Inspection on 29/01/07 for Glasshouse Project

This inspection was carried out on 29th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Glasshouse Project 16/02/08

Glasshouse Project 06/03/06

Glasshouse Project 18/08/05

Glasshouse Project 09/03/05

Glasshouse Project 15/06/04

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

CARE HOME ADULTS 18-65 Glasshouse Project Wollaston Road Stourbridge West Midlands DY8 4HF Lead Inspector Ms Linda Elsaleh Unannounced Inspection 29 – 31 January & 7 – 8 March 2007 10:30 th st th th Glasshouse Project DS0000060987.V340630.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 Glasshouse Project DS0000060987.V340630.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. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glasshouse Project Address Wollaston Road Stourbridge West Midlands DY8 4HF 01384 399400 01384399401 liz.mcdonald@ghc.rmet.org.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) Ruskin Mill Educational Trust Vacant Care Home 44 Category(ies) of Learning disability (44), Mental disorder, registration, with number excluding learning disability or dementia (44) of places Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users to include up to 44 LD and up to 44 MD, of which may include services users aged between 16 and 17 years. Registration is subject to the requirements as detailed in our letter of 17 March 2004 to Mr Gush, being met by the 17 June 2004. 2 service users to be accommodated at: 234 Chester Road North Kidderminster DY10 1TE 3 service users to be accommodated at: 64 Gauden Road Pedmore Stourbridge DY9 9HS 2 Service users to be accommodated at: 118 High Street Wollaston Stourbridge DY8 4NY 4 service users to be accommodated at: Old Mill Farm Bromsgrove Road Clent DY9 9QB 4 service users to be accommodated at: Vale Head Farm Kinver DY7 5NJ 3 service users to be accommodated at: Vale Head Flat Kinver DY7 5NJ 3 Service users to be accommodated at: 1 Coalbourn Lane Amblecote Stourbridge DY8 4HQ 2 Service Users to be accommodated at: Glasshouse Flat C/O The Glasshouse College Wollaston Road Amblecote Stourbridge DY8 4HF DS0000060987.V340630.R01.S.doc Version 5.2 Page 5 4. 5. 6. 7. 8. 9. 10. Glasshouse Project 11. 12. 13. 14. 15. 16. 17. 5 Service Users to be accommodated at: Coach House C/O The Glasshouse College Wollaston Road Amblecote Stourbridge DY8 4HG 2 service users to be accommodated at: 14 South Road Stourbridge DY8 3XZ 4 service users to be accommodated at: 4 Kenrose Mill, Kinver DY7 6LA 4 service users to be accommodated at: Woodfield New Wood Lane Blakedown Kidderminster 4 Service Users to be accommodated at: Harlestone House c/o The Glass House College Wollaston Road Amblecote Stourbridge West Mids DY8 4HF 2 Service Users to be accommodated at: 12 South Road Stourbridge DY8 3XZ The three bedrooms in the property known as 4 Kenrose Mill, which do not currently have washing facilities, are fitted with wash hand basins within 3 months of this registration. 27th September 2005 Date of last inspection Brief Description of the Service: The Glasshouse College is part of the Ruskin Mill Educational Trust. The College aims to meet the needs of young people between the ages of 18 and 25, whose needs cannot be met in mainstream colleges. Places are available for some students who are between 16 and 17 years old. There are opportunities for students to develop skills in various areas, including glass making, stone carving, green woodwork, basket weaving, photography, gardening and performing arts. The work undertaken at the college draws inspiration from Rudolf Steiner, John Ruskin and William Morris. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 6 All students are encouraged to discover their potential and creativity and to appreciate the cycles of nature. The college provides day and residential placements. Residential students are accommodated in the community and on the fringes of the campus in houses that are run by care workers, who provide care and support to the young people placed with them. Students are encouraged to play a part in the running of the household, including cooking and domestic duties as part of their preparation for independence. The college, including the houses, is registered as a care home for younger adults. As part of the range of provision of accommodation, the college also has independent training flats, where students have greater opportunities to develop life skills. Some workers are close by to provide supervision and support to these students. These facilities do not form part of this registration and are therefore not subject to inspection. The college provides a service for students with a wide range of needs and the fees charged for this service are based on the individual assessed needs of each student. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 7 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over three days in January and two days in March 2007. The purpose was to assess the college’s performance in meeting the National Minimum Standards for Care Homes in respect of the residential service it provides to students. The report is based on the findings of the information provided by the college, examination of relevant records/documentation, visits made to six residential premises, discussions with managers, staff, students and relatives and the comments from the surveys returned to the Commission for Social Care Inspection. Plans for re-structuring the college was implemented in September. The college now provides a ‘house parent’ model care in most of its houses. The registered manager assisted with the introduction of these changes before leaving in September. A significant number of residential care workers have also left. The current manager previously managed the college’s sister home in Gloucestershire. Discussions between the manager and inspectors raised some issues that need to be explored in more detail. The manager and inspectors agreed to meet at a later date to discuss these. The changes made to the residential provision will