complete the training. It was stated that this information was discussed with the Fire Officer and agreed by them. Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 27 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 2 X 3 3 x Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 28 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA28 Regulation 23 Requirement Provide communal accommodation (in the main hall - ‘Reeves’) that meets this standard with regard to safe access, and a more homely appearance. The inspector was informed that this unit was closed and it would reopen when the work has been completed. Ensure that care plans include all the information stated in the standard to meet the students’ needs. Ensure that risk assessments are completed for all activities to avoid unnecessary risks to the health or safety of the students Provide an internal audit that takes place at least annually to measure the aims and objectives of the college. Timescale for action 30/03/08 3. YA6 15 30/03/08 4 YA9 13 30/01/08 5. YA39 24 30/04/08 Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 29 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hinwick Hall College of FE DS0000070240.V350325.R01.S.doc Version 5.2 Page 31 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!