Inspection on 28/02/06 for Dilston College Of Further Education

This inspection was carried out on 28th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Dilston College Of Further... 26/04/07

Dilston College Of Further... 28/06/05

Dilston College Of Further... 08/03/05

Dilston College Of Further... 07/07/04

Dilston College Of Further... 24/02/04

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

CARE HOME ADULTS 18-65 Dilston College Of Further Education Corbridge Hexham Northumberland NE45 5RJ Lead Inspector Bill Middlemist & Irene Bowater Announced Inspection 28th February 2006 09:30 Dilston College Of Further Education DS0000000599.V273139.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 Dilston College Of Further Education DS0000000599.V273139.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. Dilston College Of Further Education DS0000000599.V273139.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Dilston College Of Further Education Address Corbridge Hexham Northumberland NE45 5RJ 01434-632692 01434 633721 marilyn.hunter@dilstoncollege.com H4037@mencap.org.uk Royal Mencap Society Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr J A Jameson Care Home 52 Category(ies) of Learning disability (52) registration, with number of places Dilston College Of Further Education DS0000000599.V273139.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 2005 Brief Description of the Service: Dilston College of Further Education is part of the Mencap organisation; it provides education and training combined with care and support for up to 52 students who have a learning disability. The college has large grounds with lots of open space; it is close to the Northumbrian towns of Corbridge and Hexham, where there are good local shops and things to do in the community, such as pubs, cinemas, gyms and job experience opportunities. The nearest city is Newcastle and can be easily reached by train or bus. The college is divided in to several units in the main building and there are others dotted around the site. There is a lively and positive atmosphere at Dilston College. The college is referred to as a care home for registration purposes. Dilston College Of Further Education DS0000000599.V273139.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that lasted for 4 hours, carried out by 2 inspectors. Many comment cards from students and their relatives were received: these were mostly very favourable. There were lots of students who were eager to share their experience of life in the college, and their views are included in this report. Care planning and support for students was inspected, as were matters relating to health, safety and welfare. The Management and staff were freely available throughout the inspection and provided much evidence for this report. Information about staffing levels and staff training was provided before the inspection. What the service does well: What has improved since the last inspection? A new dining hall and conservatory has been built, and there are further plans to improve parts of the college even further. Dilston College Of Further Education DS0000000599.V273139.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. Dilston College Of Further Education DS0000000599.V273139.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 Dilston College Of Further Education DS0000000599.V273139.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): 2, 4 Prospective students individual needs and ambitions are fully assessed. Students have the opportunity to visit the college before they decide to study there. EVIDENCE: Each prospective student has an assessment of needs carried out by a Social Worker or Care Manager, and educational reports and assessments are also sought at this stage. Each prospective student is invited to take part in a pre-admission assessment that takes place over five days: this gives staff the opportunity to assess if students will benefit from being at college, and forms the basis for individual care and support planning. This exceeds standards. The Management said that the intake for Autumn 2006 is complete and that the intake for 2007 is almost finalised. Dilston College Of Further Education DS0000000599.V273139.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, 8, 9 Students have their assessed and changing needs and personal goals recorded in their individual plans. Students are able to make decisions about what they do and they get assistance when needed. Students are consulted and involved about what happens in the college. Students are supported to take managed risks to promote their independence. EVIDENCE: Each student has a comprehensive plan that sets out all of his or her personal objectives and aspirations for the future. The plans have a summary, which evidences how their achievements have been met at set stages. The plans include all aspects of health and personal care, and possible interventions for dealing with communication difficulties and related challenging behaviours. The plans also provide evidence that that the equality and diversity of each student is recognised and catered for, with clear instructions to staff regarding individual beliefs and routines. Dilston College Of Further Education DS0000000599.V273139.R01.S.doc Version 5.0 Page 10 A lot of students said that when they leave the college, they want to get their own home and get a job. The risk assessments are comprehensive and are regularly reviewed. The plans inspected showed that the staff enable the students to develop daily living skills independence according to their abilities throughout their time at the college. The students spoken to at lunchtime discussed how they are enabled to manage all aspects of their lives. All of the documents seen during the inspection were clear and in pictorial formats. The College has a democratically elected Student College, which meets regularly to discuss any matter that concerns the students. The students spoken with were very clear about how the Council works and how the Council assists them with any concerns that they have. The risk assessments are extremely comprehensive and they are regularly reviewed and updated according to individual needs. The students are fully involved in the risk assessments and where possible they sign the document. The premises and facilities also have detailed risk assessments to ensure risks are minimised and students abilities are maximised. There are clear risk assessments available for the refurbishment of the premises, which are currently taking place. Dilston College Of Further Education DS0000000599.V273139.R01.S.doc Version 5.0 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): 11, 12, 13, 17 Each student has opportunities for personal development. Each student is able to take part in activities that suit them. Students are encouraged to be part of the local community. Students are offered a healthy diet and enjoy mealtimes. EVIDENCE: One student summed up the views of many of the students by describing being at the college as “mint”. All activities at the college contribute to students achieving their goals. All of