Inspection on 23/09/05 for Homefield College

This inspection was carried out on 23rd September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 21/09/06

Homefield College 14/12/05

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 Marys Way Sileby Loughborough LE12 7TL Lead Inspector Sharon Treadwell Unannounced Inspection Friday, 23 September 2005 at 09.00 rd 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 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 Stationary 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 C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Homefield College Address 42 St Marys Road Sileby Loughborough LE12 7TL 01509 814827 01509 815696 Telephone number Fax number Email 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 Merron Care Home for Younger Adults (CRH) 17 Category(ies) of Learning Disability (LD) - 17 registration, with number of places Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No one under the age of 16 years may be accommodated in the home. Date of last inspection 23 August 2004 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 disabilties 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 C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out at 9am on a weekday morning as students were commencing their daily educational programmes. Prior to the inspection the inspector had received a completed pre inspection questionnaire from the manager and also completed comment cards from thirteen students and from sixteen relatives. Comment cards received reflected many positive comments with students commenting that they had ‘learnt a lot’ and ‘made a lot of new friends’ and parents considering the services offered to be ‘excellent in every respect’, ‘ideal for my daughter and ‘very satisfactory thank you’. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users. The primary method used during this inspection was that of case tracking, which involved selecting three of the young people (one first, one second and one third year student) currently accommodated at the college and tracking the care they received through looking at their records and observation and discussion with young people and staff. This inspection took six hours and included discussion with senior management, staff and students as well as observation of daily routines and interactions between students and staff on duty. Discussion with individual students during this inspection was brief and the second inspection of this year will be undertaken at a time of day when such discussion can be better facilitated. The inspection was an extremely positive one with students appearing happy and content, records evidencing good progress towards clearly identified objectives and staff demonstrating a clear understanding of young people’s individual care and support needs. At the time of this inspection seventeen students are accommodated at the college site, six of these are recent admissions being in their first year. One student currently accommodated is aged under eighteen years. What the service does well: Initial assessment is comprehensive and clearly identifies each student’s functional capacity and individual care and support needs. Individual care planning and risk assessment is to a high standard and incorporates the clear identification of a range of placement objectives. Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 Page 6 Personal development is viewed holistically. Young people are well supported and facilitated to access a wide range of education, personal development, employment, leisure and social opportunities. They are additionally encouraged to develop self-care and independence skills in preparation for moving on from Homefield College. What has improved since the last inspection? Reorganisation of staffing, with an increase in senior staff, has created a clearer structure and greater flexibility within the working rota. There is now always a senior on duty. There has additionally been a dissemination of budget responsibilities to senior staff. Child protection programme. training has been introduced into the staff training The smoking area for staff has been relocated to an area not used by students. 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 C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 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 standard(s) 2 Initial assessment is a commendably thorough process. EVIDENCE: The process of initial assessment at the point of admission to the college is an extremely comprehensive one. Admission is after an assessment process involving an interview, an initial assessment day and a two-day residential assessment (evidence of this was seen on all of the files tracked). College staff obtain background information from parents and any previous educational placements during this pre-admission assessment. Subsequently, during the young person’s first term a thorough baseline assessment is undertaken in four main areas of Independent Living, Basic Skills, Vocational Learning and Social and Personal Development. Learning goals are then identified and a comprehensive personal programme compiled. Three student’s files were tracked during this inspection of students in their first, second and third year of placement. These files evidenced that assessment of students’ functional capacity was an ongoing process and that individual progress was appropriately reflected in amendments to care plans. The college is commended on the clear identification of long term goals early in placement and on ensuring that the setting of shorter term objectives reflects a clear progression towards these. Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 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 standard(s) 6, 7, 8, 9. Care planning for young people accommodated at the college is current and to a high standard. Young people’s individual abilities and support needs are clearly monitored and recorded. EVIDENCE: Care planning follows the same format throughout the Homefield provision and is undertaken to a commendably high standard. The Care Plan is drawn up in negotiation with the young person, the family and the placing authority and requires the signature of all parties. The care plans examined during this inspection were all appropriately signed and dated. Care plans examined and young people spoken to evidenced that staff at the home work consistently to develop young people’s self help skills and confidence by encouraging the acquisition of domestic skills, independent travel, access to learning opportunities through college courses, access to a range of leisure activities and efforts to secure appropriate employment experience. The home is commended on it’s comprehensive policy on risk taking, which stresses the empowerment of the service user and the requirement for Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 Page 10 consensual agreement about what constitutes reasonable risk. Each student’s care plan is inclusive of a comprehensive assessment of risk, which clearly details any restrictions imposed on choice, freedom or access to facilities and details areas where students are capable of independent functioning and areas where staff support is needed. Care planning clearly evidences that each student is encouraged and supported to operate to their full potential both academically and socially. Students views are actively sought on both general college issues, through weekly student meetings and termly meetings of the Student Council, and on individual issues through regular, recorded individual sessions with both their support tutor and their personal tutor. In addition a student perception survey is completed annually with students assisted to complete these forms by their personal tutors. A Parent Satisfaction Survey is also circulated annually to families. Where appropriate, behaviour plans addressing triggers and effective responses to inappropriate behaviours, are compiled and communication plans are in place detailing students’ individual preferences and abilities. Symbols are widely used around the college site and in the printing of individual programmes. Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16, 17. Students are encouraged and facilitated to make full use of community facilities and to participate in a wide range of social, leisure and educational activities. EVIDENCE: During the inspection students were noted to be encouraged by staff to take responsibility for self organisation for example one student who claimed not to know what subject was next on her personal programme was sent to check her programme on the main notice board. Students who need constant reminders of their personal programmes have them printed for each day on a wrist-band or key ring. During term time each of the students follows an individual programme of educational and skill based activities. Some of these programmes are delivered on the Homefield College campus whilst other programmes are accessed through local colleges of further education or are community based. Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 Page 12 The Student Handbook provides good information about local facilities including details of local places of worship. The college has a house in the village of Sileby, which is utilised for day and evening activities and currently houses the art facility. The individual programmes of the students tracked were reflective of the provision of wide ranging opportunities to develop academic and vocational skills as well as access to a variety of leisure activities. Evidence was noted on the files tracked of the appropriate involvement of the Connexions service with students and of the appropriate early identification of long term goals in respect of employment and accommodation options. As an integral part of their individual programmes all students are supported to acquire independent living skills and are involved in the compilation of menus and in the preparation of meals. Several of the young people are members of local sporting clubs. Students are encouraged and assisted to retain good contact with their families and the majority spend all holiday periods as well as occasional weekends at home. Parents, relatives and friends are welcome to visit the college. All sixteen of the relatives completing questionnaires said that they were always made welcome at college and were fully consulted and kept fully informed on all matters relating to the student. Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19. Young people are provided with a very individual service, their specific and very individual health and personal support needs are clearly identified and well met. EVIDENCE: The student care plan includes a comprehensive section detailing health and medication requirements. The college additionally requires families to complete a National Healthcare Confidential Medical History prior to each student’s admission. The forms examined in the files tracked contained good background information including a record of vaccinations to date. The files examined contained a full record of all medical appointments and prescribed treatments. A standard pro forma is completed by staff in respect of each medical appointment attended by a student, which details the reason for the appointment and the action resulting from it. These forms were examined in relation to the young people tracked and were found to comprise a comprehensive record. Each young person has an allocated support worker and a personal tutor and individual sessions are held weekly. The records of these evidence that health and personal support issues are regularly discussed with each young person. Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 Page 14 Each student’s care plan clearly details their personal care needs, for example one-to one monitoring, verbal prompts, assistance with dressing, and any preferences they may have about how this is done. Where invasive medical treatments are required, (for example rectal diazepam), these are only administered by appropriately trained staff. The college does not provide nursing care. The Registered Manager confirmed during this inspection that both she and all of the senior staff team had undertaken training on the storage and administration of medication either with the local pharmacist or in association with staff from another local care home, with Boots Chemists. The manager cascades this training to care staff and administrations of medication are observed until an acceptable level of proficiency is reached, although senior staff retain responsibility for the administration of medication. Whilst the inspector notes that this is good practice, none of the current training would appear to be accredited. Medication records were not examined during this inspection. Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23. The homes policies and practices offer effective protection to young people who are supported and encouraged to voice their opinions. EVIDENCE: The college has a comprehensive policy on Abuse, which clearly defines the various types of abuse and also clearly states action required. The college has a separate, equally comprehensive policy on reporting and preventing sexual abuse. This policy clarifies what constitutes sexual abuse and also the principles for the legal determination of inability to consent. The college has made considerable progress during the last year in its development of appropriate Child Protection Procedures. Since the previous inspection the college has introduced training in child protection. Chris Berry, Director and Principal of the college has undertaken child protection training with a specific focus on the further education setting with East Midlands Further Education Training and the manager of Thorndale Road (one of the Homefield houses) has undertaken child protection training with the National Society for the Prevention of Cruelty to Children (NSPCC). This training has been disseminated to the staff team through ‘inset’ training courses during the last year. Staff at the college have also received ‘inset’ training in the Protection Of Vulnerable Adults. It is crucial to ensure that both of the Child Protection co-ordinators regularly update their training if they are to deliver training to other staff. At the time of this inspection the Child Protection policy document had just been reviewed and amended. It is recommended that the new version be sent to the local Area Child Protection Committee (ACPC) for confirmation of its Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 Page 16 appropriateness. The college does not yet have a copy on site of the local ACPC procedures. All the young people are given both guidance and assistance with finance management skills. The nature of support required is appropriately recorded in the care plan. All the young people have bank accounts. The college has a comprehensive complaints procedure, clearly detailing responsibility within the Homefield College network and outside of the network should a complainant remain dissatisfied. No formal complaints have been received at the college since the previous inspection. One informal complaint was received from a neighbour in respect of a student’s music and this was appropriately dealt with. Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 28, 30. The college is decorated and furnished to a good standard and students are provided with well equipped personal and shared space. EVIDENCE: The sub division of accommodation into smaller units enables students to function in small groups where appropriate, for example for activities such as meal preparation. Staff endeavour to ensure that grouping takes into consideration individual student’s needs, abilities and interests. At the time of this inspection three young men were accommodated in the flat and eight young men were accommodated on the main landing whilst six young women were accommodated in the bungalow and maisonette. Several of the students’ bedrooms were viewed during this inspection and all were well personalised. Because of the turnover of students it is difficult to allow students any choice in colour schemes therefore all bedrooms are painted in cream and students are encouraged to add posters, pictures and personal touches and to bring in personal items of furniture should they so wish. Students may also bring in portable electrical equipment to use during Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 Page 18 their stay at college and this equipment is subject to appropriate Portable Appliance Testing. Several areas of the college accommodation were redecorated during the recent summer holidays. The college is commended on the wonderful display of students’ artwork and photographs of current and past students, which are a feature of all shared areas. The home was visited by the Fire Officer in August and the manager confirmed that requirements had been actioned. Records of maintenance of fire fighting equipment and of fire drills were not examined during this inspection and will be examined during the next inspection of the home. Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 35. Staff receive training opportunities appropriate to their roles and to equip them to provide a good standard of care and support to the students accommodated. EVIDENCE: Support staff employed at the college receive induction/foundation training using the Learning Disability Award Framework (LDAF). Accreditation of this course is by the ARC City and Guilds Centre. A National Vocational Qualification (NVQ) Programme additionally operates using the ARC NVQ Consortium and Loughborough College. At the time of this inspection only 35 of the care staff team are qualified to NVQ level 2 or above and the Registered Persons are reminded within this report of the 50 target identified under Standard 32.6. The manager is currently studying for the Registered Managers Award. Prior to this inspection the inspector was supplied with a list of all training undertaken by staff during the last year. The list is comprehensive and includes first aid, child protection, fire safety, report writing, autism and aspergers and communication. The inspector was pleased to note that training on ‘preparation for inspection’ was included in the list as well as ‘Post inspection-planning for action’. A copy of the Care Homes Regulations and the National Minimum Standards is retained at the college. Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 Page 20 Reorganisation of staffing, with an increase in senior staff and the appointment of a Deputy Manager, has created a clearer structure and greater flexibility within the working rota. There is now always a senior on duty. There has additionally been a dissemination of budget responsibilities to senior staff, which has encouraged stronger decision making and the taking of responsibility. The inspector spoke with the new Deputy during the inspection. She confirmed that she had gradually ‘slotted into’ the role, rising from the post of Senior Support Worker, and that she and the Registered Manager were now not integral to the care staff rota to facilitate a greater emphasis on their management and monitoring role. The senior support staff team has been increased from four to seven. In their questionnaire responses two of the parents ticked the box indicating that there were not always sufficient staff on duty at the college but examination of working rotas and discussions with staff indicate that this is not generally the case. Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 41. EVIDENCE: The home has a wide range of Quality Assurance systems to enable appropriate monitoring of service provision. Young people are regularly consulted with regard to their views at weekly student meetings, which are recorded. The college also has a Student Council, which meets termly and that meeting is attended by a member of the Senior Management Team. During the last year there have been improvements to the staffing structure at the college with the appointment of a deputy and an increase in Senior Support Workers. Both the Registered Manager and the Deputy have withdrawn from the care rota but have the flexibility to provide cover where needed. This gives a much improved capacity for monitoring, supervision and service and staff development. An increase from four to seven Senior Support Workers has produced a stronger middle management tier and has enabled some devolution of staff supervision responsibilities. During the last year there Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 Page 22 has additionally been some devolution of budgetary responsibilities to senior staff and this is commended. Discussions with the Registered Manager during this inspection evidenced close and co-operative working during the last year between herself and Chris Berry College Principal and Responsible Individual) in enhancing and developing her managerial role and responsibilities. During this inspection relationships between staff were observed to be positive and professional. Written records relating to health and safety were not examined during this inspection but the inspector is aware from previous inspections that the college has comprehensive policy documentation in respect of Health and Safety and that procedures for and recording of all required checks are robust. Records will be examined during the next inspection. Students’ written records are commendable in their content. The college has acted on recommendations made during the previous inspection relating to duplication of information in two separate files. The files are well organised, clearly indexed and contain all required information. Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 4 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Homefield College Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 4 x C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 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 Good Practice Recommendations Homefield College C51 C01 S1813 Homefield College V247402 230905 STAGE 4.doc Version 1.40 Page 25 Commission for Social Care Inspection 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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