Inspection on 03/12/08 for Toynton College (Cluster Two)
Also see our care home review for Toynton College (Cluster Two) for more information
This is the latest available inspection report for this service, carried out on 3rd December 2008.
CSCI found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.
Inspecting for better lives Key inspection report
Care homes for adults (18-65 years)
Name: Address: Toynton College (Cluster Two) Toynton Hall Main Road Toynton All Saints Spilsby Lincolnshire PE23 5AE The quality rating for this care home is: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Wendy Taylor Date: 0 3 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area
Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: ï· Put the people who use social care first ï· Improve services and stamp out bad practice ï· Be an expert voice on social care ï· Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information
Document Purpose Author Inspection report CSCI
Page 2 of 34 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 34 Information about the care home
Name of care home: Address: Toynton College (Cluster Two) Toynton Hall Main Road Toynton All Saints Spilsby Lincolnshire PE23 5AE 01790754926 01790754058 helen.whittleton@linkage.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Linkage Community Trust Name of registered manager (if applicable) Mrs Helen Whittleton Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 21 1 0 0 Care home 21 learning disability physical disability Additional conditions: The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning Disability, not falling within any other category (LD) - 21 Physical Disability (PD) - 1 The maximum number of service users to be accommodated is 21. Date of last inspection 1 3 1 2 2 0 0 6 Care Homes for Adults (18-65 years) Page 4 of 34 A bit about the care home Spencers Lodge and Keal View (known as Toynton College Cluster Two for registration purposes) are community based domestic houses, which form part of the Linkage College, Toynton Campus residential provision. Spencers Lodge is a detached property sited on the main campus, consisting of six single and two double bedrooms. Keal View is a detached property sited on the main campus, consisting of five single and three double bedrooms. A ground floor bedroom is available for students who may have physical disabilities or problems with their mobility. The homes are situated on the outskirts of the village of Toynton All Saints, which provides some services and amenities. There is a local bus service and transport is also provided by the home for the students. Care Homes for Adults (18-65 years) Page 5 of 34 The manager told us that the current fees for the service range between 28,460 pounds and 79,322 pounds per year, depending upon individual needs. These fees are for care and therapy, and there are extra costs for vocational/independence support, and equipment. Most students are funded for placement through their Local Authority, and the Learning and Skills Council. However students can attend on a privately funded basis. Information about these costs, as well as the day to day operation of the homes, including a copy of the latest inspection report, is available from the main offices of the houses. Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Care Homes for Adults (18-65 years) Page 6 of 34 Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 34 How we did our inspection: This is what the inspector did when they were at the care home 3* The quality rating for this service is 3 stars. This means that the students who use the service receive excellent outcomes. This key inspection took place on one day in December 2008, and lasted for approximately seven and a half hours. The care and support received by four students was followed in detail, using a method called case tracking. This method involves talking to the students and observing the care and support they receive. It also involves looking at their care plans, medical records and daily notes. Some of the general records in the homes, and staff records were also looked at. Care Homes for Adults (18-65 years) Page 8 of 34 Staff, the registered manager and other students were spoken to during the visit, and information already held by us, such as a self-assessment and notifications, were also used. Comments made by students and staff during the visit are contained in the body of the report. We also asked students and staff to fill in surveys to tell us what they think of the service, and this information is also in the main report. What the care home does well Students have told us that they are happy, comfortable, and feel safe living at the home. Care Homes for Adults (18-65 years) Page 9 of 34 They say that staff treat them very well, and they can make their own choices and decisions about what they want to do. They told us that they can talk to staff if they are not happy about anything. There are lots of opportunities for students to say what they think of the service they receive, and they are encouraged to be a part of making the service even better. There are very good assessment and care plans that tell staff what the students need, and how they like to be looked after. The care plans are reviewed regularly so that they are always up to date. Staff know what students like and dislike, and they help them to join in a wide range of activities. There are also lots of courses they can join in with at the college, which help them to become more independent. Care Homes for Adults (18-65 years) Page 10 of 34 What has got better from the last inspection Since the last inspection the bedrooms