the students are given the opportunity to develop social, emotional, communication and independent living skills. Each plan details how individual goals should be met with evidence of when and how the goals have been met. The plans were very detailed and showed how students with different abilities Dilston College Of Further Education DS0000000599.V273139.R01.S.doc Version 5.0 Page 12 on arrival have progressed throughout their stay to become more independent and responsible in many aspects of their lives. The inspectors joined the students in the new dining room at lunchtime. This was a typical student break with lots of laughter and discussion about how they spent their morning and talking about future events at the College. One of the topics was the forthcoming Summer Ball, which will be one of the highlights of the summer months. A small number of students said that they would like more to do in the evening and this will be looked at by the Management team. There was a problem with the gas supply to the kitchen and the meal was prepared in the Café. There were choices of salad, spaghetti bolognaise and a vegetarian choice, all served by students as part of their learning. This was followed by apple crumble and cream and a good selection of fresh fruit and yogurts. The menus are displayed in the main dining room and details of the meals prepared and served in the evening in different units were also available. Dilston College Of Further Education DS0000000599.V273139.R01.S.doc Version 5.0 Page 13 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): Standards 18 and 19 were assessed and commended at the previous inspection. EVIDENCE: Dilston College Of Further Education DS0000000599.V273139.R01.S.doc Version 5.0 Page 14 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, 23 Student’s views are listened to and acted on. Students are protected from abuse and neglect. EVIDENCE: The College has comprehensive policies and procedures about how and to whom to complain should anyone wish to do so. The students spoken with said they knew who to go to and were sure that any problem would be dealt with. The college has provided good evidence in between inspections that the protection of students is taken very seriously. Adult Protection is integral part of staff induction and on going staff training. Dilston College Of Further Education DS0000000599.V273139.R01.S.doc Version 5.0 Page 15 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, 30 The college provides a comfortable and safe place for students to live in. The college is clean and hygienic. EVIDENCE: It was not necessary to inspect all parts of the college as the College Bursar makes a regular and thorough audit of the buildings. A new dining hall and conservatory has been built, many students said that that this was a great improvement. The conservatory is reserved for some students who need extra support at lunchtimes, and it was noted that one student who required extra support chose to spend the lunch break in the main hall, this type of integration and inclusion is typical of the outcomes the college achieves with students. Time was spent talking to many students at lunchtime and there was an atmosphere that was buzzing with enthusiasm for life at the college. The new kitchen adjacent to the dining hall was due to be operational shortly after this inspection and this looked equally impressive, this will greatly enhance students’ experience. Dilston College Of Further Education DS0000000599.V273139.R01.S.doc Version 5.0 Page 16 Many students have their own room and some share rooms: one student said that she would like her own bedroom. Given the current building work, the staff continues to work extremely hard to maintain the premises in a clean odour free state. The laundry was clean and well equipped with evidence that new equipment was purchased as needed. Dilston College Of Further Education DS0000000599.V273139.R01.S.doc Version 5.0 Page 17 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, 35 Students are supported by competent and qualified staff. Standard 34 was assessed and met at the previous inspection. Students’ individual and joint needs are met by well-trained staff. EVIDENCE: Staff were observed in a range of different settings working with students and making plans for with them: there was consideration of opportunities and any risks involved in activities. Staff displayed good values and attitudes, as well as thoughtfulness and professionalism. The College provides suitable training for staff. This includes moving and handling, first aid, fire, health and safety, Infection control and food safety. Specialist training includes Diabetes care, NVQ, and Medication training. As mentioned in previous reports, staff training far exceeds standards. Dilston College Of Further Education DS0000000599.V273139.R01.S.doc Version 5.0 Page 18 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): 38, 39, 42 Each student benefits from the leadership and management approach of the college. Students and their representatives can be confident that their views will influence the review and development of the college. The health, safety and welfare of students are promoted. EVIDENCE: The Management team are professional, forward thinking, and committed to constantly improving each student’s experience and outcomes at the college. Comment cards from students and relatives were mostly very favourable: “I think the college is good”, “We are more than satisfied with the care our daughter receives”, “We believe the college to be a centre of excellence”, “We are delighted with the quality of staff and their high standards”. “Well organised with extensive opportunities for all students”, “Nice house and staff”. There were some negative comments, and where students or relatives have identified themselves their comments have been passed on to the management team. Dilston College Of Further Education DS0000000599.V273139.R01.S.doc Version 5.0 Page 19 The College’s own internal Quality Assurance systems are very good and provide clear evidence that the management team are forward thinking, willing to listen and change things to improve outcomes for students. Accident and Fire Log recording and “due diligence” reporting, such as water temperatures and the need for repairs, are satisfactory and up to date. Dilston College Of Further Education DS0000000599.V273139.R01.S.doc Version 5.0 Page 20 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 X 4 X 4 X Standard No 22 23 Score 4 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 4 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 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 4 X X 4 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Dilston College Of Further Education Score 4 4 X X Standard No 37 38 39 40 41 42 43 Score X 4 4 X X 3 X DS0000000599.V273139.R01.S.doc Version 5.0 Page 21 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 Dilston College Of Further Education DS0000000599.V273139.R01.S.doc Version 5.0 Page 22 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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