Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 14/02/06 for Condover College

Also see our care home review for Condover College for more information

This inspection was carried out on 14th 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a good standard of accommodation to people with visual impairment and other disabilities. The home is responsive to the individual needs of the residents with a high ratio of staff in support. Staff have the knowledge and skills to offer the support to students to adopt and develop an independent life style fully suited to each individual. Staff at the home observe, support and respect an individuals ethnicity and cultural and religious preferences.

What has improved since the last inspection?

The five requirements made following the announced inspection in September 2005 have all been fully complied with.

What the care home could do better:

Action must be taken to ensure that the safety of students, staff and visitors is fully promoted and where there is a need or preference for fire doors to remain open, then an appropriate door closure is to be fitted, that is linked to the fire alarm system so as to close effectively in the case of an emergency.

CARE HOME ADULTS 18-65 Condover College Condover House Condover Shropshire SY5 7AA Lead Inspector Joy Hoelzel Unannounced Inspection 14th February 2006 10:00 Condover College DS0000061651.V267070.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 Condover College DS0000061651.V267070.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. Condover College DS0000061651.V267070.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Condover College Address Condover House Condover Shropshire SY5 7AA 01743 872250 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) Stephen McGill2@btinternet.com Condover College Vicki Pryce Care Home 19 Category(ies) of Learning disability (19) registration, with number of places Condover College DS0000061651.V267070.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate a total of 19 persons, who have learning, sensory and physical disabilities. 14th September 2005 Date of last inspection Brief Description of the Service: Condover College is a Care Home, registered with the Commission for Social Care Inspection to provide accommodation, personal care and education for up to nineteen young adults with Profound Learning Disabilities and Visual Impairment. Service users are aged 18 - 24 years and are offered a transition between education and adult life. Condover College Ltd operates the home. Ms Vikki Pryce, the current manager, is responsible for the homes day-to-day management. The College is located in the village of Condover some three miles from Shrewsbury town. The main building is a three-storey house standing in its own spacious grounds. It is complemented by three dormer bungalows situated in close proximity and accessed through a walkway from the main garden. The Home seeks to provide a positive homely environment for service users affording the appropriate levels of support required to meet their needs and aspirations. Condover College DS0000061651.V267070.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over two hours on Tuesday 14th February 2004 and is the second of the two statutory inspections for 2005/06. Twelve students were resident at the time of the inspection; the other students were away from the college on home leave. Six members of staff were on duty assisting the students with various activities in the home. This inspection focused on the ‘key’ standards that were not inspected at the previous visit in September 2005. Relevant documents were inspected, discussions were held with students and staff and a tour of the college was conducted. What the service does well: What has improved since the last inspection? The five requirements made following the announced inspection in September 2005 have all been fully complied with. Condover College DS0000061651.V267070.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. Condover College DS0000061651.V267070.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 Condover College DS0000061651.V267070.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): EVIDENCE: These standards were not inspected on this occasion, but were included in the announced inspection in September 2005. Condover College DS0000061651.V267070.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): EVIDENCE: This set of standards were not fully inspected on this occasion, but were included in the announced inspection in September 2005. Some students are limited with verbal communication, staff were observed to have the skills and sufficient knowledge of the students personal difficulties to enable and help them to express their views and lead their lives as they choose. Condover College DS0000061651.V267070.R01.S.doc Version 5.1 Page 10 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): 14, 17 Service users are supported to lead full and active lives. EVIDENCE: Staff were supporting the students with the decisions and choices for the days activities. Two students had decided that they would like a day out at the seaside and an outing to Barmouth had been arranged and at the time of the inspection they were well on the way to arrive before lunchtime. Other students were going shopping after lunch to choose and purchase soft furnishings for a student’s bedroom. The student had recently chosen the colour scheme for his room and was clearly excited about shopping for duvets and curtains. The staff also explained that after shopping they would return to the college with a round trip through the hills. The registered manager stated that all meals are now prepared in the individual kitchens of the various properties. The students are supported to help plan and prepare the meals and go to local supermarket to buy the weekly provisions. The registered manager stated that the specialist food for the students’ cultural requirements is purchased weekly from a local supplier. Condover College DS0000061651.V267070.R01.S.doc Version 5.1 Page 11 Staff and students in one of the houses were preparing the lunchtime meal and an invitation was offered to the other students in the main home and the other properties to join them for lunch. Staff were observed to be assisting students with mid morning drinks in a discreet manner. Condover College DS0000061651.V267070.