Inspection on 21/09/06 for Homefield College

This inspection was carried out on 21st September 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

Homefield College 06/10/08

Homefield College 14/12/05

Homefield College 23/09/05

Homefield College 23/08/04

Homefield College 28/06/04

Similar services:

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Hillside

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

CARE HOME ADULTS 18-65 Homefield College 42 St Mary`s Road Sileby Loughborough Leicestershire LE12 7TL Lead Inspector Mr Steve Hunnybun Unannounced Inspection 21st September 2006 09:30 Homefield College DS0000001813.V311469.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 Homefield College DS0000001813.V311469.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. Homefield College DS0000001813.V311469.R01.S.doc Version 5.2 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@homefieldcollege.ac.uk www.homefieldcollege.ac.uk Homefield College Limited 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) Mrs Julie Elizabeth Merron Care Home 17 Category(ies) of Learning disability (17) registration, with number of places Homefield College DS0000001813.V311469.R01.S.doc Version 5.2 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 14th December 2006 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 divided into a flat with three single bedrooms, bathroom, lounge and kitchen; a bungalow with four single bedrooms, bathroom, lounge and kitchen; a maisonette 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 serve those students accommodated on the main landing and are accessible to all students. Teachers, support care staff and vocational specialists support students. The Learning Skills Council has placed young people at the college. 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. Prospective students are given a booklet regarding the college and inspection reports are readily available. It was not possible to obtain information about fees as the Principal was not present on the day of the inspection. Homefield College DS0000001813.V311469.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Summary of report. The primary method of inspection used was ‘case tracking’ which involved the inspector selecting three students and tracking the care they receive through review of their records, discussions with them and with the care staff and observations of care practices. Students made the following comments: • • • • ‘They sent me a leaflet about the college before I came’. ‘We take turns to plan the menu’. ‘I’ve got a nice room’. ‘They look after us if we are upset’. The inspector made a plan prior to the visit summarising available information from the previous inspection report and service history. The inspection was positive indicating good outcomes for students. No requirements were made. One recommendation was made. What the service does well: What has improved since the last inspection? What they could do better: The safeguarding adults and children policies to indicate that social services are the lead investigating agency and that the police are to be informed if an offence is suspected. Homefield College DS0000001813.V311469.R01.S.doc Version 5.2 Page 6 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.V311469.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 Homefield College DS0000001813.V311469.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Personalised assessments ensure that prospective residents’ diverse needs are identified and planned for before they move into the home. EVIDENCE: Prospective students attend the college for assessments, initially for one or two days. One student stated that this was a positive experience and that she felt her needs had been recorded appropriately. When students arrive at the college a more detailed baseline assessment is completed to enable staff to plan a programme of support. Information from previous placements is included. Homefield College DS0000001813.V311469.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Students have care plans and risk assessments that cover all of their individual needs. These enable them to make choices, take risks and for their needs to be met. EVIDENCE: College staff produce a care plan for all students based on needs identified in the assessment. A further assessment is made that identifies activities that may present risk and strategies to minimise such risk. Students who spoke with the inspector were aware of their care plans and had contributed to them. Students stated that they are able to make choices in areas such as activities, food and their rooms. Homefield College DS0000001813.V311469.R01.S.doc Version 5.2 Page 10 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): 12,13,15,16,17 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. The promotion of students’ rights, provision of activities within the local community, contact with families and the quality of the food all contribute to a positive lifestyle. EVIDENCE: All students have an individual programme of activities within the college and the local community. Students described the ‘Tuesday Club’, which is a social activity for students and residents from the houses connected to the college. ‘Liquorice’ is a sweetshop that students can work in. One student said ‘It’s really good because it teaches you about money’. Students stated that they are able to maintain contact with friends and families. Files seen by the inspector contained contact information about students’ families. Students stated that they are treated with respect. Staff call them by their preferred name, they have a key to their room and they are able to open their own mail. Students take turns to plan menus, buy food and prepare meals. All students who spoke with the inspector stated that the food is good. One student whose Homefield College DS0000001813.V311469.R01.S.doc Version 5.2 Page 11 file was seen has special dietary needs and staff support her to eat appropriate food. Homefield College DS0000001813.V311469.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Students’ personal and healthcare needs are met and they are protected by medication policies. EVIDENCE: Students care plans contain information regarding their personal and healthcare needs. Those that spoke with the inspector stated that staff support them to meet their needs. Students are enabled to attend appointments and the outcome of any contact with medical professionals is recorded. Medication records were up to date and accurate and medicines were stored appropriately. Homefield College DS0000001813.V311469.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Students are protected from abuse and their concerns and complaints are listened to and acted upon. EVIDENCE: Students who spoke with the inspector were aware of how to make a complaint and stated that they are listened to when they do. The college has a safeguarding adults policy that defines abuse, lists signs and symptoms and sets out action to be taken. The policy does state that the investigating officer would be the inspector; this is incorrect and should state that social services lead any investigation. The policy also omits to mention that the police should be notified if an offence has been alleged. The policy must be reviewed as delays could result from staff not notifying the correct agencies. Homefield College DS0000001813.V311469.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Students benefit from living in a house that is homely, comfortable clean and safe. EVIDENCE: Three students and the registered manager showed the inspector round the building. Bedrooms are all personalised to a high standard and students all said that they like their rooms. Communal areas are pleasantly decorated and homely. Homefield College DS0000001813.V311469.R01.S.doc Version 5.2 Page 15 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): 32,34,35 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Residents’ needs are met and they are protected by the recruitment and retention of a well-trained, experienced staff team. EVIDENCE: Staff files all had a checklist to indicate what should be kept in them. Those looked at all had relevant documents but there was no indication that CRB checks had been received prior to employment. This was discussed with the manager and a member of the administrative staff who agreed that this part of the checklist would be completed. All staff files examined revealed a comprehensive training programme including adult and child protection. Staff receive regular supervision and annual appraisals. Homefield College DS0000001813.V311469.R01.S.doc Version 5.2 Page 16 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): 37,39,40 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. The home is well managed, residents’ views are sought regarding the running of the home and their health and safety are protected. EVIDENCE: The manager has demonstrated her fitness through the registration process. She was observed interacting positively with students and staff on the day of the inspection. The college has a cycle of quality planning that ensures that students’ views are sought throughout their course. A fire evacuation took place on the day of the inspection and was carried out in an efficient and orderly manner. All students and staff evacuated promptly and an incident of challenging behaviour was managed sensitively. Homefield College DS0000001813.V311469.R01.S.doc Version 5.2 Page 17 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 X 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 2 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 3 X 3 X X 3 X Homefield College DS0000001813.V311469.R01.S.doc Version 5.2 Page 18 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. 1 Refer to Standard YA23 Good Practice Recommendations The safeguarding adults and children policies to be amended to indicate that social services are the lead investigating authority and that the police need to be notified if an offence is suspected. Homefield College DS0000001813.V311469.R01.S.doc Version 5.2 Page 19 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. Extracts may not be used or reproduced without the express permission of CSCI Homefield College DS0000001813.V311469.R01.S.doc Version 5.2 Page 20 - 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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