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Inspection on 11/05/06 for Dorton College Of Further Education

Also see our care home review for Dorton College Of Further Education for more information

This inspection was carried out on 11th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 20 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

Communication between the college, staff and students is good, facilitated by appropriate technology and clear information, which is accessible to students. There is a committed and enthusiastic staff team. The college provides a good environment to promote learning and provide recreation.

What has improved since the last inspection?

Students are receiving some benefit from an increase in learning and support staff and additional training which is being provided to bring qualifications to an adequate level in first aid, health and safety, fire safety, moving and handling and food hygiene.

What the care home could do better:

Assessments and care plans must take account of all the students needs and include comprehensive risk assessments with clear staff guidance to manage risk effectively. Personal information must remain confidential and be available solely to authorised and appropriate people. Care provided must respct the privacy and dignity of all students. Meals must be served in compliance with the Food Safety Act and in appropriate settings, a record must be kept of all food provided. All accidents and incidents must be notified to the Commission in line with the regulation and Criminal Record Checks must be carried out in line with current guidance. All necessary health and safety measures and adaptations must be carried out in consultation with relevant professionals to ensure that all areas used by students with a physical disability in addition to their visual impairment have adequate space which is safe and accessible to promote independence, systems must be in place to ensure that laundry is carried out safely in food preparation areas. Staff must be adequately supervised and suitably qualified and competent to carry out safely the tasks which they perform. A suitably qualified and experienced manager must beregistered with the commission and the organisation must carry out monthly visits and file reports with the commission in compliance with the regulations.

CARE HOME ADULTS 18-65 Dorton College Of Further Education Seal Drive Seal Sevenoaks Kent TN15 0AH Lead Inspector Ruth Burnham Key Unannounced Inspection 11th May 2006 09:30 Dorton College Of Further Education DS0000023864.V292636.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 Dorton College Of Further Education DS0000023864.V292636.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. Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Dorton College Of Further Education Address Seal Drive Seal Sevenoaks Kent TN15 0AH 01732 592600 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) Royal London Society for the Blind Vacant Care Home 21 Category(ies) of Sensory impairment (21) registration, with number of places Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users can be admitted from 16 years of age Date of last inspection 9th November 2005 Brief Description of the Service: Dorton College of Further Education is registered to accommodate up to 21 young adults who have a sensory impairment with additional care needs alongside students who do not fall within the remit of this report. Other educational services for younger children are also provided in separate buildings on the campus. The establishment is managed by the Royal London Society for the Blind. The College is situated in extensive grounds, close to the town centre of Sevenoaks. For the purpose of this report service users are referred to as students. Information about fees can be obtained by application to the college, they have not been included in this report as they can vary according to level of need. Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was carried out on 11 May 2006 by one inspector who was at the college from 9.00 a.m. to 5 p.m. during which time 5 members of staff, the acting manager and 5 students were spoken to. The inspector was able to have lunch with a number of students. Feedback was given to the Principal of the college at the end of the inspection. A tour of part of the premises was undertaken and a number of records were examined. What the service does well: What has improved since the last inspection? What they could do better: Assessments and care plans must take account of all the students needs and include comprehensive risk assessments with clear staff guidance to manage risk effectively. Personal information must remain confidential and be available solely to authorised and appropriate people. Care provided must respct the privacy and dignity of all students. Meals must be served in compliance with the Food Safety Act and in appropriate settings, a record must be kept of all food provided. All accidents and incidents must be notified to the Commission in line with the regulation and Criminal Record Checks must be carried out in line with current guidance. All necessary health and safety measures and adaptations must be carried out in consultation with relevant professionals to ensure that all areas used by students with a physical disability in addition to their visual impairment have adequate space which is safe and accessible to promote independence, systems must be in place to ensure that laundry is carried out safely in food preparation areas. Staff must be adequately supervised and suitably qualified and competent to carry out safely the tasks which they perform. A suitably qualified and experienced manager must be Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 Page 6 registered with the commission and the organisation must carry out monthly visits and file reports with the commission in compliance with the regulations. 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. Dorton College Of Further Education DS0000023864.V292636.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 Dorton College Of Further Education DS0000023864.V292636.