in both homes, and the kitchen in Keal View have been redecorated. A bedroom in Keal View has been made bigger and had some special equipment fitted in it. New equipment has also been provided in the ground floor bathroom at Keal View. Disposable paper towels are now used in communal toilet areas instead of hand towels to help with infection control. More staff have been trained to help students develop a person centred plan, so that all of the students can eventually have one in place. Care Homes for Adults (18-65 years) Page 11 of 34 The policy about loss and bereavement has recently been updated and staff have been trained in how to support students with these issues. What the care home could do better We did not make any requirements during this visit, but we did make some recommendations for good practise. We said that although care plans show that students are supported to make their own choices and decisions, they should also contain information about recent legislation that is designed to protect peoples decision-making rights. This is so that they can show that they have looked at the effects it has upon the students lives. We also said that the risk assessments in care plan files should cross reference with those in educational plans, so that the information is consistent and can be easily found. Care Homes for Adults (18-65 years) Page 12 of 34 Lastly we said that a record of actions taken to address issues raised in satisfaction surveys is kept. This is so that the people can be assured that their views and comments are acted upon. The manager has also told us about the things that they want to improve within the homes. For example, they want to involve students more in helping out with the training that new staff get. They are also looking into the possibility of having a chaplaincy service at the college. They are also planning to replace the kitchens, and carpets in the communal areas in both houses. If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 13 of 34 If you want to speak to the inspector please contact Wendy Taylor 33 Greycoat Street London SW1P 2QF 02079792000 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 14 of 34 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 15 of 34 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. Thorough assessment processes ensure that students needs and wishes can be met, and they can make an informed choice about attending the college Evidence: Each student has a personal file containing information from the assessments that take place before they come to live at the college. The files are stored safely in the main college building. The college have a special team of staff who carry out the initial assessment, which involves meeting the student and gathering lots of information about their needs. The records show that they involve everyone who is important in the students life, such as family members, social workers, and school teachers. The assessment includes the student spending a three or five day stay at the college, during which time staff can get to know much more about what they need and want by working with them. The student is also able to try out different education courses so they can decide what they would like to learn. The assessment records are very detailed and tell staff about needs such as personal care, physical health, communication, culture and mobility. The manager told us that when everyone is agreed that the students needs can be met at the college, a basic care plan is put in
Care Homes for Adults (18-65 years) Page 16 of 34 Evidence: place ready for when the student moves in. Students told us that they enjoyed coming to stay at the college for their assessment, and this had helped them to choose the placement. They told us that they were given lots of information, and got to know staff and other students who live there. Staff said that they get lots of information about students needs before they come to live at the college, and this helps students to settle in. Care Homes for Adults (18-65 years) Page 17 of 34 Individual needs and choices
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. Students can develop their independence, and take control of their lives in a supported and well planned way. Evidence: Students talked to us about their care plans and said that they look at them regularly with their key workers. There are records in files to show that students have a weekly meeting with their key worker, in which they can talk about anything they want to. They told us that they are able to choose what they want to do, and how they do it. They said that staff listen to what they want, and they help them to be more independent. Records show that students make their own decisions about things like who their key worker is, and if they want a front door or room key. They also told us about the colleges Learner Council which students can attend and make decisions and suggestions about college matters. We found that staff know the students needs very well, we saw them encouraging students to make decisions for themselves, and making sure that students had privacy when they wanted it. Students files contain a photograph of their key worker, and a
