Inspection on 07/02/07 for Fairfield Farm College

This inspection was carried out on 7th February 2007.

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 4 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 23/01/06

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 Tina Baker Unannounced Inspection 7th February 2007 10:00 Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 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.V316274.R01.S.doc Version 5.2 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.V316274.R01.S.doc Version 5.2 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.V316274.R01.S.doc Version 5.2 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. 23rd January 2006 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. One of these is new and the others have been modernised. Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. 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. Both inspectors met with groups of young people for discussions and also spent time informally in the homes speaking to them What the service does well: What has improved since the last inspection? At the last inspection, the College had just undertaken a management review. This would appear to have been effective and the Senior Management team seemed to have benefited from more clearly defined roles. The College atmosphere seemed more positive, and staff more motivated. Further changes to the “assessment week” have continued to improve the placement process. The student group appears to be compatible and settled as a result. The introduction of individual household budgets and a petty cash system to each home has made vast improvements by increasing flexibility and choice. The recently built new house has brought about a major improvement to accommodation provided and the continued refurbishment programme has made significant improvements within the other. Introduction of IT equipment to each home has enabled staff to reproduce or develop records more easily and has allowed information to be cascaded more efficiently. Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 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.V316274.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective students and their families are provided with appropriate information about the college. Service users’ needs are thoroughly assessed and their individual needs are met. EVIDENCE: The Information Pack and Student Handbook provide clear information to prospective students and their families. It gives an overview of what the College offers and of its expectations of students. In addition to it’s in-depth application package, the College has developed an “Assessment Week” for all prospective students. This assessment covers aspects such as, personal care skills, verbal communication, behavioural needs and independence skills like reading, writing and use of money. College staff Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 9 will also visit prospective students in their current school or own home to obtain a clearer overall picture of the individual and their needs. The Careers Education Tutor is fully involved with the assessment process: they discuss the expectations of each student with them and their families and take part in the selection process of students who are offered a place at the College. The assessment week takes place at the start of the new curricular year when other students are returning. This gives prospective students a clearer picture of what the College is like when it is full. It also enables tutors and care staff to gauge how individuals cope in that environment, which can be quite busy and at times noisy. All students spoken to said that the assessment week had been beneficial to them and that it gave them a clear understanding of College life. Students and their families sign the Student Handbook stating that they understand and agree to the conditions set out, and this forms a contract with the College. Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are aware of their personal goals and are supported to be fully involved in decisions affecting their lives. EVIDENCE: The College is successful in formulating detailed plans for each student. Individual learning plans include a “pen portrait” of the student, long and short-term goals, a behaviour plan and individual risk assessments. Shortterm targets are broken down into a series of small, achievable steps. Individual learning plans are reviewed annually and modifications made where necessary. However, it would appear that the review process does not immediately effect a change of the Individual Learning Plan and that this may not occur for some months. The Registered Manager reported that, as the procedure for logging and recording Individual Learning Plans is computerised, Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 11 it is hoped that there will be improved synchronisation of these two exercises. There was evidence of student participation during planning meetings and reviews. All students spoken to confirmed this and appeared to have a clear understanding of their targets. There was evidence in each of the houses of weekly house and student council meetings. Notice boards displayed copies of minutes of these meetings and outcomes agreed. The inspector could see how student requests were taken into account, resulting in action, for example requests for certain trips. Individual Risk assessments are completed for each student and these were seen to be detailed and comprehensive. Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,15,16,17, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to develop their personal, self-help skills. They are encouraged to be active in the local community and to participate in a wide range of social and leisure activities. Service users rights are promoted at all times. EVIDENCE: Each student is fully supported in the development of Daily Living skills. These incorporate a wide range of skills, such as personal care, preparing meals, household chores, washing clothes, and community safety. Students have a Personal Development folder, which they take between College and home and this contains aims and targets being worked on currently. Students can expect Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 13 to receive two Daily Living Skill sessions per day on specific tasks and these are carried out individually by a member of staff. The inspector viewed some of these folders and found that recording of progress towards goals could be more detailed and regular. Some entries showed gaps of over a week. The