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): 2 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The college is to be commended for it’s admissions procedures and the wealth of support and accessible information which is provided to prospective students. EVIDENCE: Students are provided with lots of information about the college prior to admission to enable them to make a judgement about whether their needs will be met whilst living at the college. They also confirmed that they were able to visit the college for a trial stay in the academic year before admission. Staff explained how admission procedures are tailored to the needs of the individual. Admissions follow 2 separate visits to the college both of which involve overnight stays providing opportunity to meet staff and other students and become familiar with the campus and college routines. Specialist services are offered based on specialist guidance and staff are provided with training specific to the identified needs of the student intake. Dorton College Of Further Education DS0000023864.V292636.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): 6 - 10 The quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The needs of students are not always being met and, for some, inadequate care planning, recording and risk management is placing them at risk. Privacy and dignity is being compromised for some where confidentiality is not being maintained. However consultation processes EVIDENCE: Students spoken with were generally happy with the support that they receive and confirmed that they are able to make decisions and are consulted with about all aspects of college life. Each student has an individual learning plan that sets out the goals to be achieved each term. The plan is set out for the student in a format which is accessible to the individual, the amount of work undertaken to ensure that the plan and other documentation is available in Braille and audio formats is impressive. Current care planning and recording systems are chaotic and do not promote consistency of care for students; these were tested through examination of plans, daily records and keyworker reports. The system lacks cohesion and does not work as a clear working document in support of the individual learning plan. The plans that were examined focussed mainly the physical care Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 Page 10 needs of students with little guidance for staff about emotional, social or spiritual care needs. Daily records have the same limited focus and were not being completed in sufficient detail to determine whether identified care needs were being met, for example where exercise programmes had been drawn up for students by physiotherapists there was very little evidence that these were being carried out with the student. Current risk management systems may fail to protect service users from harm in that there was limited guidance to staff about how to minimise risk and documentation examined showed that staff completing them still need training in this area, the current lack of understanding and poor risk management is placing students at risk in that information and guidance is not immediately available to staff who are providing care and support including agency staff, particularly at evenings and weekends. The society has a policy in relation to confidentiality which ensures that students’ privacy is respected however it was noted during the inspection that information of a personal and sensitive nature was on public display in one of the residential units which seriously compromised the privacy and dignity of a number of students, this information was immediately removed once drawn to the attention of the manager. Dorton College Of Further Education DS0000023864.V292636.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): 12,13,14,15 & 16 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Students benefit from support to access a wide range of educational, social and recreational opportunities. Unfortuneately the poor eating arrangement at lunchtime for a small minority of students is limiting their choice and placing them at risk. EVIDENCE: Life skill tutors develop opportunities for students to maintain and develop, social, emotional and independent living skills. The college provides access to a variety of therapies and the college hosts events which the local community are invited to attend. Students have the opportunity to undertake a number of social and recreational activities, in the past few weeks those spoken to had enjoyed going bowling and out to the pub and local cafes, they said they were really looking forward to a camping trip at the weekend. Rag week was in progress at the time of the site visit an students were observed having fun pelting staff with wet sponges which was inactive of the general good humoured and friendly atmosphere which pervades the college. Students also attend a variety of work experience opportunities and courses at local mainstream colleges. Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 Page 12 Students confirmed that they have contact with family and friends and access to a phone, which they can use in private. Records seen did not contain information about family relationships. All students are provided with a key to their own bedroom and good interaction was observed between students and life skills tutors. The inspector had lunch with a number of students who are being served food in a classroom away from the main college campus, food is being brought to the classroom in a hot trolley however the delay in serving and the practice of removing some of the food from the trolley and leaving the door open meant that some meals were not very warm when students received them, it was of further concern that there is no fridge in the room and yoghurts and orange juice were lukewarm, one student who asked for butter to go on her baked potato was told there wasn’t any, clearly this is a problem as the classroom is in a building away from kitchens and food stores, there is also some risk to the health of students in these circumstances. This was discussed with the manager who had already raised concerns about this, the principal promised to address this immediately. There is a variety of food to choose from at lunchtime including a hot option. Students spoken to agreed that the food was good although there are always things on the menu which they don’t like in which case they can choose another option. Breakfast is provided on the unit and lunch and dinner for most students is served in the college cafeteria. Students plan menus for meals taken in the residential units in the evenings and at weekends and are involved in shopping for food. Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 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): 18 - 21 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students benefit from the support provided with their healthcare and personal needs. EVIDENCE: Personal support takes account of individual preferences and is provided in private with same gender intimate care where possible and in line with students’ wishes. College routines are flexible and relevant. Guidance and support is provided in relation to personal hygiene where necessary. Individual choice of dress and appearance is respected and students have some choice about staff who work with them with a keyworker system in place. Additional specialist support is provided. Students have designated key workers however records indicate that they still tend to work in isolation from the rest of the staff team which leads to inconsistency. The college employs a nurse to oversee the administration of medication and the health of students; medication is stored and administered in line with current guidelines. Students are able to choose their GP and they are assessed and supported to manage their own medication where possible. Life skills tutors support those students who require help with attending appointments. Staff have some training in bereavement and loss and counselling would be available should the need arise. Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 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 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Students are listened to and there are systems are in place to protect students from abuse, some adjustment is required to bring these in line with current guidance and regulation. EVIDENCE: Students are free to offer comment and complaint, there is a clear complaints procedure and records are maintained. There are systems in place to protect students from abuse, where a complaint was raised recently the college acted in line with the Kent and Medway Policy for Adult Protection and appropriate action was taken to manage any risk, however the Manager and Responsible Individual were unaware of their responsibility to inform the Commission of all incidents in line with the regulations, this was discussed and it was agreed that adjustments would be made to ensure compliance in the future. All staff are checked via the criminal records bureau prior to appointment, the manager was advised that these checks are not transferable from previous employers. Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 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 quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Students benefit from many of the facilities available to them however none of the residential units are suitably equipped for students who have additional physical disabilities, inadequate and unsafe dining arrangements for some, and lack of clear procedures or consultation with appropriate professionals may place them at risk of harm. EVIDENCE: Students benefit from the beautiful location of the college, the grounds are well maintained and accessible. The main dining room is in the student centre which was being enjoyed by a number of students who were watching TV and playing pool. There are a number of residential units on the college site; one of the blocks that was examined at this inspection. The college provides students with, in the main, adequate accommodation within these units which includes a lockable study/bedroom, toilet and bathroom facilities and a small lounge/diner/ kitchen area. In some units service users still do not have sufficient communal space, this is further compounded in one unit by the fact that there are students on this residential unit with significant mobility problems, 2 use wheelchairs and 1 Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 Page 16 walks with the aid of a walking frame. There are 2 well equipped en-suite bedrooms, however the only communal space in this unit is provided in a very small kitchen/ dining /sitting area which has barely enough room for one small sofa, dining table and chairs, leaving little room to move around the furniture. Of further concern, was the negative impact on independence where the shower has a high step and is not suitable for students with mobility problems. It was noted that, due to the difficulties, staff were being advised to use the ensuite facilities of other students which clearly impinges on their privacy and dignity. There was still concern that there are still no clear laundry procedures given that washing machines are located in the kitchens on the residential units and laundry practices described by staff at the previous inspection could place students at risk. There has been no general assessment of the premises by a suitably qualified professional such as an occupational therapist although their advice is sought on an individual basis, advice was also given that the college should consult with an appropriate environmental health adviser re health and safety and Food hygiene issues to ensure the protection of students in these areas particularly where problems were noted re the inadequate dining arrangements of some students and the layout and procedures used in kitchens on the residential units. Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 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): 31 - 36 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Students benefit from the commitment and enthusiasm of staff however inadequate training in safe working practices could place students at risk. The quality and consistency of the care provided for students has been adversely affected by the failure to provide adequate supervision for staff on a regular basis. EVIDENCE: Students benefit from the support of staff who know and support the main aims and values of the home and understand and have access to policies and procedures. Job descriptions are provided. Staff develop good relationships with students, they are aware of their own limitations and know when to involve more specific expertise to meet student’s needs. Observation during the inspection and discussion with students indicate that staff respect students and are accessible to, approachable by and comfortable with them. Staff spoken to were enthusiastic and committed to promoting the welfare of students in all aspects of their lives and have the necessary skills such as knowledge of the disabilities and specific conditions of service users, to meet individual needs including communication and dealing with anticipated behaviours. They have an appreciation of and an ability to balance the individual need and common needs of the students. Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 Page 18 This year there are higher levels of dependency among the students, additional numbers of staff have been recruited, the benefit of the increase to students should be felt once the new staff have completed their induction and training. At the moment the skills mix of staff on duty is still not always adequate to ensure that uninterrupted work is carried on with individuals and safe working practice is carried out although it was encouraging to note that the use of agency staff is reducing. There are sound recruitment procedures in place, which protect students through taking up 2 written references prior to appointment and any gaps in employment records explained at the interview. New staff are confirmed in place only after completion of a satisfactory criminal records bureau check although it had not been understood that these could not be brought with new staff from previous employers and must be applied for by the college. All staff receive statements of terms and conditions and are appointed subject to a 6 month probationary period. The College has a training and development plan and dedicated training budget. Staff have structured induction training and foundation training, the manager agreed to ensure that this was in line with current guidance and used recognised frameworks. Students are however being placed at risk where staff do not always have the competencies to carry out the task which they perform, specifically in basic food hygiene, moving and handling and infection control. The quality and consistency of the care provided for students has been adversely affected by the failure to provide adequate supervision for staff on a regular basis. Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 Page 19 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 & 42 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Recent changes of manager have had a negative impact on the lives of students although the management team have the best interests of students at heart, future improvement may still be hampered by the lack of an effective quality assurance system. Students could be at risk if required safety checks are not carried out. EVIDENCE: Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 Page 20 Since the last inspection the manager has resigned and a new acting manager has been appointed, it is of concern that the changes in manager and the failure to register a manager with the commission for a long period of time is having a negative impact on the lives of students. The Responsible individual agreed to ensure that an application is made to the Commission to register the current manager without further delay; this manager has very good management qualifications and is willing to undertake the required care qualifications as soon as possible. Having worked at the college for many years on the educational side she has a lot of experience with the particular needs of students at the college and also knows the staff team. It was encouraging to note that, whilst operating in an acting capacity for only six weeks prior to the inspection, additional staff have already been recruited and the manager is very aware of areas where changes are needed to ensure that the needs of students are met. There is still no cohesive quality assurance system relating specifically to the care standards which produces a report, as required under Regulation 24, to enable the commission to make a judgement that the quality of support for students is continually improving. The monthly reports as required under Regulation 26 are still not being provided to the Commission. Statutory training is being put in place for basic food hygiene, moving and handling, infection control, health and safety, fire safety or first aid for the current staff team to promote the safety of students however many staff are still unqualified in these areas which places them and students at risk of harm. Safety systems for installations and equipment are in place to protect students, some safety certificates were examined, however the electrical safety certificate was not available and not all sections of the fire log book had been completed, it was therefore unclear if all safety checks and drills had been carried out. Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 Page 21 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 3 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 3 23 2 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 1 28 1 29 2 30 2 STAFFING Standard No Score 31 3 32 2 33 2 34 2 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 1 2 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 x 16 2 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 2 x 1 x x 1 x Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 Page 22 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 YA6 Regulation 14 & 15 Requirement The registered person shall not provide accommodation to a service user at the care home unless, so far as it shall have been practicable to do so, needs of the service user have been assessed by a suitably qualified or suitably trained person; The registered person shall, after consultation with the service user, or a representative of his, prepare a written plan (the service users plan) as to how the service users needs in respect of his health and welfare are to be met as described in Schedule 3 of the regulations. The registered person shall keep the service users plan under review; where appropriate and, unless it is impracticable to carry out such consultation, after consultation with the service user or a representative of his, revise the service users plan and notify the service user of Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 Page 23 Timescale for action 30/06/06 any such revision. An improvement plan for complying with this regulation must be submitted by 30/6/06 2 YA9 13(4) Risk management systems must include clear risk assessments documented by suitably trained and competent staff with action identified and clear guidance to staff within individual care plans on how to minimise risk as part of the service user plan. 30/06/06 3 YA10 12 (4) 4 YA16 12 (4) 5 YA17 16 & sched 3 An improvement plan for complying with this regulation must be submitted by 30/6/06 The registered person shall 30/06/06 make suitable arrangements to ensure that the care home is conducted in a manner which respects the privacy and dignity of service users; specifically no personal information shall be displayed in public areas. The registered person shall 30/06/06 make suitable arrangements to ensure that the care home is conducted in a manner which respects the privacy and dignity of service