Care Homes for Adults (18-65 years) Page 18 of 34 Evidence: list of things that the key worker helps them with. Students file are well laid out so that information can be easily found. At the beginning of the file there is page that gives a brief summary of the students support needs. Care plans are very detailed, and they talk about things like privacy, dignity, developing independence, and going into the local community. They show where other information that might be helpful, can be found. Photograph based care plans are also used when it is necessary, and they show staff and students how, for example, to move someone in the correct way. Records also show that the care plans are reviewed regularly. Personal risk assessments are in place, which again are very detailed. They cover issues such as fire evacuation, road safety, and moving and handling. We made recommendations about care planning and risk assessments. Information we received before we visited the homes told us that some students have a person centred plan, which shows what their wishes and aspirations are, and how they are supported to achieve them. The manager said that more staff have been trained to help students develop a plan, so that all of the students can eventually have one in place. Students also have individual learning plans for the college that are based on their educational needs and wishes. Care Homes for Adults (18-65 years) Page 19 of 34 Lifestyle
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. Students are able to choose from a wide range of education and leisure activities, which help them to develop their independence and live fulfilling lives. Evidence: We know from information we have that the college offer a 24-hour educational approach, that is supported through care staff working closely with educational staff. Educational staff help students to develop skills in their home, as well as the college setting. During initial assessments (see Standards 2 and 4) students have the chance to try out different courses so that they can choose what they want to do when the start at the college. Each student has a clear timetable to follow, which is available in pictures as well as words. Students told us that they can learn things like budgeting, travel, and car maintenance. We saw staff encouraging students to take responsibility for attending their courses, whilst acknowledging the need for flexibility in their daily routines. Students told us that they help to keep the homes clean, and look after their bedrooms. They said that they can spend their time where they want, such as
Care Homes for Adults (18-65 years) Page 20 of 34 Evidence: communal lounges or their own room, and we saw them making these choices. Records show us that students and staff have received training about recognising that everyone has different needs, and that they should be treated the same. The college has a policy about this subject, and senior staff have been shown how to make sure that all of the other policies follow its guidance. The manager told us that they are are looking into the possibility of having a chaplaincy service available in the college in the near future. Students told us that they have a weekly meeting to discuss what leisure activities they would like to do. A flexible programme is then put in place so that they can see what they have chosen and when it is available. Activities such as a DVD night, bowling, golf, shopping, swimming and youth clubs are on the programme. Students also told us that staff help them to keep in touch with their family and friends, and there is a record of when staff have been in touch with families. Care plans are in place to make sure that students are offered a healthy diet. The plans show things like what utensils the student prefers to use, what they do and dont like to eat, and where they prefer to eat meals. We saw staff supporting students to make breakfast and lunch, and we saw that menus are available in picture formats. Students told us that they choose what they want on the menu during their weekly meetings, and the menus that were available reflected their choices. The manager told us that they plan to make training about healthy eating and diets, mandatory for all staff. She also told us that where students have chosen to, they have been supported to join local weight loss groups. Care Homes for Adults (18-65 years) Page 21 of 34 Personal and healthcare support
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. Personal and health care arrangements help students to maintain an healthy lifestyle, and receive support in an individualised way. Evidence: We know from information we already have that students are registered with a local GP when they start at the college. Students told us that they can see their doctor if they need to, and they can see the college nurse as well. One student told us that the college nurse is great. Records show that the students can also see a speech therapist, psychiatrist, or psychologist if they need to, and there is a physiotherapist available for 2 to 3 days a week. Records show that staff are trained in how to support students with any loss or bereavement issues, and the manager told us that the policy about this subject has recently been updated. Student have their own health action plan, which shows how they like to be supported with things like going to the dentist or doctors, and when they have received treatments. Information we received before the inspection indicated that health action plans are currently being revised to make them more person centred. Care plans are also in place for any identified health need, including medication. Care Homes for Adults (18-65 years) Page 22 of 34 Evidence: For students who want to be in control of their own medication, there is a detailed assessment and support programme to help them do this. The college nurse helps to assess students and a detailed risk assessment is put in place. Personal files contain clear information about any changes to the students medication, such as new prescriptions and any medication