be assessed at the next inspection and the outcome of the college’s quality assurance system for monitoring its own performance. Five requirements remain outstanding from the previous inspection and three additional requirements have been made. What the service does well: The college operates good processes for the referral and assessment of prospective students. Detailed care plans and risk assessments are produced for each student and regularly reviewed. Students are provided with opportunities to participate in stimulating and creative activities. Good procedures are followed for the recruitment of staff. They are trained to carry out risk assessments and have attended basic food hygiene and diet & nutrition courses. Students are continuing to respond positively to a healthy eating lifestyle promoted by the college. Regular safety checks and service inspections are carried out on appliances and equipment. Health & Safety Procedures are available in each house. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 8 What has improved since the last inspection? 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. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 9 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 Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is good. Prospective students are provided with information about the college and residential provisions. However, more information needs to be provided about the care provided for students who are under 18 years of age. Prospective students’ individual needs and aspirations are included as part of the college’s assessment process. The 3-day assessment enables them to experience what residential life is like at the college. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose includes details about the Glasshouse College (the subject of this report) and its sister college in Gloucestershire. General information is provided about the referral and admission criteria and the residential provision. At the last inspection the need to provide prospective students, their parents/carers and placing agencies with more detailed information about the services provided by the Glasshouse College was discussed. A proportion of residential students are aged between 16-17 years old. Details of what the service sets out to do for these young people is not included in the Statement of Purpose. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 11 The manager is referred to the Care Homes Regulations 2001, recent amendments and the National Minimum Care Standards for Care Homes for Adults and supplementary standards for accommodating young people aged 16-17. The Student Handbook (Service User Guide) for the academic year 2006/7 provides good information about college life, the different residential provisions, how the student’s progress is assessed, monitored and reviewed. Reference is made to health & safety, complaints, disciplinary and other relevant procedures. The college does not accept requests for emergency placements. The resident students’ files that were examined contain placement applications from the referring agency and supporting information. The college’s assessment and admission process includes a day visit and a three-day residential assessment. A detailed summary of the prospective student’s education and residential assessment is available on the file. The college identifies what support it can provide to assist the student to develop her/his independent and social life skills. Prospective students are encouraged to participate in this process. Each residential provision has an allocated neighbourhood head. They are responsible for ensuring the service meets the needs of the student. Some students said they felt anxious before arriving at the college because they did not know where they would be living. The neighbourhood heads stated this had been addressed and a letter is sent to confirm the accommodation the student will be living at. The Student Induction Handbook states the student will “…stay in a household usually for the whole academic year” and opportunities are available to move to different kinds of households based on the student’s progress. The neighbourhood heads stated movement between homes is now being monitored. They reported an overall reduction in movements of students from one home to another during term-time. However, the random selection of eight students files examined identified five students had had between two and six moves between September and January. Some of the tracking were not complete. One relative reported her son had moved four times during his first term. The college informed her no further moves would take place during this academic year. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 12 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 & 10 Quality in this outcome area is excellent. Regular discussions take place with students about their assessed needs and personal goals. Details of how the student’s needs and goals are to be met are included in the care plan, monitoring records and review documents. Students are supported to make informed decisions about their lives and encouraged to participate in daily activities. Risk assessment training has been provided to staff. Strategies are identified of how to manage risks in an effort to keep students safe. The students receive guidance and support to enable them to take appropriate risks. The homes need to review its recording systems to ensure student confidentiality is maintained at all times. This judgement has been made using available evidence including a visit to this service. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 13 EVIDENCE: The student files examined contain detailed plans of care. The key worker discusses progress with the student and encourages her/him to identify any areas of they require support. Staff monitor and record the student’s progress and a weekly progress report is completed. A copy of the review document, “First Steps Assessment – The Journey to Independent Living” is kept on the residential and centrally held files. It is produced in an easy to read format with pictures and flowcharts. Overall progress is discussed with the student, residential worker, personal tutor and other relevant persons. Group meetings take place in some of the residential ‘homes’. The records show discussions with students about the day-to-day running of the home, activities and, where applicable, any relationship issues within the home. A member of staff at one home explained house meetings were not a positive experience for the current student group and one to one discussions were more productive. The decision not to hold group meetings for the immediate future has been recorded. The surveys completed by students showed varying levels of satisfaction with the consultation process. Reports of visits completed by neighbourhood heads include discussions held with students. Students interviewed felt they were consulted about different issues. They confirmed they were able to discuss concerns with the neighbourhood head or personal tutor. Written guidance is provided to staff for carrying out risk assessments and training has been provided. An individual risk assessment is completed for each student and includes strategies for managing risks. These records continue to be kept in a communal document, ‘Household Risk Assessment’, which raises the issue about student confidentiality. Students are supported, where applicable, to take controlled risks, such as using public transport and visiting friends. Advice and guidance is provided to enable students to make informed decisions about their own lives. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 14 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, 14, 15, 16 & 17 Quality in this outcome area is good. Students are provided with opportunities for personal development and to participate in a range of activities in the home, at college and in the local community. Students are supported to maintain positive contact with family and friends and to develop new relationships. Advice and guidance is provided to assist them to make informed decisions about their lifestyles. Students are provided with nutritious meals and information about the effect different foods may have on their health and/or behaviour. This judgement has been made using available evidence including a visit to this service. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 15 EVIDENCE: As previously reported, regular discussions take place with the student about her/his progress. Areas for personal development are identified in the student’s care plan. Discussions take place with the home’s neighbourhood head and student’s personal tutor in between reviews, where applicable, and the care plan is amended to reflect any changes. A programme of the student’s daily routines and activities is available in her/his file and a copy is provided to them. Staff explained how a student’s individual needs and wishes are responded to assist her/him to develop independent living and social skills. Students are encouraged to participate in stimulating and creative activities. They are discouraged from spending the majority of their leisure time watching television and playing with game consoles. One student stated they did not know the home where they would be living did not have a television and “I did miss it a first, but I’ve got use to it now”. At another home, staff said students watch television and play with game consoles for some part of their leisure time. Some students raised these as issues at previous inspections and felt they should be provided with information about this. Staff stated they have not been provided with clear guidance from their managers. A policy on the use of MP3 players was seen at one of the homes visited. Managers stated a policy was being produced. The students use leisure facilities in the local community and often enjoy evenings out with students and staff from other homes. The majority of residential students spend the college holidays with their family. There are opportunities for them to go on holiday with the college. One student said they were looking forward to going to Egypt this year with other students. Students continue to be supported to maintain positive relationships with family and friends. One student said they had made arrangements to visit another student the following evening. Records and correspondence on students’ files confirm regular contact is made with students’ relatives, where applicable. The majority of relatives confirmed they were very satisfied with the service being provided by the college. Natural, wholesome and organic food continues to be purchased from the college shop and local providers. Each home has a copy of the college’s healthy eating guide, recipe book and examples of menu planning. At the previous inspection the inspectors were informed of the work being done to raise students awareness about nutrition and diet. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 16 Students’ comments were even more positive about the food than last year and they are keen to be involved in the preparation of meals. For example, a student was observed preparing a chicken and mushroom pie and rice pudding for the evening meal. Another student said his ‘speciality’ was spaghetti bolognaise. Mealtimes are viewed as a social occasion, providing an opportunity for students and staff to discuss the events of the day. Students reported staff are flexible about mealtimes to enable them to participate in specific activities. Students’ nutritional needs, likes and dislikes, are recorded on their care plans. Dietary in-take is monitored closely, where necessary, and there has been an increase in work with students in identifying the effect certain foods may have on their health and/or behaviour. The records show staff have attended basic food hygiene and diet & nutrition courses. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 17 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. Suitable provisions are made to meet student’s physical and emotional care needs. The wellbeing of students will be fully safeguarded once the issues identified in respect of the management of students medication has been addressed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: None of the current students were identified as requiring assistance with intimate care. However, students are provided with guidance and support about personal hygiene issues, where applicable. Policies for health and medication are available in the homes. The medication policy includes information about herbal remedies and procedures for monitoring the wellbeing of students who manage their own medication. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 18 The college employs a full time nurse to ensure the healthcare needs of all students are being met appropriately. She has provided training to staff in the safe handling and management of medication. Regular audits are carried out on medication kept in the homes. Medical details and current medication is available in the students’ files. Medication administration record sheets (MARS) are kept in each house. Some shortfalls in practice and recording processes were discussed with the nurse, particularly in respect of arrangements for administering medication to students during the college day. Specialist healthcare support is provided, when required. There is a policy for the caring for students who are unwell. The nurse deals with minor complaints, such as a headache or upset tummy and arranges GP appointments for more serious complaints. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 19 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. Students feel their views are listened to. However, the record of complaints kept by the college does not clearly demonstrate the action taken. To ensure students are fully protected from abuse staff must receive training in adult and child protection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose does not include arrangements for dealing with complaints. Students are provided this information in their Induction Handbook. A copy of the full complaints procedure is included in the ‘Student Protection Policies’. Six complaints were identified on the pre-inspection questionnaire as having been reported to and dealt with by the college. The complaints folder includes details for only three; one made by a student and three from students’ relatives. Two were dealt with to the satisfaction of the complainants. The conclusion for the other complaint was unclear. Students who spoke to the inspectors said they knew who they would speak to if they were unhappy or concerned about something. Comments provided by relatives show the majority are unaware of the college’s complaints procedure. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 20 The ‘Student Protection Policies’ refer to the Department of Health (DOH) guidance ‘No Secrets’, Safe Harm and Every Child Matters: Department of Health 2003 and relevant legislation and good practice guidance. Other policies included whistle-blowing, antibullying, lone working and incident & occurrence reporting. However, staff do not access to a copy of the local authority’s Vulnerable Adult Protection or Child Protection Procedures. The records show most staff have not attended adult and/or child protection training. Since the last inspection the college has notified the Commission for Social Care Inspection (CSCI) of three referrals made to the local authority, two under the adult protection procedures and one under child protection. The college must ensure it notifies the CSCI of the outcome for each referral. Written guidance is provided for managing unacceptable behaviours and training is provided for staff. Risk assessments are completed for students who display physically aggressive behaviour and include suitable strategies for managing the behaviour. A copy of the college’s procedure for reporting a student who is missing or absent without permission is available in the homes. Staff stated they were familiar with this procedure. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 21 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. The college continues to work towards providing students with a homely and comfortable environment in which to live. Suitable arrangements are in place for ensuring homes are clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The college provides a range of residential properties each accommodating a small number of students. The standard of decoration and furnishing in the properties visited overall, is good. However, there are still some areas that need to be addressed. The students expressed general satisfaction about their accommodation. They identified some minor repairs they were waiting to be addressed. Staff stated regular checks and inspections are carried out on appliances and equipment Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 22 and most repairs are dealt with appropriately. Checks and inspection records are available at the premises. A visit to one of the premises in January found re-wiring work started in November was still being carried out. The reason for the delay was unclear. A neighbourhood head informed the inspectors that some students had to be re-accommodated for a short while due a flood. The college is reminded that such events should be reported to CSCI under regulation 37 of the Care Homes Regulations 2001. Health and safety procedures are available. The nurse is available to staff for advice and guidance if required. No concerns were identified with respect to infection control. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 23 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): 31, 32, 33, 34, 35 & 36 Quality in this outcome area is good. The wellbeing and safety of students are fully protected through the college’s recruitment procedures. Students are aware of the different staff roles and responsibilities. A relevant training needs to be to staff in timely manner to ensure students are fully supported by a competent and qualified staff team. Staff should be supported to carry out their duties by receiving regular supervision. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In September changes were made to the structure of the residential staff team. The management team reported there has been not movement of staff between the homes since September. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 24 Staff are aware of their own roles and responsibilities. Students are familiar with the roles of different residential and educational staff. The students know the neighbourhood heads and they know how they can be contacted. There are suitable procedures in place for recruitment and selection of staff. The files examined were well organised. All relevant criminal and safety checks are carried out and references are obtained. The majority of newly recruited staff do not hold a recognised qualification in caring for young adults. A high proportion of staff still require training in the protection of vulnerable adults and children, as reported on early in this report. Arrangements have been made for staff to commence NVQ training in April. A structure for individual supervision was introduced just before the last inspection. The records show some staff are not receiving supervision on a regular basis. There have been some concerns raised by students, relatives and staff with the college and the inspectors about effective communication. The records show neighbourhood heads are monitoring this and arrangements made for improving this. Weekly meetings are held at the college campus for all residential staff. This provides the opportunity to discuss care practices, areas for development and raise any concerns. Some staff commented they felt very well supported by the management team and others felt less supported. The college does not currently use the services of volunteers in its residential provision. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 25 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, 41 & 42 Quality in this outcome area is good. Students are benefit from a service that is run by an experienced manager who is supported by a established residential management team. The rights and best interests of the students will be more fully protected when the minor shortfalls in recording practices have been addressed. The college has suitable environmental policies and procedures in place to protect students’ health and welfare. This judgement has been made using available evidence including a visit to this service. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 26 EVIDENCE: The current manager was previously responsible for the running of the company’s sister college in Gloucestershire. He is well qualified and has many years experience working with younger adults. He has been responsibility for managing the recent changes to the residential provision at Glasshouse College. The general standard of record keeping on students’ files has continued to improve. However, there are still some incidents of communal record keeping. Staff need ensure the students’ right to confidentiality is maintained. Discussions held, observations made and records examined shows that action continues to be taken to improve the standard of accommodation provided to the students. Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 27 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 4 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 3 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 2 X 3 3 X X X 3 X Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 28 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 YA1 Regulation 4 Requirement The college must produce a Statement of Purpose that contains all the required information, including what it specifically sets out to do for students under the age of 18. (Previous date for compliance, 31st December 2004, not met) Students and their representatives must be made aware of the college’s arrangements for televisions in its individual homes. (Previous date for action, 25th January 2006, not met) Suitable arrangements must be made for storing all medication and accurate records must be maintained. The college must produce information for relatives and other relevant people about how to make a complaint and how the college deals with complaints. (Previous date for action, 28th July 2006, not met) Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 29 Timescale for action 03/09/07 2. YA14 16 03/09/07 3. YA20 13 20/07/07 4. YA22 22 03/09/07 5. YA23 32 6. YA23 32 Local authority’s Vulnerable Adult & Child Protection Procedures must be available to staff. All staff must be provided with adult and child protection training. (Previous date for action, 28th July 2006, not met) Each provision must have a suitable experienced and trained member of staff. Staff must receive at least six planned and recorded supervision sessions each year and an annual appraisal. (Previous date for action, 28th July 2006, not met) 03/09/07 03/09/07 7. 8. YA35 YA36 18 18 03/09/07 03/09/07 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. 2. 3. Refer to Standard YA10 YA14 YA26 Good Practice Recommendations All records should be kept in manner that maintains a student’s right to confidentiality. Students and their representatives should be provided with information about arrangements for televisions, game consoles and music equipment in individual homes. Suitable locks should be fitted to bedroom doors, and key provided, to protect students right to privacy. (Unless a risk assessment has identified this is inappropriate) Lockable facilities must be provided in students’ bedrooms, and key provided, to enable them to store valuables. (Unless a risk assessment has identified this is inappropriate) Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Glasshouse Project DS0000060987.V340630.R01.S.doc Version 5.2 Page 31 - 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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