users; Specifically no students should be using the ensuite facilities of others without their express permission. As detailed in standards 17 30/06/06 and 30: The registered person shall having regard to the size of the care home and the number and needs of service Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 Page 24 users - provide sufficient and suitable kitchen equipment, crockery, cutlery and utensils, and adequate facilities for the preparation and storage of food; provide, in adequate quantities, suitable, wholesome and nutritious food which is varied and properly prepared and available at such time as may reasonably be required by service users; and maintain records of the food provided for service users in sufficient detail to enable any person inspecting the record to determine whether the diet is satisfactory, in relation to nutrition and otherwise, and of any special diets prepared for individual service users. Specifically proper dining facilities must be provided for all students at lunchtime An improvement plan for complying with this regulation must be submitted by 30/6/06 6 YA23 18 & 37 The registered person shall give notice to the Commission without delay of the occurrence of - any event in the care home which adversely affects the wellbeing or safety of any service user; CRB checks must be carried out in compliance with current guidance. See YA17 above and YA28 below The registered person shall having regard to the numbers and needs of the service users ensure that the physical design and layout of the premises meet the needs of service users in that DS0000023864.V292636.R01.S.doc 30/06/06 7 8 YA24 YA27 23 23(2)(a) & (n) 30/06/06 30/06/06 Dorton College Of Further Education Version 5.1 Page 25 9 YA28 23(2)(a) (g) & (e) 10 YA29 23(2)(a) & (n) 11 YA30 13(4) & 16(2) (j) bathrooms/ showers and toilets must be adapted to be easily accessible to all students An improvement plan for complying with this regulation must be submitted by 30/6/06 The registered person shall having regard to the numbers and needs of the service users ensure that the physical design and layout of the premises meet the needs of service users in that shared areas in residential units must provide enough space for students, including those with mobility problems to relax and eat in comfort. An improvement plan for complying with this regulation must be submitted by 30/6/06 The registered person shall having regard to the numbers and needs of the service users ensure that the physical design and layout of the premises meet the needs of service users in that, where services are offered to students with physical disabilities, adequate space and specialist equipment must be provided including appropriate bathroom fittings, hand rails etc in consultation with appropriate professionals such as an occupational therapist. An improvement plan for complying with this regulation must be submitted by 30/6/06 The registered person shall make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. The registered person shall DS0000023864.V292636.R01.S.doc 30/06/06 30/06/06 30/06/06 Dorton College Of Further Education Version 5.1 Page 26 12 YA33 18(1)(a) (b)(c) 13 YA34 19 having regard to the numbers and needs of the service users after consultation with the environmental health authority maintain satisfactory standards of hygiene in that laundry procedures must be clear where facilities are sited in food preparation areas to eliminate risk of infection and kitchens must be in a good state of repair. The serving and the transportation and storage of food storage must comply with the Food Safety Act. An improvement plan for complying with this regulation must be submitted by 30/6/06 There should be sufficient numbers of suitably qualified and competent staff (excluding volunteers who should be super numerary) on duty at all times to ensure the safety of and uninterrupted work with individuals. An improvement plan for complying with this regulation must be submitted by 30/6/06 CRB checks must be carried out in compliance with current guidance. Specifically they cannot be transferred from previous employers The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of service users (a) ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users; DS0000023864.V292636.R01.S.doc 30/06/06 30/06/06 14 YA35 18 & 19 30/06/06 Dorton College Of Further Education Version 5.1 Page 27 15 YA36 18 (b) ensure that the employment of any persons on a temporary basis at the care home will not prevent service users from receiving such continuity of care as is reasonable to meet their needs. A person is not fit to work at a care home unless - he has qualifications suitable to the work that he is to perform, and the skills and experience necessary for such work An improvement plan for complying with this regulation must be submitted by 30/6/06 The registered person shall ensure that persons working at the care home are appropriately supervised. An improvement plan for complying with this regulation must be submitted by 30/6/06 The organisation must appoint a manager and apply for registration of the manager Where the registered provider is an organisation or partnership, the care home shall be visited monthly in accordance with this regulation, and shall supply a copy of the report required to be made under paragraph (4)(c) to - (a) the Commission; The registered person shall establish and maintain an effective quality assurance system in respect of the service provided to students under the care standards act and provide a report to the commission. The registered provider shall also provide a monthly report to the DS0000023864.V292636.R01.S.doc 30/06/06 16 17 YA37 YA39 5 24 & 26(2) & (3) 30/06/06 30/06/06 Dorton College Of Further Education Version 5.1 Page 28 commission in line with the regulation 18 YA42 23(2)(c)&S ched4(14) The registered person shall ensure that equipment is maintained in good working order and that adequate precautions are taken against risk of fire in that all safety certificates and fire safety records shall be up to date and available for inspection. 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 12. Refer to Standard YA19 Good Practice Recommendations Care planning should include emotional, social and spiritual needs Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 Page 29 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Dorton College Of Further Education DS0000023864.V292636.R01.S.doc Version 5.1 Page 30 - 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. 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