that has been stopped by the doctor. There is also a record kept if staff have to contact, for example, an NHS helpline for advice about medication. The local pharmacy visit both of the homes regularly to check that they are managing medication in the right way. We saw the latest report from November 2008, and no issues were raised. Staff told us that they have training and updating to support students with medication, and the training is done by the college nurse. Training records confirmed this. The training involves learning about how to administer medication safely, spending time following a more experienced staff member through the administration process, and an assessment of their knowledge and skill. The college nurse carries out regular checks to make sure that medication administration records are completed properly by staff, and we saw the report that the manager receives to tell her where improvements can be made. Care Homes for Adults (18-65 years) Page 23 of 34 Concerns, complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. Students feel safe living in the homes. There are clear systems to protect them from harm, and for their complaints to be dealt with in the right way. Evidence: Records show that no complaints have been received by either home in the last twelve months. The complaints policy is available as a DVD so that everyone can have access to it. Students told us that they can talk to any of the staff if they are not happy with something, and they can also talk to their key worker at their weekly meetings. Records of these meetings show that students are encouraged to say if they are not happy with anything. Information about advocacy services is available to students, and an independent advocate attends the Learner Council meetings (see Standards 6-10). Students told us that they feel safe living in the homes. Staff demonstrated that they know how to help keep students safe, and they know what to do if they see or suspect any form of abuse. Records show us that they have had training about the child and adult protection procedures, and some staff have been trained by the Local Authority to carry out specific alerting roles. The manager told us that staff have been given an advice card to carry with them, which is a reminder of what to do to protect students. There are copies of the Local Authority guidance about safeguarding adults, and child protection policies in both homes. Records show that there has been one referral through safeguarding adult procedures in the past twelve months, and this was managed appropriately. Information we had before we visited indicated that awareness of the whistle blowing policy is being raised through staff supervisions and
Care Homes for Adults (18-65 years) Page 24 of 34 Evidence: team meetings. Care Homes for Adults (18-65 years) Page 25 of 34 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. Students live in comfortable and homely environments, which are well maintained. Evidence: Information we received before we visited, showed us that there is an annual maintenance plan in place for both homes, and since the last inspection bedrooms and a kitchen in one home have been redecorated. The information also indicated that there are plans to fully replace kitchens in both homes, as well as all carpets in communal areas. Maintenance records were looked at, and they were up to date. The college has its own maintenance department, and the manager said that they respond quickly to any identified issues. We saw that substances that could be harmful are stored in locked cabinets, and students told us how to handle them safely. Students showed us around their homes, and said that they like living there. They said that they were happy with their bedrooms, and have all their own things around them. We saw that bedrooms were personalised and very comfortable, and a recent survey carried out with parents showed that they are also happy with the environment. Both homes were clean and tidy when we looked around, and they were comfortably furnished. Since the last inspection one of the homes has been fully adapted to meet specific mobility and health needs, including making a ground floor bedroom bigger
Care Homes for Adults (18-65 years) Page 26 of 34 Evidence: and installing specialist equipment. We saw that one home has a telephone that students are able to take to a private area to make and receive calls, and the other house does not. The manager said that she will make sure that the other home gets a portable phone, and we thought that this was good practise. Records show that staff have training about infection control, and we saw them putting things like hand washing procedures in to practise. We also saw that they were supporting students to do the same. At the last inspection it was recommended that the manager spoke to the environmental health officer about using towels in communal toilets. The manager has changed this practise and disposable paper towels are now in use. Care Homes for Adults (18-65 years) Page 27 of 34 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. Students benefit from a well-trained and supported staff team, who are safely recruited. Evidence: Staff files contain information such as application forms, identification, criminal record bureau checks, and written references. Staff described a thorough recruitment process, and we know that some students are involved in interviewing new staff. Information we had before we did the visit showed that there are plans to involve students more in staff training. Staff told us that they have very good training that helps them to do their job well. Records show that training includes subjects like fire safety, first aid, risk assessing, new legislation awareness, specialist medication administration, epilepsy, and individual student needs. Staff and the manager told us that most staff have or are working towards a nationally recognised care qualification, and the college is planning to introduce an internet based learning package. Staff also told us that they can discuss their training and development needs during their supervision sessions. Records show that staff have regular supervision sessions. Supervisors said that they learn how to supervise staff through management courses and by shadowing other
