This inspection was carried out on 21st February 2006.
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 made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOME ADULTS 18-65
Ashleigh College 3 Elmfield Park Gosforth Newcastle Upon Tyne Tyne & Wear NE3 4UX Lead Inspector
Hilary Stewart Unannounced Inspection 21st February 2006 11:00 Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 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 Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 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. Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Ashleigh College Address 3 Elmfield Park Gosforth Newcastle Upon Tyne Tyne & Wear NE3 4UX 0191 213 0833 0191 2132614 lesley.lane@espa.org.uk 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) European Services for People with Autism Limited Ms Sarah Lendrum Care Home 18 Category(ies) of Learning disability (18) registration, with number of places Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. To accommodate up to eight students between the ages of 16 and 18 years. The College may under limited and agreed conditions make arrangements for assessment of applicants under the age of 16 years old. 10th November 2005 Date of last inspection Brief Description of the Service: Ashleigh College provides a fixed term residential service for students who are diagnosed as having Aspergers Syndrome. The service has evolved over a number of years and Ashleigh College now specialises in meeting the care, developmental and educational needs of students with this syndrome. Placements at the college usually last three years. Ashleigh College is part of the European Services for People with Autism Limited (ESPA) the organisation has a number of autisim specific resources across the North East region. The college is situated in the Newcastle suburb of Gosforth.There is easy access to local amenities as well as the city centre. The college and grounds are spacious and well maintained. Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection started at 11:00am and lasted for approximately 4 ½ hours. During this time the inspector spoke to eight of the students’ seven members of staff and the deputy manager. Records and the building were examined. What the service does well: What has improved since the last inspection?
Accommodation has now been completed and made available to students who have to rely on a wheel chair and it is used for overnight assessments. The vocational skills unit has now been built so more activities are available to the students. A secretary has now been employed at the college, which will allow the staff to spend more time with the students. Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 6 What they could do better: 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. Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 7 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 Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 and 3 were assessed during the last inspection. EVIDENCE: Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 Students are supported to become more independent at the same time staff try to reduce the risks so they are kept as safe as possible. EVIDENCE: Staff said that the students are supported to be as independent as they can be safely. They are encouraged to make choices and decisions about what they want to do. Some students want to travel independently. A risk assessment is carried out to plan how to minimize the risk. One students said that they now travel home by themselves they said that staff were ‘great’ and that they ‘helped me to use the train’. Staff said that they have worked with some students who can now manage their own medication and go out to the shop by themselves. Staff said that they regularly look at the options open to the students in relation to work, leisure and social activities. At the same time they have to be realistic about the choices. Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 10 Staff were seen having humorous light conversations with the students and their seemed to be a respectful rapport between them. Records showed that students choose what they want to do and that they have individual trips out. The deputy said that risk assessments have been carried out before any activity so the risk are minimised as much as possible. Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The students are treated with respect by the staff so they can learn how to treat other people with respect. EVIDENCE: The deputy manager said that staff support the students to acquire skills and become more self-sufficient. They have the same rights as everyone else to make choices but as stated earlier they have to look at the risks at the same time. Sometimes the risk may be to great for instance one young person wanted to try parachute jumping but staff decided that the risk was to great for it to be part of their college activities. Students said that they have their own keys to their rooms if they want. Staff will always ask before they enter their bedroom and that they can have privacy if they want. One student said that they could spend time alone if they wanted. Staff said that they work with the students around enabling them to have appropriate relationships. A lot of students when they attend Ashleigh College make friends with other students. They learn about relationships building, taking turns and other interpersonal skills. Staff said that the student’s rights are respected.
Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 The college has policies and procedures for dealing with medication to ensure that the students are kept safe. EVIDENCE: The deputy manager said that the colleges policies and procedures are being reviewed and improved upon at the present time. One improvement is the use of a staff handover book that staff will check whenever they come on duty. This is to make sure any changes in medication are passed on and staff are kept up to date. Staff are also going to have refresher training. The medication records were up to date. Any discrepancies are taken very seriously. As stated earlier some students if it is appropriate students control their own medication. Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Procedures are in place to protect the students from abuse so they can feel safe. EVIDENCE: Staff said that they have had training in how to protect vulnerable people from abuse. They could describe the procedure to be followed if an allegation of abuse was made. One student said that they felt safe at college; if they had any problems they would tell the manager or their key worker. The said they could talk to all of the staff. One student said that his keyworker was his ‘friend’ and that he ‘could talk to him anytime’. A procedure for responding to allegations of abuse is available. Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 were assessed during the last inspection. EVIDENCE: Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 Staff are vetted and have all of the checks carried out before they start work at the college so the students are safeguarded. EVIDENCE: The deputy manager said that the college’s recruitment procedure is used to check new staff. Newly recruited staff cannot work at the college until all checks have been carried out. Staff files were not assessed during the inspection as they are kept elsewhere. The deputy manager said that staff have an enhanced criminal records bureau check every three years. Staff said that they had been checked prior to them working at the college. Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42 The college has procedures in place to promote the health and safety of the students so their best interests and rights are safeguarded. Managers visit the college regularly to check that the residential service is running well for the students. EVIDENCE: Staff said that regular fire drills are carried out and they have been trained in fire safety. Records showed that regular training is given to staff in fire safety so they are familiar with the procedures that must be followed if there is a fire. One student said that they did fire drills. The deputy manager said that risk assessments are carried out and recommendations from the fire authority are complied with. The deputy manager said that registered provider visits are carried out every month and a report is completed on how the college is running. Copies of the reports are kept at the college. Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 17 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 X 2 X 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X X X 3 X X 3 X Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 18 no 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. Standard Regulation Requirement Timescale for action 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 Ashleigh College DS0000000433.V276071.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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