Inspection on 02/02/06 for Langdon Foundation

This inspection was carried out on 2nd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Langdon Foundation 23/01/08

Langdon Foundation 09/11/06

Langdon Foundation 26/09/05

Langdon Foundation 10/03/05

Langdon Foundation 20/01/05

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Langdon Foundation Langdon College 24/26 Tewkesbury Drive Prestwich Manchester M25 0HG Lead Inspector Julie Bodell Announced Inspection 2nd February 2006 09:30 Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 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 Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 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. Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Langdon Foundation Address Langdon College 24/26 Tewkesbury Drive Prestwich Manchester M25 0HG 0161 773 4070 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) admin@langdoncouese.ac.uk Langdon Foundation Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the maximum registered number (8) there can be up to 8 Adults with Learning Disabilities (LD). Term time only. The service should employ a suitably qualified and experienced Manager, who is registered with the Commission for Social Care Inspection. 26th September 2005 Date of last inspection Brief Description of the Service: The Langdon Foundation is a Jewish organisation, which is split into two areas, Langdon Community and Langdon College. The property was registered under Langdon Community, which provides long stay twenty-four hour residential care for young Jewish adults with learning disabilities. The property has now reverted back to Langdon College. Langdon College is the only Jewish specialist residential college for students with learning disabilities in the country, providing twenty-four hour care for students thirty eight weeks a year and with the exception of one student, term time only. Some students are below the age of nineteen and in fulltime education and are therefore legally defined as children under the Children’s Act. The accommodation comprises two semi-detached houses, which are not interlinked. Access between the houses is via the rear doors. Communal areas within the houses are shared and all bedrooms are single. The houses are situated close to a variety of community facilities, which are within easy walking distance. As the Prestwich area houses a large Jewish community, there is easy access to, synagogue, Kosher food shops and community resources. Public transport is available a short walk to the main road. Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection and took place over a full day. The inspector spoke to the acting manager, had tea with seven young people, spoke to two support workers, looked around the houses and at paperwork. Five relative comment cards were returned, all of which were positive. One parent stated, “My child is extremely happy. The staff team are very helpful and keep up to date with my child’s wellbeing. I think the facility is great and could not ask for anything better.” The inspector undertook an additional visit on 21st December 2005 and all outstanding requirements made at previous inspections had been addressed. What the service does well: What has improved since the last inspection? A copy of the initial assessment is now kept on each students file. Where restrictions are in place there is a risk assessment that includes the agreement of the service user and a third party representative. All risk assessments have been reviewed to a very good standard, with attention to detail and giving clear direction to support workers. The complaints procedure now includes the contact details of CSCI. Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 Page 6 There is now a clear link between the internal child protection procedure and the appropriate local authority procedures. Support workers have received child protection training. The roster clearly shows the hours worked by support workers and the manager. Support workers recruitment records now meet the requirements and a copy of all relevant qualifications and training certificates are retained on files. The acting manager has almost completed the fit person process. Improvements have been made to the medication procedures to make administration safer for service users, though there is more work to be done. 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. Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 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 Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 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): 12345 A copy of each student’s initial assessment is kept on the students care file. An admissions policy and procedure needs to be devised for both the College and Tewkesbury Drive to ensure that both educational and care needs can be met. EVIDENCE: There is a statement of purpose and Langdon College has a student handbook entitled “Welcome to Langdon College” which is completed on an individual basis for each student with the support of a staff member. Fees are set on an individually, based on the Learning and Skills Council matrix. All students are admitted and funded through the LSC and LAC documentation is not provided in this case. The college undertakes their own assessment. Copies of the initial assessment are now held on the students care file. Students make the transition from school to college as a planned move. Students visit the college with their parents over a two day period, which includes an overnight stay to check out that the college will meet their needs and whether they like both college and Tewkesbury Drive. The needs of the service user are assessed from this point. However it was clear from this inspection that the manager had not been included in this process from the start and the inspector requires that an admissions policy for the college and their accommodation to ensure everyone is clear about their role. Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 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 8 9 10 An improvement is noted in record keeping. The staff team have received training in record keeping and the law, from the acting manager. Some work is needed to further improve risk assessments. EVIDENCE: The inspector examined two student care files. Each student has a care plan, which includes, routine on waking, meals, retiring to bed, cultural needs, services, social activities, interests and community links, likes and dislikes, mobility and travel, relationships, emotions and behaviour and medical details for use in an emergency. The student, their key worker and the care manager sign the plans. Plans are reviewed on a winter, spring and summer cycle in line with the College. The inspector examined the risk assessments, which form part of the care and support plan. A significant improvement was noted in the quality of risk assessment documentation and includes were a restriction was in place for some students. The service user signs the risk assessments. Risk assessments are held on individual care files and are securely held. Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 Page 10 The acting manager has changed the format of student files. There are plans in place to electronically hold the care and support plans in the future. The staff members sign to show that they understand the content of the support plan and risk assessment. More detail is now included in the daily record sheet and staff members have been given training in the importance of recording in respect of legal documents i.e. the difference between fact and opinion, no gaps, continuity, no Tippex etc. The introduction of an “All about me” plan will help students to become more involved in the care planning process. An ABC chart has also been introduced to give more information about any incidents that may occur, as well as a family and professional contact sheet and healthcare booklet. The acting manager closely monitors all records and signs them to acknowledge she has done so. The acting manager has looked at ways of improving communication between the Langdon College and Tewkesbury Drive. A detailed handover sheet has been introduced which transfers between the two sites. A logbook has also been introduced at Tewkesbury Drive. Support workers confirmed that there had been a significant improvement in recording systems and communication since the new manager had come into post. This had been difficult for them to adopt at first but they can now see the benefits of good recording systems and this has led to clear direction, and communication overall has improved. The support workers felt that they were valued more and had gained professionally from the improvements. Records are positively written and show the progress the student has made. Students said that they were involved and consulted on what happens in their day-to-day lives, for example what activities they will undertake and with whom. Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 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 the following standard(s): 11 12 13 14 15 16 17 Students have a good lifestyle, enjoy taking part in a wide range of activities and have good relationships with their peers and support workers. EVIDENCE: As part of a college lifestyle the students have many opportunities for personal development as part of their curriculum and their home life. The students living at Tewkesbury Drive get on really well as a group and were able to make decisions about what they wanted to do as a group without too much difficulty. They use community- based facilities like the swimming baths, gym, bowling and the cinema. They also enjoyed watching TV and DVD’s. On the day of the inspection one student was going to football and the girls were having a cosy pyjama night in, as some students were feeling under the weather with a virus that was going round. The college disco every other Saturday was also popular and an opportunity to meet other students socially. Many of the group had long-standing personal relationships with others. Most students were in regular contact with their families and go home for the holiday periods and regular weekends. Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 Page 12 Students felt that they were consulted and had the opportunity to raise any concerns they had at a weekly meeting held at college. They were confident that any issues they had would be dealt with. Students said that they “enjoyed living away from home and living with friends” and that they had “a good social life and were learning to be independent.” Students said that they were happy with the meals that were provided. The inspector joined the group for tea. This was very much a social occasion. There was plenty to eat and the students enjoyed the meal. Preparation of food follows Jewish culture. Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 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 the following standard(s): 18 19 20 An improvement is noted in recording systems and medication procedures for healthcare to ensure the health, safety and wellbeing of students. EVIDENCE: All the students are very able and no intimate care is required. Records of healthcare appointments are maintained. As students reside at Tewkesbury Drive term-time only, most students retain their dentist and optician at home, there are however emergency arrangements in place. All students are registered with a local G.P. Where students have complex needs the healthcare support that is needed is in place. A CSCI pharmacist inspector visited the Home on 20th December 2006. A number of requirements and recommendations were made to improve the safety of the medication system and most of them have been met. Outstanding requirements are that medication training is provided for all support workers. This training has been booked for 7th April 2006. The medication policies and procedures have been reviewed and are being revised. The manager is looking at self- medicating with students using the workbooks “My Medication” and “How to Make Choices with Medication.” Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 Page 14 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 All the support workers, the manager and the college principal have received child protection training and are clear about what action they must take to support students should a disclosure or allegation be made. Students knew who to speak to if they had any complaints or concerns and were confident that they would act in their best interests. EVIDENCE: There is a complaints procedure in place, which includes the address of the Commission for Social Care Inspection. A copy is available to students. Students were clear about whom they would approach and under what circumstances should they have any concerns and would not hesitate to approach the manager. Tewkesbury Drive has a copy of the Local ACPC procedures. The internal procedures for adult and child protection now clearly link into the Local Authority Child and Adult Protection Policies. All the support workers have now received child protection training. Support workers said that they had found this training very beneficial and informative and they were now clear about what action they should take if a student make a disclosure or allegation. Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 Page 15 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 25 26 27 28 29 30 The accommodation is homely, comfortable and to a satisfactory standard. EVIDENCE: The accommodation comprises two semi-detached houses, which are not interlinked. Access between the houses is via the rear doors. A bargeboard over one of these doors was in an unsafe condition. The inspector looked at the communal areas of the Home. Both houses were comfortable and homely and seen to be generally of a satisfactory standard though looking a little tired in parts. A rolling programme of decoration and furnishings needs to be adopted to ensure that standards are maintained. All the service users have single bedrooms. There are an adequate number of toilets, bathrooms and showers available to the students. No specialist aids and adaptations are available and the houses could not appropriately accommodate a student who is a wheelchair user without adaptations to the properties being made. The houses were clean and tidy during this visit and are a credit to the students who are responsible in part for household tasks. Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 Page 16 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 32 33 34 35 36 There have been improvements in record keeping and the supervision of support workers, which ensures continuity and consistency for service users. EVIDENCE: Support workers have a job description and those spoken to were clear about their role and responsibilities. The acting manager has implemented induction and health and safety training records. The support workers spoken to had undertaken TOPSS induction and foundation training as well as health and safety training. The acting manager has updated the training records of staff members to gain an overall picture of the competencies and needs of the staff team. The manager has changed the record kept of the roster, so that it clearly identifies the staff members working, and demonstrates the accurate hours that they worked and includes the manager. The support workers recruitment records now meet the requirements of Schedules 2 and 6 of the Regulations. The new manager has started supervision sessions with support workers. A support worker said that they were “the best supervision sessions I have ever had.” Time needs to be made available for staff team meetings to take place. Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 Page 17 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 39 40 41 42 43 There has been a significant improvement into the day-to-day management of the Home. Clarification is needed in respect of the arrangement of responsible individual for the organisation. EVIDENCE: The acting manager holds a NVQ Level 4 in Care, NVQ Level 5 in Operational Management, holds a D32/33 Assessors Award, IOSH and NEBS. She has many years experience of working with children and young people with learning disabilities in both residential and an FE specialist college, and was a registered manager in her previous post. The manager has nearly completed the registration process with CSCI, with only one reference outstanding at the time of this report. The inspector has some concerns about the present arrangements for the responsible individual of the organisation, which was a temporary measure. The inspector will be contacting the Chair of the Trustees directly about this matter in the near future to seek clarification. Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 Page 18 The inspector commends the input and progress made by the manager since her appointment. She is a very capable manager who has addressed long outstanding requirements to a high standard. Feedback from both service users and support workers was highly complimentary. Support workers said that there had been a big improvement in the level of professionalism in the team. There is now clear direction and the staff team know what is expected of them. This had been helped by significant improvements in recording and communication systems, with greater attention to detail. The manager was said to be very approachable. Regulation 26 visits have not been undertaken by the organisation in line with the regulation and this is another issue that will be raised with the Chair of the Trustees. The Homes policies and procedures are currently under review and will be revised as necessary by the manager and ratified by the Trustees. Health and safety checks were seen to be in order with the exception of the NICEIC certificate and portable electrical items testing that was carried out last year. A certificate has yet to be provided by the person who carried out the work. A review of the quality of care must be carried out in line with Regulation 24. Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 Page 19 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 2 4 3 5 3 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 2 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 4 2 2 2 2 2 Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 Page 20 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. 1 2 3 4 5 6 7 8 9 10 Standard YA3 YA20 YA24 YA24 YA36 YA37 YA37 YA39 YA42 YA42 Regulation 29 13 13 16 18 9 7 26 13 24 Requirement That an admissions policy and procedure is produced for the College and Tewkesbury Drive. That the outstanding requirements made by the CSCI pharmacist are completed. That the identified bargeboard is made safe. That a rolling programme of maintenance, decoration and furnishings is established. That sufficient time is made available for staff meetings to take place. That the manager completes the fitness process. That the issues surrounding the Responsible Individual are resolved. That Regulation 26 visits are undertaken That a copy of the NICEIC certificate and portable electrical appliances is produced. That a review of the quality of care is undertaken. Timescale for action 31/03/06 07/04/06 31/03/06 31/03/06 31/03/06 31/03/06 31/03/06 31/03/06 31/03/06 30/06/06 Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 Page 21 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 Langdon Foundation DS0000008456.V265605.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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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