Inspection on 23/01/06 for Fairfield Farm College

This inspection was carried out on 23rd January 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fairfield Farm College 02/02/09

Fairfield Farm College 07/02/07

Fairfield Farm College 22/06/05

Fairfield Farm College 16/02/05

Fairfield Farm College 03/11/04

Fairfield Farm College 02/02/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Fairfield Farm College Dilton Marsh Westbury Wiltshire BA13 4DN Lead Inspector Sarah Talbott Unannounced Inspection 23rd January 2006 10:00 Fairfield Farm College DS0000028521.V294785.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 Fairfield Farm College DS0000028521.V294785.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. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Fairfield Farm College Address Dilton Marsh Westbury Wiltshire BA13 4DN 01373 823028 01373 859032 charity@fairfieldopportunityfarm.ac.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Fairfield Opportunity Farm (Dilton) Limited Mrs Marion Clayson Care Home 30 Category(ies) of Learning disability (30) registration, with number of places Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Maximum number of young people of either sex who may be accommodated at High Street (21), High Street (31) and High Street (35-39) at any one time is 6. No more than 3 young people aged 16-17 years with a learning disability may be accommodated at High Street (21), High Street (31) and High Street (35-39) at any one time. No young person under the age of 16 years may be accommodated at High Street (31) and High Street (35-39) at any one time. One young person aged 15 years with a learning disability may be accommodated at High Street (21) and Whitecroft (12) at any one time. The maximum number of young people of either sex who may be accommodated at High Street (45) at any one time is 5. The Maximum number of young people of either sex who may be accommodated at Whitecroft (12) at any one time is 7. No more than 4 young people aged 16-17 years with a learning disability may be accommodated at Whitecroft (12) at any one time. 22nd June 2005 2. 3. 4. 5. 6. 7. Date of last inspection Brief Description of the Service: Fairfield Farm College is a residential college in the village of Dilton Marsh which provides a specialist service for young people with a learning disability. Students attending are normally aged between 16 and 22. Students are usually at the college for a maximum of three years, although in some circumstances people may stay into a fourth year. There is a mix of male and female students. Five houses, each located within short walking distance of the college centre, provide term-time residence, each of which has been modernised. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a statutory unannounced visit to the college. Two inspectors spent two days at the college during which time visits to all five residential households were made. Inspectors were able to interview staff including the Principal and registered manager and had access to written records, case files and personnel records. At the time of inspection, Fairfield Opportunity Farm has 25 students. At the time of inspection each of the residential houses was independently registered as a care home, although a registered manager assumed overall responsibility for all the homes. At the time of completing the inspection report however, an application has been received and processed bringing the five residential houses under a single registration. No changes to the conditions that previously operated in the individual houses has been undertaken. In the inspection period there has been a change in the college’s Responsible Individual. What the service does well: What has improved since the last inspection? The completion of the internal staffing review and the implementation of changes leading to an increase in support provided to households at evenings and at weekends, to Care Coordinators assuming line management responsibility for support staff, to the introduction of fortnightly care management team meetings and to the creation of a Careers Advisor post, are positively regarded by the inspectors. These changes should begin to address the areas of concern noted by the June 2005 inspection, notably the fragmentation of the staff team and the poor communication between the Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 6 senior management team and other staff. However an ongoing appraisal of the effects of these changes will prove essential if maximum benefit, for staff and students, is to be realised. 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. Fairfield Farm College DS0000028521.V294785.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 Fairfield Farm College DS0000028521.V294785.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): 1,2,3,4,5 Prospective students and their families are provided with appropriate information about the college. Informal visits also enable an informed decision to be made as to the take-up of places at the college. A comprehensive assessment of the prospective student’s social and life skills and ability to benefit from the range of vocational opportunities offered is undertaken by the college’s educational and social care staff, in order to ensure the appropriateness of the placement. EVIDENCE: As previously reported the Information Pack and Student Handbook provide prospective students with an overview of the opportunities offered and codes of behaviour practiced by the college. The Information Pack notes that the Statement of Purpose and the most recent OFSTED and CSCI reports provide further information, and that these can be obtained from the college. While consideration was earlier given to the development of an audio format of the Student Handbook