Care Homes for Adults (18-65 years) Page 28 of 34 Evidence: supervisors. There are records to show that staff also have a yearly appraisal, during which they set targets for their work, and plan for their forthcoming training. We saw that as well as supervisions and appraisals, staff have the opportunity to meet as a team. Minutes show that they are able to discuss issues such as feedback from surveys, key worker issues, meeting different needs, and general training matters. Care Homes for Adults (18-65 years) Page 29 of 34 Conduct and management of the home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. The systems within the homes promote the students health, safety and welfare. The homes are well managed, and students are fully involved in the development of the services they receive. Evidence: Students and staff told us that the manager and the deputy manager are very approachable and they feel happy to raise any issues with them. Staff said that they think the homes are well managed. Students said that they see the manager a lot, and like talking to her. Information we had before we visited tells us that since the last inspection, the manager has achieved a nationally recognised health and safety management qualification. It also tells us that there are a wide range of policies and procedures in place for subjects such as equal opportunities, confidentiality, accidents, record keeping, moving and handling, and managing students money. We know that there is a policy about quality assurance, and the college have a team of staff who carry out regular surveys for students and their families. We saw the
Care Homes for Adults (18-65 years) Page 30 of 34 Evidence: outcomes of the most recent survey, which are generally positive. We made a recommendation about recording what follow up actions had been taken to address any issues raised. Students and staff sent us some surveys to help with the inspection. Again they were positive, with students saying that staff always treat them very well, they can make their own decisions and choices, and they know who to speak to if they are not happy with anything. Staff surveys indicate that they feel well supported, communication in the homes is good, and they think that students get good levels of support to develop their independence. (Also see Standards 6 to 10 for information about students giving their views). There are other ways that the homes monitor the quality of their service such as carrying out care plan and medication audits. Managers from other parts of the college also visit the homes to check on things like health and safety and care planning. This is called a cross-site service review. A senior manager visits the homes regularly and looks at things like complaints records, equipment, maintenance progress, and they get the views of students and staff about how the homes are running. Reports of these visits were available during the inspection. When students move into the homes, they are given a safety induction so that they know what to do in an emergency, for example if there was a fire or if they had an accident. The student signs a record to show what they have learnt, and this is kept in their personal file. Students were able to describe the actions they would take in these circumstances, including the fire evacuation procedure. Record show that practise evacuations are carried out regularly, together with general fire safety checks. There is a clear policy about accidents that happen in the homes. Records show that when an accident is recorded, staff set up a care plan to monitor the situation over the following 72 hours to make sure that there are no delayed effects for the student. There are also environmental risk assessments in place for things like fire safety, substances that could be harmful, electrical systems, exposed radiator pipes, and infection control. Care Homes for Adults (18-65 years) Page 31 of 34 Are there any outstanding requirements from the last inspection? Yes ï£ No ï Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.
No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 32 of 34 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set
No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 6 It is recommended that care plans include reference to the Mental Capacity Act, 2005 and the effects it has upon the students lives. This is to ensure that their rights and choices are protected. It is recommended that risk assessments in care plan files cross reference with risk assessments in educational plans. This is so that information is consistent, and can be easily found. It is recommended that a record of actions taken to address issues raised in satisfaction surveys is kept. This is so that the people can be assured that their views and comments are acted upon. 2 9 3 39 Care Homes for Adults (18-65 years) Page 33 of 34 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website.
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