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): 18 The students are enabled to exercise choice and control over their lives wherever possible balancing the rights and risks with each individual. EVIDENCE: Staff were observed to be assisting the students with all activities of daily living on a very individual basis. The registered manager explained that the students all have very different personal care needs, the key worker system ensures that continuity and consistency of support is offered in the way preferred by the students. One student had her haircut and styled during the morning and stated that she really enjoyed having her hair done. Two students of the same ethnicity have been offered the opportunity to share one of the adjoining properties. They were both away from the college on home leave but the registered manager stated that the arrangements were working extremely well. Condover College DS0000061651.V267070.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): EVIDENCE: These standards were not inspected on this occasion, but were included in the announced inspection in September 2005. The registered manager stated that no complaints have been made since the inspection in September 2005. Condover College DS0000061651.V267070.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): 24, 29,30 A high standard of accommodation is offered and is tailored to meet the needs of the students in residence. EVIDENCE: The home comprises of a three-storey house standing in its own spacious grounds, complemented by three dormer bungalows situated in close proximity and accessed through a walkway from the main garden. All areas of the home are domestic in character, homely and comfortable. During the tour of the premises, it was observed that door wedges were being used for keeping open fire doors in the communal and private areas. The registered manager confirmed that some doors had had an appropriate closure fitted; the doors will close when the fire alarm is activated. The opening restrictors on the windows above ground floor level have been fitted and were seen to be in place. The soap and paper towel dispensers have not been installed in the communal bathroom on the first floor of the main house. The registered manager explained the procedure for the safe monitoring of the use of bedrails and stated that expert advice had been sought when a concern was identified as to the type of bed rail being used. From this regular checks are carried out and records are kept of any action that may be required. Condover College DS0000061651.V267070.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): 33, 35 The students are supported by a well trained and committed staff group who are meeting the needs of each individual in a sensitive and professional manner EVIDENCE: Staffing levels remain above the minimum standards with at least eight care staff on shift, but this is very much dependent on the needs of the students resident at the time. Staff work in all areas of the college, with some key staff allocated for the very specialised duties. The registered manager demonstrated a good in depth knowledge of the client group and the challenges associated with visual impairment and other disabilities. Physiotherapist input is maintained with the whole team promoting independence through a programme for developing skills related to the individual student. Training and development of staff continues with core and specialist topics being available for staff. Eight staff members were attending a course on the protection of vulnerable adults on the day of the inspection. A new employee described the ongoing induction programme that he was working through and was anticipating that further training following completion of the induction. Condover College DS0000061651.V267070.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, 42 Good systems of communication are in place to seek the views of the students and their families. EVIDENCE: Quality assurance and monitoring systems are undertaken on a regular basis. Satisfaction questionnaires are sent to the students and their families printed in the appropriate format with the manager analysing the replies. A recent questionnaire has been sent to the students requesting information on their most preferred site of accommodation, from this information rooms were offered to the students in the house of their choice and with whom they wished to share. The hot water outlets accessible to residents were randomly tested and recorded both low and high temperatures. The wash hand basin in the bathroom on the first floor of the main house recorded a temperature of 56 degrees centigrade; it was not possible to test the hot water from the shower outlet. The settings on the shower however indicated that the temperature could be set to 60 degrees centigrade. Condover College DS0000061651.V267070.R01.S.doc Version 5.1 Page 17 The homes record of water temperature testing was last recorded in September 2005, the registered manager explained that a revised procedure would soon be adopted for random testing monthly and this now being the responsibility of the house leaders. Condover College DS0000061651.V267070.R01.S.doc Version 5.1 Page 18 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 X ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 3 30 2 STAFFING Standard No Score 31 X 32 X 33 4 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X X X 3 X X 2 X Condover College DS0000061651.V267070.R01.S.doc Version 5.1 Page 19 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. 1 Standard YA24 Regulation 23(4)(a) Requirement Timescale for action 31/03/06 2 YA29 3 YA43 Where there is a need or preference for fire doors to remain open, the registered person must ensure that an appropriate door closure is fitted that is linked to the fire alarm system so as to close effectively in the case of an emergency. 13(3) The registered person must ensure that soap and paper towel dispensers are fitted in all communal bathing and toilet areas. 13(4)(a)(b)(c) The registered person must ensure that the hot water from the shower unit is monitored and maintained at a safe level. 28/02/06 28/02/06 Condover College DS0000061651.V267070.R01.S.doc Version 5.1 Page 20 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA43 Good Practice Recommendations It is recommended that the risk of hot water at outlets accessible to individual service users are assessed and appropriate action is taken to reduce the risk of scalding Condover College DS0000061651.V267070.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Wolverhampton Area Office 2nd Floor St. Davids Court Union Street Wolverhampton WV1 3JE National Enquiry Line: 0845 015 0120 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 Condover College DS0000061651.V267070.R01.S.doc Version 5.1 Page 22 - 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!