Inspection on 01/11/06 for Henshaw`s College

This inspection was carried out on 1st November 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Henshaw`s College 08/11/07

Henshaw`s College 14/03/06

Henshaw`s College 10/11/05

Henshaw`s College 20/01/05

Henshaw`s College 05/10/04

Henshaw`s College 15/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Henshaw`s College Bogs Lane Harrogate North Yorkshire HG1 4ED Lead Inspector Mrs Irene Ward Key Announced Inspection 1st November 2006 09:30 Henshaw`s College DS0000007884.V317359.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 Henshaw`s College DS0000007884.V317359.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. Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Henshaw`s College Address Bogs Lane Harrogate North Yorkshire HG1 4ED 01423 886451 01423 885095 cliff.savage@hsbp.co.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) Henshaws Society for Blind People Mr Clifford Savage Care Home 65 Category(ies) of Learning disability (65) registration, with number of places Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Registered for 65 service users all of whom have a Sensory Impairment and may also have a Physical Disability. From 16 years to 25 years Date of last inspection 14th March 2006 Brief Description of the Service: Henshaws College is operated by Henshaws Society for Blind People and provides further education, personal care and accommodation. It is registered with the Commission for Social Care Inspection to provide personal and social care for sixty-five younger adults (college students) who have learning disabilities with an additional visual impairment and who may have a physical disability. Some students may be aged 16 and 17 years old. The College is situated on the outskirts of Harrogate close to local facilities in Starbeck and Knaresborough. The campus includes a central teaching block with refectory, sports facilities, and several purpose-built residential units. There are ongoing plans to replace all the residential units with modern facilities over the course of the next 3 to 5 years. All bedrooms are for single accommodation and each house has shared areas including a lounge, dining room and kitchen although some meals are prepared and eaten in college. The campus has various grassed areas and several themed gardens all of which are well maintained. There is also ample hard standing for parking in an area close to the main entrance to the college. There is level and ramped access to buildings and some doors are automatic. The weekly fees on 1st November 2006 range from the Learning and Skills Council rates F2 £36,904 to H6 £67,514 and do not include costs for hairdressers, some toiletries, chiropody, and some leisure activities not organised or delivered by the College. This information was supplied to the Commission For Social Care Inspection via the pre-inspection questionnaire received on the 25th October 2006. Service users/relatives and other interested parties are able to have access to inspection reports by requesting them from the college. Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an announced site visit carried out on the 1st November 2006. The site visit was announced to ensure that key people were available on the day and the college’s routine was not disrupted. This visit was carried out by one Regulation Inspector and started at 09.30 hrs and finished at 16.30 hrs with 3 hours preparation time. The college returned the requested information before this site visit, and surveys were sent out to relatives and other professionals who had contact with the college. Nineteen comment cards were received in total from both relatives and care managers. On the whole comments received were positive about the college and the care that students receive. The site visit comprised of an inspection of three of the houses, which included some student’s private accommodation and some of the colleges other facilities such as the refectory. The care records of six students were looked, which included their assessments, care plans and medication records. Staff rotas and health and safety documentation were inspected. Time was spent observing activity in the houses and interaction between students and staff, talking and listening to students. Time was also spent talking to members of staff on duty. The focus of the inspection was a number of key standards, inspecting the case records of students in detail to establish if they corresponded with their experiences in college. The registered manager was on duty and was available throughout the day. All of the requirements made at the last inspection have been completed. The last unannounced inspection was carried out on the 14th March 2006. What the service does well: The way in which information is gathered and kept about students means staff can provide support in a way that students need and prefer. It also means staff have in depth knowledge and understanding about each individual student and so encourage them to develop skills and experiences safely. The training staff complete when they first start work gives them a good grounding in understanding the needs of people with disabilities. The ongoing Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 6 training staff are expected to complete means staff develop further in their knowledge and skills, which improves the quality of the support that students receive. Positive comments have been received from relatives such as “ my son has settled in very well and has already gained confidence and achieved daily living skills and personal care skills. The staff are always cheerful and make us feel welcome. He is very happy at college”. “We have complete piece of mind as we know that our daughters needs are met in a friendly, caring and professional environment”. “My son has recently joined Henshaws. He has settled really well at the college. They keep us well informed and are most helpful”. 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. Henshaw`s College DS0000007884.V317359.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 Henshaw`s College DS0000007884.V317359.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 and 2. Quality in this outcome area is good. Service users needs are properly assessed prior to being given a placement at the college. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A well-detailed statement of purpose and service user guide has been produced and is in draft format as these documents are being updated every September to reflect the changes that have been made to the colleges accommodation. All prospective students are sent a “starter pack” which contains the statement of purpose, student’s charter, and staff information booklet. All documents are available in Braille, large print or on audio. All prospective students undergo a full multi-disciplinary assessment of their needs prior to being given a placement at the college. An assessment team does this. Once admitted into college the first term or six weeks is used as an ongoing assessment process for the new student to ensure the college is able to meet both their educational and care needs. Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. Student’s needs are assessed and met promoting independence, choice and respect for individuals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Every student has an individual care plan or student support needs document and a learning and achievement plan. The ones seen were comprehensively detailed. For students who are able to contribute to their care planning they are encouraged to do so, as one care plan had been written by a student. Student’s needs are assessed and provided, using a person centred approach. Care plans contain information about every aspect of the student’s life including areas for developing new skills. Where specific support is required this is documented step by step to make sure the support is provide exactly how the student wants and needs. Care plans are reviewed regularly. Also present were risk assessments with the purpose of supporting student’s to live Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 10 as independently as possible with safeguards in place, these were reviewed regularly. Through discussion with staff and the contents of the care plans it was clear that service users are able to make clear choices. In discussions held with student’s who were either new to the college or had been at Henshaws for a few years. All said that they enjoyed being at the college. Comments such as “it’s great, I have made loads of new friends” and “staff are really good”. Whilst staff were supporting students during the lunch period it was clear that they understood individuals needs. They supported people sensitively and supported people to make choices. Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. Students are supported to lead full and active lives. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Each student has an individual learning and achievement plan, transitional passports will be in addition to the student’s individual learning and achievement plan, and this work has already commenced in September of this year by the college. Transitional passports will include student’s educational needs care needs and social needs. Students should be able to take the passport with them when they move on and away from the college. The college produces a document at half term that is similar to a newsletter, which contains the standard activities that are happening on campus. These are then distributed throughout the college and onto each of the houses. The Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 12 broadcasting of activities for the student’s is now the responsibility of the Sports, Recreational and Leisure Department. Copy of the programme was given and there is a wide range of activities available to students from, aqaufitness, horse riding, Tandem cycling to tenpin bowling. Students are also able to participate in the Duke of Edinburgh Award Scheme and the colleges Special Olympics. Student’s confirmed that there is always a variety of activities in the evenings and week-ends such as going shopping, playing badminton, the Friday night disco, where a number of student’s have the opportunity to become disc jockeys. Students are also encouraged to access community facilities and range from going to the local pubs to going to the theatre, canal boating and visiting places of interest such as Beamish or the Imax. The college has a refectory that supplies students with a varied menu. There is a hot plate where students can choose a hot cooked meal, such as roast pork, moussaka and so on. There is also a deli section where students have choices of salads, cheese, coleslaw, jacket potatoes and so on. The college refectory also caters for students on special diets such as gluten free, halal diet and nut allergies. There are always two vegetarian options on the menu. There are also two choices at teatime meals. The individual houses are also provided with basic food supplies, usually three times a week with such foods as cereals, bread, milk and fruit. Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. Students received good support and had access to specialist services when required to ensure that their health care needs were met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff aimed to promote the independence of the students and to provide support in a sensitive manner. Students preferences as to how they wished to be supported were recorded within individual care plans. Students are encouraged to take responsibility for their own health care although support is provided for students to access a local GP, whilst in college. Appointments for chiropody, dentist and opticians are usually attended when the students go home. However appointments maybe made locally when really necessary. Students have also been encouraged and supported to access the local Advocacy Service. The college operates two medication systems. One is a monitored dosage system where staff have the overall responsibility for medication, whilst the Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 14 other system is dispensed from a chemist as it comes, this is part of the students learning skills where they are supported in taking responsibility for their own medication. There is a policy in place for the storage and administration of medication. The Medication Administration Records were up to date and well maintained. Medication seen on the houses was securely stored in a locked cabinet. Care staff receive regular training regarding medication and have obtained the accredited Care of Medicines certificates that are held on individual staff files. Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 15 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 and 23. Quality in this outcome area is good. Students have access to an effective complaints procedure and are protected from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Students are provided with a complaints procedure, which is produced in different formats such as Braille, large print or audiotape. The complaints procedure is also summarised within the service user guide and service users knew whom they needed to speak to if they had a complaint and felt confident that any concerns would be addressed properly. Students said that they were happy to discuss any concerns they might have with staff. One comment received from a relative via the surveys sent out said, “My complaints have been dealt with straight away. Henshaws is a lovely college, I wish my daughter could stay there forever, she loves it so.” Staff have developed a good relationship with students and were seen communicating with them in different ways such as sign language. The Commission For Social Care Inspection has received no complaints since the last inspection. Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 16 There is a comprehensive policy and procedure with regard to adult protection and staff have a good awareness of this. Staff receive training in adult protection issues during induction and further training organised by the organisation. There has been one allegation made which has been investigated by the appropriate agencies. The college dealt with the allegation appropriately. Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 17 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 and 30. Quality in this outcome area is good. Students live in a clean, comfortable and safe environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three of the houses were seen during this site visit. All of the accommodation was well maintained and clean. The college is continually up grading the accommodation to ensure that it meets the needs of students. Students were complimentary of the College accommodation. The communal areas such as lounges, kitchens and training kitchens were also well maintained. The décor and furnishings reflect a “young persons” type of household and three of the bedrooms seen had been personalised by students. The houses seen have sufficient bathrooms and toilets that were clean and well maintained. Adaptations have been made in the new builds to accommodate students who are wheelchair users. One student said that the accommodation Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 18 was really good as he had a large enough en-suite with a shower, which he was able to use himself without any assistance from staff. Each of the houses has level access. The heating for one of the houses had been a problem. The college has addressed this by putting in new heating system. A range of maintenance checks is completed on a regular basis to make sure that the houses are safe and secure. Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 19 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 and 35. Quality in this outcome area is good. Staffing levels are sufficient in meeting the assessed needs of students. Students continue to be protected by the college’s vigorous recruitment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff records of four staff including a recently appointed member of staff were looked at. All records showed completed application forms, two written references, CRB (Criminal Record Bureau) checks had been obtained. A POVA first check had also been carried out. The college is experiencing some difficulty in the recruitment of staff and uses regular agency staff to ensure that students needs continue to be met. Staff training records examined showed a comprehensive training programme. All staff complete a college specific induction programme followed by Learning Disability Award Framework accredited induction within the first 6 weeks. Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 20 12.4 of staff have completed NVQ Level 2 or 3 and 32 of staff are working towards completing NVQ Level 2 or 3. The college continues to provide all the mandatory training that is required. A range of other training including health and safety training, visual impairness, care of medicines, stress management and equality and diversity is just some of the training available to staff. This provides staff with the knowledge and skills to perform their duties in a competent manner. Staff spoken to thought that the training provided is good and equips them to work with students with varying degrees of disabilities. The college holds a training file for staff. This identifies what training staff have completed and what training is needed. The house managers carry out individual staff supervision regularly and supervision records are maintained. Staff confirmed this. Staff meetings are held regularly. Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 21 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 and 42. Quality in this outcome area is excellent. The management of this college ensures students best interests are promoted and reflected in the service provided. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The registered manager has extensive experience in the field of learning and physically disabilities. He is well qualified and has recently also completed the registered managers award. He places the students needs as his first priority and demonstrates enthusiasm and imagination in ensuring the best for them. He is well organised and delegates responsibilities appropriately to all staff team members. Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 22 The college has a formal quality assurance system. The college is currently to pilot a self- assessment which relates directly to national minimum standards. Students are asked formally for their views on such things as leisure, food and their environment. Students are also encouraged to participate ands sit on various Committees’ such as Health and Safety. Students have also their own Equality and Diversity Committee. Information provided from the pre-inspection questionnaire and the examination of selected health and safety documents show that regular checks to hot water delivery, electricity and gas and fire safety equipment are regularly undertaken. Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 23 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 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA32 Good Practice Recommendations The Registered Person should ensure that a minimum of 50 of care staff are qualified to NVQ level 2 or above. (Consideration should also be given to the fact that 80 of staff working with young people aged 16 and 17 should be qualified to NVQ level 3 in caring for children). Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Henshaw`s College DS0000007884.V317359.R01.S.doc Version 5.2 Page 26 - 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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