and to writing the document in Widget symbols, it is now felt that it would be difficult for students with a learning disability to effectively utilise these formats. Students are therefore to receive individual support in order to access the information contained in the Handbook and Information Pack. In signing the Student Handbook the student and his/her parent/carer enter into a contract with the college, and agree to work and live within the Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 9 boundaries outlined in the handbook. (In signing the handbook, parents/carers indicate that they have supported potential students to understand the contents of the document). A review of the student referral file by an inspector demonstrates that the college makes an active effort to secure relevant information from a variety of sources, organisations and professionals about a prospective student. Through informal visits to the college and an invitation to attend an assessment week, the college also undertakes its own assessment of the applicant’s social and life skills, and ability to benefit from the range of vocational opportunities offered. While endeavouring to undertake a comprehensive assessment of the prospective student, inspectors are however aware that the failure of placing authorities to fully inform the college of behavioural issues, has contributed to at least one placement breakdown. It is hoped however that a recently amended student application form will begin to address this particular issue. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 10 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 continue to be involved in the setting of personal learning objectives which are identified in individual learning plans, and are regularly and routinely reviewed. As previously, a student’s acquired proficiency in a variety of daily living skills is noted, with some, but not all students securing a Vocational and Independence Training Award. The observed relationship between support staff and students is warm and supportive, however students’ ability to question and influence college life is uncertain. EVIDENCE: The files of 3 students were reviewed by an inspector. As previously recorded, the College develops individual learning plans and a daily living skills folder for all students. In the files reviewed individual learning plans had been clearly developed in conjunction with the student and had been signed by both the student, his/her tutor and key worker. Evidence was also presented in all files of the regular and routine review of these plans. One file also contained evidence of career action planning, recording what had been undertaken to date and what remained outstanding. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 11 For 2 students, learning priorities which focused upon the acquisition of independence skills were seen to link appropriately both with short and long term goals, with evidence presented of a regular performance review. The inspector noted however, that although the third student had arrived at the college in September 2005, short term goals had still to be identified. The individual Learning Plan of all students contained a behaviour support record, detailing particular and appropriate assistance. Detailed and comprehensive individual risk assessments were also present, with a table in each Individual Learning Plan indicating when each element of the plan was last reviewed. The risk assessment developed for one student who left the College without permission was reviewed by the inspector. It is considered to be comprehensive in range, sensitive to the particular needs of the student and instructive to staff. As previously observed the DLS folder is designed to record a student’s acquired proficiency in a variety of daily living skills, with some students, but not all, obtaining the Vocational and Independence Training Award (VITA), “Home Alone”. The observed relationship between support staff and students is considered by the inspectors to be warm and supportive. Records of residential house meetings provide evidence of greater efforts being made to ensure the participation of students. Issues of privacy and confidentiality have been discussed and student likes/dislikes have been noted. The weekly “student council” attended by student house representatives provides a further forum for the discussion of college issues, although as previously reported, it is unclear as to the extent to which students are able to question or influence college life. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 12 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 The vocational training programme at the College provides students with the opportunity to determine the area in which they would like to find employment or further their education and training. The programme allows for work experience and is also to be supported by the recruitment of a member of staff responsible for Careers Education. The introduction of a new course on sexual health should further enable students to develop appropriate personal relationships. Social and leisure activities are discussed and chosen by the Student Council , although regular participation by students in external sporting may be more limited. EVIDENCE: Although the house at 45 High Street was previously reported as providing the opportunity for five particularly able third year students to practice independent living skills, the house currently operates in the manner of the remaining four, mixed year households. Future need may however require that it again exclusively supports third year students. