Inspection on 11/10/05 for Derwen College

This inspection was carried out on 11th October 2005.

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.

Other inspections for this house

Derwen College 02/05/07

Derwen College 22/01/06

Derwen College 07/12/04

Derwen College 14/05/04

Derwen College 26/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Derwen College Gobowen Oswestry Shropshire SY11 3JA Lead Inspector Mike Moloney Announced Inspection 11th October 2005 09:30 Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 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 Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 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. Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Derwen College Address Gobowen Oswestry Shropshire SY11 3JA 01691 661234 01691 670714 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) The Trustees Care Home 252 Category(ies) of Learning disability (252) registration, with number of places Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home may accommodate 252 persons with a learning disability. Students who are between the ages of sixteen and eighteen can be accommodated in the service. No person under the age of 18 years can be accommodated in the same residential block as a service user over the age of 25 years. 7th December 2004 Date of last inspection Brief Description of the Service: Derwen College (incorporating Derwen Enterprises) being a Registered Charity, No 208745, is a specialist college committed to promoting, through inclusive learning, vocational, educational, personal and social development of young people with a wide range of learning difficulties and disabilities. The Director is Mr D J Kendall who is assisted by a senior management team including a Head of Care. The College is situated in Gobowen, near the market town of Oswestry in North Shropshire, within easy reach of all community resources and facilities. It was founded in 1927, is set in 50 acres of parkland, and offers further education, care and accommodation for 252 young people. Spread over such a large campus the College provides accommodation in a variety of settings, from purpose built specially equipped residences to smaller flats and bungalows. An on site purpose built Medical centre provides a further range of facilities to meet the needs of students. These are fully described in the Prospectus. Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Inspection work undertaken by CSCI is proportionate in relation to how a home has performed in the past. As Derwen College has a history of providing a good service for people this inspection was brief and focused only on a small number of “key” areas of work. The inspection took place over two days one of which concentrated on written systems and records as well as talking with students, staff and parents of prospective students. The second day, the Saturday, concentrated on observing and talking with both students and staff. The care of a number of individuals was “case tracked” where it was seen how well what had been identified as the needs of the students had been met. What the service does well: What has improved since the last inspection? Since the last inspection more emphasis has been placed on the views of the individual students about their perception of their own personal care needs in an attempt to meet them more closely. Accommodation has also been improved as part of an ongoing development of the college’s facilities that includes the building of an Information Technology Unit that should be available to the students in the near future. Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 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. Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 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 Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 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): 1, 2, 3 and 4 Documentation provided to prospective students is informative and accurate and the assessment process fully identifies the students’ care and educational needs. EVIDENCE: The college publishes a prospectus each year that provides information to potential students and parents. Parents of potential students, whose children were being shown around the college by other students during this visit said that they had found the information helpful. Information gathered prior to the students starting at the college was seen to be comprehensive and gathered from information provided by the placing authority, parents as well as the students themselves. The assessment process continues throughout the students stay at the college but it is particularly emphasised during the first term. Some of the students who had started at the college this term said that they had been fully involved in this process and the records kept by their personal tutors confirmed this. Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 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): 6, 7 and 9 Care and support planning is detailed enabling the students to take informed choices with support from the college staff. EVIDENCE: Looking at the records kept by the college it could be seen that the assessment of new students covers a variety of areas including their personal care needs. Speaking with students who have extra care needs they were able to confirm that they were receiving the levels of care that they feel that they need. Their records also confirmed that regular meetings took place with their personal tutors and that issues of this nature are discussed during them if the need arises. Risk taking was also seen to have been discussed and recorded within these sessions so that matters such as the students ability to leave the premises on their own can be evaluated and recorded on the college intranet helping to inform staff other than the students’ personal tutors when they are talking with the individuals about going out on any given evening or weekend. Only those staff that would need to act on this type of information have access to it. Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 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): 11, 12, 13, 14, 15, 16 and 17 The students have a wide range of opportunities for self development whilst at the college. Their dietary needs are also very well catered for. EVIDENCE: The college has a wide range of social activities available to the students a good number of who were eager to talk about them. These are advertised on the student notice boards and discussions encouraging them to take part had been noted in some of the tutorial notes. Staff also talked about how they used the intranet information as guidance when they were discussing how an individual could take part in various activities but at the same time keeping the conversation a personal one. The staff supervising “off site” activities on the Saturday had taken paper copies of the risk assessments with them. As this is a college there is a strong emphasis on educational opportunities and progress and this is more appropriately reported on by other statutory agencies. However, it was clear from the tutorial records seen and from talking with the students that this area is under regular review by the tutors. Employment skills are also encouraged as part of the college curriculum. Workshop activities also take place in the college, catering experience and qualifications being available in the various kitchens and retail experiences provided in the campus shop, garden centre, restaurants and cafeteria. Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 Page 11 Placements are also found with local businesses for some of the students by college staff. As with any college environment developing personal friendships and relationships are an important part of the personal development of the students. It was clear from talking to a number of the students that they feel that they have enough opportunities to develop in this area. On a number of occasions during the visit various groups of staff were heard informing each other of any changes in relationships between students that they had observed that they thought other staff should be aware of. There are a variety of types of accommodation available to the students enabling different levels of independence to be experienced. The students spoken to said that they are also included in decisions about which is appropriate for them and all expressed confidence in those that were carrying out the process. The meals were seen to be produced to a very high standard and talking to a number of the students confirmed that this was a commonly held view. Listening to the serving staff also showed that they had a very good working knowledge of the dietary needs of the individual students in terms of quantity as well such things as food allergies. Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 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, 19 and 20 The healthcare needs of the students are met. EVIDENCE: The records kept by the care staff showed the detailed support needs of the students. Talking to the students confirmed that they were indeed receiving that care and satisfied with it. Conversations with the staff on duty during the visit and listening to them interacting with the students also demonstrated that they were familiar with the detail the care plans and were therefore able to meet those needs. The college has a purpose built health centre that is staffed by qualified nurses on a twenty-four hour basis. The doctor holds surgeries on a regular basis and will respond to medical emergencies out of hours. Medication for the students is overseen from the health centre. The bulk is kept there but some is kept in Cadbury Court and Acorns. Storage and records in all three locations were seen to be appropriate. The risk assessment relating to students who manage their own medication is being developed further in an attempt to allow differing levels of involvement in their medication management by the students. Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 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): 22 and 23 The college has an effective complaints procedure and appropriate policies for the protection of vulnerable adults and young people. EVIDENCE: The college has a complaints procedure that has been used on three occasions since the last inspection. On two of these occasions the complaints were partially upheld and at the time of writing the third is still being investigated. The college also has policies and procedures in place that are consistent with the local area child and adult protection procedures. The training records of the staff show that they have received instruction on these matters at regular intervals. Talking to members of the student council showed that many students feel able to raise issues through this medium. Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 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 and 30 The premises are safe, comfortable, bright and cheery. The hygiene and cleanliness was of a good standard and all accommodation is well maintained. EVIDENCE: The College has a number of residencies for students within the College grounds and also within the local community. There are a wide variety of styles of accommodation provided such as single bed-sit, single rooms in hall, bungalows and flats utilised according to the needs of the individual concerned. During this inspection various, but not all types of accommodation were visited. Rooms were visited by invitation from an occupant during conversations with them so that any views that they had expressed could be confirmed by viewing as part of the case tracking process whereby the care of a sample group of service users was followed. A number of improvements were seen to have been made to some of the accommodation since the last inspection and these had been seen, prior to being occupied, as being appropriate to the needs of the students. Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 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): 32, 34 and 35 The students are cared for by a sensitive, skilled and well trained staff team. EVIDENCE: The records of staff who had been recruited since the last inspection were seen to contain all of the information that is required by law in an attempt to ensure that the people recruited to work at the college are fit to do so. Looking at the staff training records and talking with a number of the staff established that they receive the training required by the standards. A commendable level of communication was observed between members of staff who were communicating what they perceived as issues for individual students as well as the knowledge of the needs of each of those students. Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 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): 37, 39 and 42 The college is well run providing a safe and stable environment for the students to develop. EVIDENCE: The Director is the registered manager of the organisation and he and his senior staff all hold qualifications that are appropriate for the safe and effective management of this type of establishment. The college also has a very comprehensive quality assurance process that includes assessment of their performance at meeting both the care needs as well as the various developmental needs of the students. Fire Protection policies and procedures were seen to be in place and up to date. Manual handling and health and safety issues are included in induction training for all staff. Portable Appliance Testing was seen to have been carried out.The Medical Centre is staffed 24 hrs a day. All of these issues contribute towards making the college a safe place for the students to stay. Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 4 3 3 x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 x 4 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Derwen College Score 4 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 4 x x 3 x DS0000020645.V256103.R01.S.doc Version 5.0 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 Derwen College DS0000020645.V256103.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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. 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