college offers Vocational and Independence Awards (VITAS), which are internal qualifications that are externally moderated. Students in their third year begin to develop a “Moving On” folder. This contains VITA certificates and photographs of the student completing independence tasks and work. It also contains a brief history and introduction to the individual student. The inspectors considered this to be good practice. The College also promotes appropriate behavioural development by issuing certificates for good behaviour and citizenship, for example, “the student who has consistently shown the most consideration for his/her colleagues”. The role of the Careers Education Tutor has developed considerably over the last two years, from a voluntary to a contracted, weekly service. The Tutor, as previously reported, provides initial assessment support but also on-going individual planned sessions that helps young people to plan for their future and work towards achieving their ambitions. The Careers Tutor also liaises closely with the Connexions Officer and the person responsible for work experience to enable the best possible opportunities for each person. To further develop young people’s interpersonal skills, the Careers Tutor also offers a regular programme that focuses on “thinking, speaking and listening”, which is somewhat different to other activities at Fairfield that are focussed on “doing”. The Careers Tutor provides a “follow up” service for students who have left the College. One student is due to return to give a talk on their experiences since leaving the College. The inspectors considered this to be very positive. There was plenty of photographic evidence around the College that demonstrated various ways that students are involved in the local community. There was evidence of a Horse and Dog Show organised by students on the site, which was well attended by members of the public. Students report regular attendance at local Gateway clubs. The recent purchase of additional vehicles has greatly enhanced opportunities for leisure and recreational pursuits. Young people can go in smaller groups and on a more flexible or spontaneous basis, as opposed to having to plan and pre-book the College mini-bus. Two students participated in the local pantomime and students spoken to spoke of regular attendance at churches in the village. The inspector saw photos of a trip for a group of students to a studio for filming of “Ready, Steady, Cook!” All students spoken to said that they thoroughly enjoyed this trip. Young people have access to telephones to phone home. Young people reported that these are private and accessible. Parental questionnaires confirmed that family contact takes place but some commented that they Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 14 would prefer more, both from their child and from the college. Staff said that they ring parents when necessary to relay information.Parents are invited to attend “parents’ afternoon”, which enables an exchange of communication between both parties. Family carers reported that they are informed about open days and shows and are invited to attend. Relationships between students would appear to be an important part of College life for many young people. The College has taken care to ensure that students receive information on rights and responsibilities. These topics form part of learning within the college and are subject of discussion within the houses and at student meetings. The inspectors were told that, as part of the “Moving On” package, service users are enabled to contact sexual health/family planning advisors. This is currently done on a local basis, but staff discussed future plans to develop this service further by liaising with advisors based back in the student’s home locality. Daily routines and house rules promote independence and choice as much as possible in a group living situation. Respect for others’ personal space is demonstrated by staff and encouraged as appropriate behaviour for all. The inspectors witnessed service users being fully included in all aspects of daily living. The homely and supportive culture in the houses encouraged students to make decisions collectively where appropriate but also respected individuality, allowing them to “opt out” if they chose to do so. The inspectors were present for mealtimes, both in the College and in the houses, over the two days covered by inspection. Meals within the College are planned and prepared by students under supervision as part of their catering course, providing lunch for all of the students and staff. This means that the complexity of menus can vary depending on the ability of individuals cooking on that day. The inspector witnessed three young people being supported in the kitchen by two staff. The tutors offer advice, information on ingredients and healthy eating and also physical support at times to enable students to develop their skills. The environment was relaxed and students were intent on the task before them. The dining room provides a very relaxed atmosphere where students can sit and socialise with their friends. Staff sit with students and provide support if necessary. There was evidence in the homes of people’s weights being regularly recorded. For one young person whose weight was steadily increasing, however, there was no evidence of any intervention by staff as a result. Meals within the houses are planned on a weekly basis by the students at weekly house meetings. These showed the use of fresh ingredients and, generally, a variety of meals. There was plenty of fresh fruit available in each home and students told inspectors that they can snack on this when they choose to do so. The introduction of household budgets and access to petty cash would appear to have greatly improved flexibility around menus, both staff and students reporting that they could shop when needed as a result. Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 15 There is also the opportunity to budget effectively and in effect “save” for a take-away, which all students reported enjoying. Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ physical and emotional needs are met and they are supported in a way that maximises their dignity and respect. Service users are supported to self-medicate or are supported according to policies and procedures to receive medication. EVIDENCE: Personal support is delivered in an appropriate way that considers service users as individuals. Students spoken to discussed a daily routine that promotes personal hygiene and care. Students choose their own clothes, make-up and hairstyles and their appearance reflects their individuality. Service users with specific needs are able to access advice and intervention where appropriate. The inspector saw evidence of specific equipment being Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 17 purchased and utilised for one individual with hearing difficulties. There was evidence of an Occupational Therapy assessment being sought by the College for individuals with specific physical disabilities. There was evidence of adaptations, such as handrails, in the homes as a result of this. The Registered Manager told inspectors that students can access a counsellor within the College and young people confirmed that this service is available and beneficial. Personal files examined showed evidence that students are registered with a local GP. The files contained medical appointment records. As a routine part of registering students with the local GP practice, individual forms were signed by a GP regarding administration of paracetamol. The care co-ordinators kept these records centrally. The college has a policy on “homely medicines”, stating that “over the counter” medicines may not be given to students, as any health concern must lead to obtaining professional medical advice. This guidance is repeated in the staff handbook. One young person was self-medicating. All records pertaining to the safe storage, administration and handling of medication were appropriate. The homes use a MAR recording system and all records seen were completed correctly. Boots provided “Medication Handling System Training” for staff in October 2006 and staff files examined showed evidence of receiving this. First Aid training was provided in April 2006. Weight and menstruation charts are kept in students’ records and are generally recorded on a monthly basis. Discussion with the Principal and Registered Manager indicated that home staff were encouraged to inform senior staff of any relevant changes so that guidance would be given on any action to take. As previously recorded, there would appear to be no record of action taken responding to issues highlighted by this recording. Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Progress in both these outcome areas has been made since the last key inspection, however further developments as recommended should be made in order for outcomes to be maintained. Service users feel able to raise concerns that they have and have confidence these will be acted on. Policies and procedures are in place to protect service users from abuse; but lack of staff training in this area could put service users at risk. EVIDENCE: The College has policies and procedures for receiving and responding to Complaints. The inspectors saw evidence of the recording of complaints and how they were resolved. These are not kept in a numbered log but are held on separate sheets in individual files. This system does not allow for easy tracking of complaints received/resolved. All students spoken to stated that would be happy to raise concerns if they had any, and confirmed that they would go to any member of staff. Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 19 There was no evidence of staff undertaking “Vulnerable Adults” training on their files. Staff spoken to said that they had not received training. However, when questioned about vulnerable adults procedures, staff appeared to know what to do and how to report an issue. The Registered Manager stated that Vulnerable Adults and Child Protection training is given to new staff at induction. Training in both areas is delivered annually to all staff at “inset” days, with notes of attendance kept by the College Curriculum Manager. The Principal and Registered Manager provide this training, which includes a basic refresher and scenarios for staff to consider. External training was last provided two years ago and the Registered Manager stated that this is about to be booked. The College is planning to train one Trustee and one senior staff member to beyond basic level. Policies pertaining to service users’ money and financial affairs are available. Systems relating to students’ handling of their own monies showed evidence of being regularly checked. Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users live in accommodation that is homely, comfortable and safe. EVIDENCE: Since the last inspection, the College has completed building works for the new home, named “39a High Street” and this replaces the old No31, which is now closed. The new house provides spacious, light and modern accommodation that meets all requirements with regard to personal facilities and space. Young people spoken to said that they liked the new house, and staff reported that it has been well received. The home provides accommodation for six people in single rooms. Two bedrooms are provided on the ground floor with appropriate bathing facilities, which could be used for people with some physical disabilities if required. The Commission for Social Care Inspection has not received a major variation application in relation to 39a High Street and so Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 21 has not assessed its fitness. The service must now provide evidence to confirm that this building is fit for purpose. There has been further upgrade of accommodation in other houses, for example the purchase of new sitting room furniture and flooring. This has made an improvement in these areas. Discussion with the Registered Manager confirmed that the refurbishment programme continues but cost implications determine that progress is slower than she would like. The inspector acknowledged the progress made and confirmed that the programme must continue to bring all accommodation up to the same standard. Students are supported to clean their own rooms and to participate in a rota for cleaning communal space in the home. Staff take overall responsibility for ensuring that the home is clean and tidy. The Registered Manager reported that at the end of each term, staff perform a “shut down” routine which involves a more thorough clean. Due to the age of the accommodation and the on-going refurbishment programme, the inspector would support a regular “deep clean” to prevent accommodation looking shabby. In one home, there was an issue around incontinence. The College was considering installing a washing machine in a recess of the individual’s bedroom. This was explained as being a solution to prevent carrying soiled laundry through to the laundry room. Advice sought from the Continence Advisor was not considered by staff to be very helpful. The inspectors suggested alternative routes for advice could be through Infection Control guidance. Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by caring, competent staff who are trained so as to enable them to perform their role effectively. EVIDENCE: The inspectors observed relationships between staff and service users and considered that these were respectful and supportive. Staff were able to give advice and instruction that the students could use to their benefit. The Registered Manager reported successful completion of the registered Managers award. The College reported good NVQ progress with approximately half the staff team having completed NVQ 3. Non-residential staff are completing the “Cambridge course”, which is a certificate in continuing professional development, although it was reported that some of these staff are also opting to undertake the NVQ 3 course. Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 23 The College reported that turnover of staff and recruitment of suitable candidates was not a problem at this time and the College was fully staffed. There had been no new appointments since the last inspection and so recruitment procedures were not checked. At the last key inspection, there were some issues about CRB checks not being completed before staff commenced work. It was reported that a review of all staffing and recruitment procedures would be undertaken in the future. The Registered Manager discussed utilising the skills of a member of the Board of Trustees who has experience in Human Resources. The Registered Manager reported that she has accessed an agency that could provide staff in the future should the need arise. The College holds a full team meeting, that is, educational and residential staff, on twelve days per year. This is mainly given over to staff training. The staff training file detailed training in Health and Safety, behaviour management, epilepsy and first aid. There was no overview of all staff training and consideration could be given to this. This would enable clear tracking of what has taken place and what is due to be refreshed. The Registered Manager reported that staff were now expected to provide feedback on courses attended. She considered this has improved service provision as staff could comment on the content and effectiveness of training and its delivery. The College hopes to appoint a Quality Review Officer in the near future and it is hoped that this person will consolidate training. Three staff files were examined and contained evidence of recent and comprehensive appraisals. A Staff Supervision contract exists detailing that staff should expect supervision on a six-weekly basis. Supervisions are undertaken by team/shift managers and are divided into team A and team B. Inspection of these records indicated that there were discrepancies in the frequency of supervision. For one team, supervision appeared regular, whereas the other team showed some breaks of up to four months between supervisions for some individuals. Supervision for Senior Managers was under consideration. This may include the opportunity for external supervisors to be used. Trustees were reviewing staff Terms and Conditions and a new Sickness policy was due to be introduced. Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 24 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home. All developments reflect the wishes of service users and promote their welfare needs. EVIDENCE: The Registered Manager has appropriate skills, experience and training to manage the College effectively. Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 25 Quality assurance systems are in place. They include student and parent surveys, exit questionnaires from students and staff, and feedback from students and their relatives at parents’ afternoons. As previously reported, the College is currently recruiting for a Quality Assurance Officer who will assume overall responsibility for consolidating all information gathered at present and further develop the system where improvements can be explored. Fire safety checks are completed as required. However, there was no evidence in the homes of fire drills being carried out at night. There is a fire Risk Assessment for each home. Training is provided on a quarterly basis for both staff and service users. As yet, the person who assumes responsibility for Fire Prevention has not yet received appropriate training. During the inspection, a provider was identified and the Principal and Registered Manager confirmed that this training would be sourced as soon as possible. It includes a package that covers Basic Fire Prevention for all staff and an advanced course for staff assuming additional responsibilities such as Fire Prevention Training. Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 26 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 3 2 3 3 3 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 27 Yes 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 2 Standard YA24 YA23 Regulation 23 13(6) Requirement The service must now provide evidence to confirm that 39a The High Street is fit for purpose The Registered Manager should ensure all staff receive “Vulnerable Adults” training on a regular basis, in line with Regulations. Arrangements for supervision of all care and support staff must be in line with National Minimum Standard 36. The Registered Manager must ensure that all staff receive regular appropriate training in Fire Prevention. Timescale for action 30/04/07 30/06/07 3. YA36 18(2) 30/06/07 4 YA42 23(4d) 30/06/07 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. YA19 YA17 Fairfield Farm College Refer to Standard Good Practice Recommendations The Registered Manager ensures that staff are aware of their responsibilities when recording information and appropriate advice/action is taken as a result. DS0000028521.V316274.R01.S.doc Version 5.2 Page 28 2. 3. 4. 5. 6. YA24 YA35 YA42 YA22 YA30 The Registered Manager ensures that the refurbishment programme for houses is continued. The Registered Manager considers formulating an overview of training needs/training received for all staff. Fire drills should include night-time drills. The Registered Manager should develop a central log of Complaints that can be monitored and cross-referenced with details held on personal files. The Registered Manager should refer to Infection Control Guidelines with regard to the management of soiled linen. Fairfield Farm College DS0000028521.V316274.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V316274.R01.S.doc Version 5.2 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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