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 13 As previously reported, the College continues to support the maintenance of links with family and friends, with each residential household ensuring that students have ready access to a pay phone. The vocational training programme which includes courses in catering, computer studies, engineering, farming, horse studies, horticulture and wood based skills provides students with the opportunity to determine the area in which they would like to find employment or further their education and training. It is also noted that the staffing review proposes that a Careers Education post be created and advertised and that consideration should be given to developing the responsibility of an existing post in order to provide students with still further work experience. Building upon the draft policy on Sexuality and Sexual Awareness outlined in the previous inspection report, inspectors were informed that the College has now introduced a ten week sexual health course for all first year students. Where necessary and for specific students, the course can be supplemented with a one to one programme focussed upon particular issues. Student files suggest participation in local community and social activities e.g. a youth dance group, gymnastics group and the local Gateway club with options reviewed at the Student Council. Opportunities also exist within households for more informal activities such as watching TV/DVDs or using the play station. However as previously noted, the there appears less opportunity for regular participation by students in external sporting activities. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 14 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): 18,19,20 Provision for the care of student’s health care needs continues to be good and records covering the administration of medicines are in most instances completed appropriately. Students however do not appear to be self medicating although they are able to work towards the VITA in keeping and self-administering medication. As the College requires students to be able to manage their own personal care, minimal but appropriate support is provided in this area. EVIDENCE: A review of 3 student files by an inspector provides evidence that the College facilitates medical appointments for its students as well as appointments with other specialist services. As previously reported, all students continue to be registered with a local GP and may also be registered with a local dentist if necessary. Households generally displayed appropriate attention to students’ health e.g. a risk assessment fully notes the history and nature of epilepsy experienced by one student, although similar details were not available for a student who suffers from asthma. It is also noted that although the routine weighing of students can provide useful and important information, the recorded weight gain of one student (2.5 stone in 16 months) has yet to trigger a corrective response by the household. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 15 Records pertaining to the administration of medication have in most instances been appropriately completed and permission where necessary has been obtained from a GP for the administration of homely medicines. No evidence however is presented to suggest that self administration of medicine occurs in any household, although students are able to work towards the VITA in keeping and self-administering medication. As previously reported, the College has limited facilities and resources to care for ill students and where these are exceeded, the College continues to require that students return home. As detailed in the Information Pack, the College requires that students be able to manage their own daily personal care with minimal verbal support and that they are able to dress themselves. Provision of personal support is therefore not central to the service provided by the college, although the maintenance of personal care and appearance may be addressed in individual learning plans. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 16 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 Although the June 2005 inspection report required the College to amend its complaints policy and procedure, the use of a tracking form to indicate adherence to the process remains outstanding. Citing of the complaints policy and procedure on College notice boards, in the College common room and in residential households, ensuring easy and ready access by students, may also help to address a lack of awareness of the policy and procedure. Appropriate policies and procedures are in place to reduce risks of harm to students. EVIDENCE: An inspector observes that in the last twelve months 7 complaints (from students, family members and staff) have been recorded by the College. These have all been appropriately investigated and where the complaint has been upheld has resulted in changes in practice or risk assessment. It is however noted that for one complaint that was not upheld, there is no written record of the response made to the complainant. In another instance a complaint received from a neighbour was not included in the College’s complaints log, it being dealt with at a household handover meeting. The above is not acceptable. Although the June 2005 inspection report required the College to initiate a unified complaints policy and procedure for all stakeholders and include the use of a tracking form to indicate adherence to the process, inspectors are aware only that the two complaints procedures previously operated by the college, have been merged. The requirement, which will in addition detail that the Student Handbook should clearly record the period of time within which a student can expect to receive a reply to his/her complaint, and that access to local independent advocacy will be provided if necessary, is therefore repeated. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 17 Citing of the complaints policy and procedure on College notice boards, in the College common room and in residential household may help to overcome the lack of awareness of the procedure that was previously reported. A copy of the College’s Child Protection Policy and Policy for the Protection of Vulnerable Adults were reviewed by an inspector and found to be detailed and comprehensive. If however the Child Protection Policy has not been shared with the local Area Child Protection Committee for comment and approval, this should now be undertaken. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 18 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): 24,27,28,30 Residential households continue to be homely and comfortable and changes to the College common room are positively regarded. Resolution of issues in several households pertaining to the living environment, remain however outstanding. EVIDENCE: As previously reported, an inspector found residential houses to be homely and comfortable. The improved seating arrangement in the College common room which is seen to give greater freedom of choice is also noted. However it is felt that 35-39 High Street may not have received such a deep clean during the Xmas vacation as other residential households. Light switches and door handles (in all houses) are also reported as requiring more routine attention. In 12 Whitecroft the refrigerator that has internal mould must be cleaned/replaced. It is noted that shower arrangements in 35-39 High Street continue to be an ongoing source of student dissatisfaction. Although discussed in house meetings and with the Principal, action to install shower cubicles and replace existing arrangements have not been forthcoming. The grey settee in this house is also seen to require replacing. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 19 In 45 High Street the sitting room is described as cold. The issue has been reportedly raised before by both students and support workers, but again action has not been forthcoming. Replacement of the old and poorly functioning kitchen stove in this house should be prioritised. Students in 12 Whitecroft report no further problems with the delivery of hot or sufficient water to outlets, including showers. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 20 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): 31,32,33,34,35,36 Completion of the internal staffing review has and will lead to a number of positive changes, including an increase in numbers of staff supporting households at evenings and at weekends. Although the College continues to have a number of staff vacancies, positive changes have occurred in the recruitment procedure allowing for the active involvement of the students. The College must however ensure that personnel files are complete and that recruitment procedures adhere to the requirements of CRB/PoCA/PoVA checks. Supervision of support staff continues to be erratic and insufficient. EVIDENCE: Inspectors were informed that an internal staffing review has been completed. It will lead to a number of changes including an increase in numbers of staff supporting households at evenings and at weekends. The change is positively regarded by inspectors, who have previously recorded concern at the need for support staff to address disruptive and aggressive student behaviour on their own. The staffing review has also resulted in changes to middle management working practices, with Care Coordinators now assuming line management responsibility for support staff. Fortnightly care management team meetings have also been introduced. The staffing review also records that a Careers Advisor post is to be created and advertised and that consideration is to given to developing the responsibility of an existing manager to facilitate greater work experience for students. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 21 The College continues however to report a number of support staff vacancies. It also remains reluctant to use agency staff to cover periods of staff shortage, relying instead on internal arrangements. With the development of a bank staff who are able and willing to provide short term cover also yet to be realised, issues surrounding the shortage of staff referred to in the inspection report of June 2005, remain therefore lonely partly addressed. Inspectors were informed however that changes have occurred in the College’s recruitment procedure and that it now allows for the active participation of the students. This is considered good practice. It is also reported that the College has introduced return to work and exit interviews for staff in an attempt to gain a better understanding of precipitating issues that have contributed to the low staff morale previously reported. An inspector viewed the personnel files of five members of staff, three of whom had been newly appointed. Allthough the three staff had all commenced employment at the college prior to receipt of their CRB check, the inspectors are informed that these staff do not have unrestricted access to the students and are supervised at all times until CRB clearance is given. In two instances it was also observed that while PoCA checks had been requested, PoVA checks had not, although CSCI had not been informed of this omission. The issues were subsequently discussed with the Principal and registered manager and a copy of the CSCI’s Policy and Guidance: Criminal Records Bureau Checks forwarded for reference. The inspector also noted that personnel files continue to be incomplete, lacking a photograph and qualification certificates . In one instance references had not been obtained. This has been previously noted and must now be addressed. While the assessment of the member of staff’s interaction with students at time of interview is seen as good practice, a more comprehensive, detailed assessment of performance may prove more informative. Formal supervision offered to support staff continues to be irregular, with gaps in supervision sometimes as long as six months. No supervision records were also available for three newly appointed staff who joined the college in October and November 2005. However, it is noted that supervision sessions appear to have more structure, although not all session reports have been signed by the supervisee/supervisor. Dates for further supervision sessions are also not identified. The proposed amendment of Job Descriptions and contracts of employment to include the expectation that staff participate in regular and routine formal supervision is however seen as good practice. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 22 An inspector was informed that a draft training policy, covering both the induction and probationary period is being developed. Currently only 4 support staff hold the NVQ level 3 qualification, although a commitment to ensuring that all staff are appropriately qualified is reported. All support staff received in 2005, training in adult and child protection, and DLS provision. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 23 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): 37,38,39,40,42,43 The completion of the internal staffing review and the subsequent implementation of changes in working practice, should now begin to address areas of concern identified by the previous inspection report. Ongoing appraisal of progress will however prove necessary. Although the Quality Assurance Policy continues under development, the introduction of several new initiatives should see the views of students and other stakeholders used to inform the development of the College. EVIDENCE: It is considered that the internal staffing review referred to above, that details the need for Care Co-ordinators to work closely with the Daily Living Skills Coordinator in order to facilitate student achievement, should begin to address the communication issues and unhelpful separation of tutorial and residential responsibilities outlined in the previous inspection report. The introduction of fortnightly Middle Management Team meetings, should also begin to provide a more focussed forum for staff issues. However the introduction of a further team meeting and greater prescription in roles and responsibilities cannot in Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 24 and of themselves correct these areas of concern, and their resolution will require an ongoing appraisal of progress. Inspectors were informed in January 2006 of changes to the inspection report that is produced by the Responsible Individual and shared with CSCI. The reports will now include an action plan with an accompanying time frame and facilitate a review of the progress achieved in undertaking tasks identified by the previous report. The Responsible Individual will report on her visit to each house once every half term (6 times a year). The proposed practice of sharing a copy of the report with the house concerned is regarded positively. Fire precautions records reviewed by an inspector in all houses are considered satisfactory with evidence to also indicate that any problems with fire drills are quickly followed up with further practice/training. However an inspector noted that all houses have chemical cleaners that that require appropriate storage. Inspectors were informed that the college’s Quality Assurance Policy is being further developed. However a number of new initiatives have already been introduced, including the introduction of a parents survey (as of February 2005) and exit surveys for both students and staff, with information derived from the surveys to inform the college’s strategic and business planning. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 25 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 2 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 3 29 N/A 30 2 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 N/A 2 2 3 3 X 2 3 Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 26 Are there any outstanding requirements from the last inspection? Yes 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 YA22 Regulation 22 Requirement There must be a unified complaints policy and procedure for all stakeholders, including use of a tracking form to indicate adherence to the process from receipt of a complaint to informing the complainant of the complaint outcome. There must be a review of staffing needs, to include complement, retention and possible ways to make use of agency support. Arrangements must be put in place to ensure all appointments of care staff are made in accordance with regulations to ensure safety of service users. Arrangements for supervision of all care and support staff must be in line with National Minimum Standard 36. The Student Handbook must detail that all complaints are responded to within 28 days Timescale for action 30/06/06 2. YA33 18(1a,b) 30/06/06 3. YA34 19 30/06/06 4. YA36 18(2) 30/06/06 5. YA22 22 31/10/06 Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 27 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. 2. Refer to Standard YA12 YA22 Good Practice Recommendations Consider ways to promote individual student’s engagement in age-appropriaate activities in the community, other than as part of a group of students. Consider how best to record minor complaints. Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 28 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Fairfield Farm College DS0000028521.V294785.R01.S.doc Version 5.1 Page 29 - 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. 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