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Inspection on 14/12/05 for Homefield College

Also see our care home review for Homefield College for more information

This inspection was carried out on 14th December 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The following are areas identified as good working practices; 1) Good day care provisions. 2) Safe medication practices 3) Good promotion of residence choice

What has improved since the last inspection?

The outcome of the last inspection was positive with no Requirements or Recommendations made.

What the care home could do better:

No issues were identified during this inspection.

CARE HOME ADULTS 18-65 Homefield College 42 St Mary`s Road Sileby Loughborough Leicestershire LE12 7TL Lead Inspector Mr Everton Osbourne Unannounced Inspection Wednesday, 14th December 2005 09:30 Homefield College DS0000001813.V272725.R01.S.doc Version 5.0 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 Homefield College DS0000001813.V272725.R01.S.doc Version 5.0 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. Homefield College DS0000001813.V272725.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Homefield College Address 42 St Mary`s Road Sileby Loughborough Leicestershire LE12 7TL 01509 814827 01509 815696 julie.merron@homefieldscollege.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) Homefield College Limited Mrs Julie Elizabeth Merron Care Home 17 Category(ies) of Learning disability (17) registration, with number of places Homefield College DS0000001813.V272725.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. No one under the age of 16 years may be accommodated in the home. Date of last inspection 23rd September 2005 Brief Description of the Service: Homefield College is a specialist college providing residential accommodation to 17 young people (generally aged 16-25 years) with learning disabilities and those who have autistic spectrum disorders. Many of the young people accommodated have communication difficulties and some challenging behaviours. The college additionally has six students who attend on a daily basis. Accommodation is provided on two floors and is sub divided into a flat with three single bedrooms, bathroom, lounge and kitchen; a bungalow with four single bedrooms, bathroom, lounge and kitchen; a maisonnette with two single bedrooms, bathroom and kitchen and the main landing area, which has eight single bedrooms. A range of shared areas on the ground floor of the college serves those students accommodated on the main landing and is accessible to all students. The college employs a range of staff including teachers, support care staff and vocational specialists. Young people at the college have been placed by the Learning Skills Council. These placements are generally term time only and limited to 2 or 3 years. However, some young people receive continued or additional funding from Social Services departments and their placements can be for up to fifty-two weeks a year and may progress to become long term. The college also owns seven houses locally, which accommodate young people. Homefield College DS0000001813.V272725.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took three hours and thirty minutes to complete. The outcome of this inspection was very good based on observations made, document reading and conversation held with two residents. A tour of the premises took place, which indicated that the premises are maintained to good standards creating a homely environment. The registered manager and one staff member were also spoken with as part of the inspection process. What the service does well: 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. Homefield College DS0000001813.V272725.R01.S.doc Version 5.0 Page 6 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 Homefield College DS0000001813.V272725.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 Good admission procedures are adopted by the home so that prospective residents can receive the right care in the right environment. EVIDENCE: The Statement of Purpose was inspected. Sufficient information is provided about the home, which is given to prospective residents or their relative. One resident’s assessment was examined. The document contained information which identified the resident’s care needs. One resident’s admission record seen indicated that a contract is given to residents which outlines the Terms and Conditions of their residency. Discussion held with the registered manager and the admission policy seen indicated that it is the home’s standard procedure to give prospective residents the opportunity to have a trial visit to the home. Homefield College DS0000001813.V272725.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 10 Residents’ care plans are robust in ensuring that residents receive the care they need. EVIDENCE: An examination of one resident’s care plan showed that all aspects of residents’ care needs are incorporated into their care plans. The information contained in the document gives staff members’ instructions on how to meet residents’ care needs. One resident spoken with indicated that she is satisfied with the care provided in the home. Observations made showed that residents’ documents are kept locked and secured. Homefield College DS0000001813.V272725.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 Processes are in place to promote residents’ personal development so that they can pursue recreational and occupational activities. EVIDENCE: One resident’s care record inspected indicated that the resident maintain contact with the community by attending day care for recreational and educational purposes. Conversation held with one resident indicated that she is satisfied with her day care activities. Homefield College DS0000001813.V272725.R01.S.doc Version 5.0 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 and 21 The medication process works well so that residents can receive their medication as prescribed by a doctor. EVIDENCE: An examination of one resident’s Medication Administration Record showed that medication records are kept up to date with the medication also kept in order. Observation made indicated that staff members are adhering to safe medication practices. Homefield College DS0000001813.V272725.R01.S.doc Version 5.0 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 There is an adult protection process to safeguard residents in their care in case there is suspicion or allegation of abuse. EVIDENCE: Conversation held with one staff member indicated that the home is adhering to good practices concerning the protection of vulnerable adults. For example the staff member gave good verbal responses pertaining to procedures to follow should there be a suspicion or allegation of abuse. Homefield College DS0000001813.V272725.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 29 Residents’ surroundings are comfortable to meet their accommodation needs. EVIDENCE: Observations made and conversation held with two residents indicated that there are sufficient toilet and bathing facilities situated throughout the premise based on the number of residents accommodated in the home. Three residents’ bedrooms seen indicated that suitable equipment is in place based on their assessed care needs. Homefield College DS0000001813.V272725.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34 and 36 The staff team are suitably experienced and qualified to deliver good quality care to the residents residing in the home. EVIDENCE: One staff member’s records seen indicated that regular supervision is given to this staff member. The recruitment records seen contained all relevant documentation for example suitable Criminal Record Bureau (CRB) disclosure. The staff member’s training record seen indicated that she has attended regular core training based on training certificates seen and conversation held with the staff member. Two residents spoken with indicated that they are satisfied with staff members’ approach to providing their care. Observations made during the inspection indicated that staff members appear to be adhering to safe care practices in the home. Homefield College DS0000001813.V272725.R01.S.doc Version 5.0 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 40 and 43 The home is managed well and staff members suitably supervised for residents’ safety and care. EVIDENCE: Registration documents seen prior to this inspection regarding the registered manager indicated that she is suitably trained and experienced to manager this home. Observations made indicated that the registered manager appear to be knowledgeable and competent in her daily role. Two residents spoken with indicated that they are satisfied with the manager’s approach to managing the home. An inspection of the home’s policies indicated that the documents contain information for staff members’ guidance regarding care practices in the home. Observation made during the inspection indicated that staff members appeared to be adhering to safe work practices based on the written policies contained in the home and residents’ care plans. Homefield College DS0000001813.V272725.R01.S.doc Version 5.0 Page 15 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x x 3 Standard No 24 25 26 27 28 29 30 STAFFING Score x x x 3 x 3 x LIFESTYLES Standard No Score 11 3 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score 3 x 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Homefield College Score x x 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x x 3 DS0000001813.V272725.R01.S.doc Version 5.0 Page 16 No 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. 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. Refer to Standard Good Practice Recommendations Homefield College DS0000001813.V272725.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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