Inspection on 23/01/08 for Langdon Foundation

This inspection was carried out on 23rd January 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Langdon Foundation 09/11/06

Langdon Foundation 02/02/06

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 Unannounced Inspection 23rd January 2008 09:30 Langdon Foundation DS0000008456.V358038.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 Langdon Foundation DS0000008456.V358038.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. Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Langdon Foundation Address Langdon College 24/26 Tewkesbury Drive Prestwich Manchester M25 0HG 0161 740 5900 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@langdoncourse.ac.uk Langdon College Nicola Jones Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 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. 9th November 2006 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 a synagogue, Kosher food shops and community resources. Public transport is available via a short walk to the main road. Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. Short notice was given for this inspection and it took place over nine hours. We (the commission) spoke to the new responsible individual, the new registered manager and briefly to the principal. We also looked around parts of both houses and at paperwork. We talked briefly with four students at Langdon College who were there for the “community night.” We requested information from the service before the inspection, which we received. We also received returned surveys from six students, four relatives and one support worker. Comments made by them were generally positive about the home. What the service does well: The team at Langdon College and Tewkesbury Drive spend time getting to know prospective students before they move in to ensure that they can fully meet their needs. In a returned survey a student stated, “ I was asked by someone from Langdon College. I was keen on the idea and said yes!” One student stated, “Most of the time I decide for myself what to do, and try with prompting to make my own decisions.” Another stated, “The staff treat us like young adults. We get treated well and listened to if we have any problems.” Students attend Langdon College on a daily basis during term-time and have access to education and leisure activities, which provide them with opportunities to increase their level of independence and social skills. A relative stated in a returned survey that, “They make sure in my opinion that my child is as independent as possible, whilst at the same time making her feel safe and secure.” The religious and cultural needs of the students’ are viewed as very important and are respected as such by a staff team who receive training in Jewish awareness and equality and diversity. Tewkesbury Drive is an ordinary house setting and is not distinguishable as a care home. Regular staff meetings are held for the staff team to keep them up to date with what is happening at the home. Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: To promote healthy eating the service needs to ensure that students have enough fresh fruit and vegetables available in their diet. To ensure the health, safety and wellbeing of students, improvements are needed in the medication system around risk assessment, recording and homely remedies. The planned programme of maintenance, decoration and furnishings needs to be undertaken to continue to improve the living arrangements for students. All planned mandatory health and safety training must be undertaken to ensure that the staff team support students in a safe way. To ensure qualified support workers support students, at least 50 of the staff team need to achieve an NVQ Level 2, including agency staff. Second hand electrical equipment and personal electrical items belonging to students need to be PAT tested to ensure that they are safe to use in the home. A thorough assessment of the home’s electrical fittings and fitments needs to be undertaken to ensure the safety of the electrical system. The central heating boiler needs to be checked out by a suitably qualified person to ensure that it is safe to use. Please contact the provider for advice of actions taken in response to this Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 8 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.V358038.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff teams at both Langdon College and Tewkesbury Drive spend time getting to know prospective students before agreement is reached for them to move in to ensure that they can fully meet their needs. EVIDENCE: All students are funded through the Learning and Skills Council (LSC) and LAC documentation is not provided in this case. The LSC set fees on an individual basis. Prospective students make the transition from school to college as a planned move. A student stated in a returned survey, “Someone from Langdon College asked me and three other boys at the end of the last school year.” Prospective students visit the college with their parents and are able to stay overnight to see if they like the college and Tewkesbury Drive and to ensure that the service will be able to meet their needs. There is an admission policy and procedure in place. The responsible individual and the registered manager work closely with the college to produce the assessment with the student. It was agreed to keep a copy of this assessment on each student’s support file. There is a student information pack available. In a returned survey a student stated, “ I was asked by someone from Langdon College. I was keen on the idea and said yes!” Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed written information is available for each student, which is person centred, positively written, reviewed regularly and is clear about how the student wishes to be supported. EVIDENCE: The inspector looked at two student support files. A lot of effort has been put into improving the information available for each student. The support plans are very detailed and positively written. Students have been involved in developing them and sign to say that they agree with the plan, as do the principal and their key worker. Information includes personal details, details of family contact and next of kin, summary of diagnosis, arrangements of care and levels of support, background information, personal profile, cultural and religious needs, mobility, statement of independence, communication, social interaction and relationships, medication etc. Information is reviewed regularly. The registered manager said that there had been “a big improvement in support plans” and that they were, “better organised.” Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 11 We spoke with four students as part of this inspection and received six generally positive surveys back from students about the support that they received. One student stated, “Most of the time I decide for myself what to do, and try with prompting to make my own decisions.” Another stated, “The staff treat us like young adults. We get treated well and listened to if we have any problems.” Risk assessments were in place as well as behavioural profiles and management plans, which give details as to how students are to be supported in risk areas, such as working in the kitchen, social understanding and travel assessment. A relative stated in a returned survey that, “They make sure in my opinion that my child is as independent as possible whilst at the same time making her feel safe and secure.” Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students have the opportunity to take part in activities, have friends and are supported to live as independently as possible. EVIDENCE: As part of a college lifestyle the students have many opportunities for personal development as part of their curriculum at college and their home life. The students living at Tewkesbury Drive currently live as two separate groups who get on well. A relative stated that, “ we are pleased with the move this year to Tewkesbury Drive where he (our son) shares a house with two other students. The staff at Tewkesbury are good and the house is clean and well maintained.” We spoke to two students living at the house who confirmed that the move to Tewkesbury Drive had been very positive and that they were enjoying greater independence. A relative commented, “Overall we are very pleased that our son is at Langdon. He has grown significantly in self-confidence and has been given new skills to further improve his independence.” Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 13 A monitoring sheet has been introduced to assess and monitor students’ independent living skills around cleaning, bed making and washing clothes. We observed that one person would benefit with support to keep their bedroom clean and tidy. Students regularly use community-based facilities like bowling and the cinema. They also enjoyed watching TV and DVDs and listening to music. On the evening of the inspection the students were at the community night held every Wednesday at Langdon College, giving students the opportunity to socialise with friends. A trip out on a Sunday organised by the registered manager was also looked forward to, particularly a mystery tour. Students said that their religious and cultural beliefs were very important to them and felt that the service observed their faith well. However, Shabbat was observed to varying degrees and some students found the lack of activity difficult, particularly through the winter months. They had raised their concerns with the responsible individual and the registered manager. They had listened to students and there are plans in place to develop a more structured planning activity for students including looking at activities that can be implemented whilst still adhering to Shabbat. Support workers receive training in Jewish awareness to ensure that they are able to support students’ cultural and religious needs sensitively and effectively. Many of the group had long-standing friendships with other students. All students were in regular contact with their families and go home for the holiday periods and regular weekends. Comments were received in returned surveys from both students and their relatives about the need to put travel risk assessments in place quickly. One relative commented in a returned survey that “travel assessments sometimes are slow to be arranged, partly because of staff being available to do them. However when they are done they are done thoroughly.” This was discussed with the responsible individual and the registered manager who said that they were aware that this was an issue, but that travel risk assessments needed to be completed to the highest standard to ensure the safety of students. Students said that they were generally happy with the meals that were provided but would like more fruit and vegetables in their diet. They felt that the meals were heavily carbohydrate based and could be healthier. Students said that there was plenty to eat. Preparation of food follows Jewish culture. There was group planning around the menu and an opportunity to shop for food and to cook. Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements are needed to the medication system to ensure the health, safety and wellbeing of students is maintained. 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 emergency arrangements in place. All students are registered with a local G.P. A number of issues were raised in respect of the safety of the medication system. One student was involved in the dispensing and administration of their controlled medication but there was no risk assessment in place. Written transcribes of medication were not countersigned by a second member of staff to ensure that the details were accurate. A number of homely remedies being used were found to be out of date. Care needs to be taken to ensure that, for example, eye ointment, once opened is dated to ensure that it is not used beyond the expiry date for use. Controlled drugs are now securely held. Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students knew who to speak to if they had any complaints or concerns and were confident that those people would act in their best interests. EVIDENCE: There is a complaints procedure in place. A copy is available to students. Students spoken with were clear about what to do and who to approach should they have any concerns. The students can also raise issues at the Friday Forum at college. There have been no complaints since the last inspection. Tewkesbury Drive has a copy of the local ACPC procedures and the new local authority safeguarding vulnerable adults procedures. There are internal procedures for adult and child protection that make clear links with local authority procedures. All the students currently living at Tewkesbury Drive are over eighteen years old and therefore, at this time, there are no children living at the home. There have been one safeguarding issue at Tewkesbury Drive and the organisation took prompt action to address the matter but did not inform the new local safeguarding co-ordinator for the local authority. This matter has been swiftly addressed and the registered manager has attended local authority training and this will be cascaded to support workers in February 2008. Child protection training is also planned. Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The accommodation is homely, comfortable and to a satisfactory standard for students to live in with further improvements planned. EVIDENCE: The accommodation comprises of two semi-detached houses, which are not inter-linked. Access between the houses is via the back doors. Since the last inspection a lot of work has been done to improve the outside of the building, with attention being given to bargeboards, guttering, painting etc. Both houses were comfortable and homely and seen to be generally of a satisfactory standard, though looking a little tired internally in parts. Plans are in place to improve the inside of both houses this summer including fitting new kitchens, carpets, some new furniture and further redecoration. All the students have single bedrooms, which are highly personalised in some cases, to individual tastes. There are an adequate number of toilets, bathrooms and showers available. 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.V358038.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff team need to complete all the planned mandatory health and safety and NVQ training to help ensure that they support students in an effective and safe way. EVIDENCE: Most of the staff team have worked at the home for less than a year. At the time of this inspection there was one team working across a number of houses, including Tewkesbury Drive. Plans were in place to ensure that the students had a dedicated staff team with a set rota, which will improve consistency for students. A record of the roster is kept that identifies the staff members working the hours that they worked. To ensure that a clear audit trail is maintained, the full names of employees and any agency workers should be entered on to the rota. Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 18 The core staff team though new is stable and said to be working well together. There is a waking night support worker available in one of the houses. There are no vacancies at Tewkesbury Drive. Occasionally outside agency support workers are used to cover shortfalls in staffing. On call arrangements are in place. We were provided with a training needs analysis for the staff team, which confirms that from within the newly identified staff team that one support worker holds NVQ Level 3 and another two support workers are working towards NVQ Level 3. The remaining four support workers are all working towards NVQ Level 2. The recruitment records for two support workers were looked at and in the main meet the requirements of Schedules 2 and 6 of the Regulations. POCA checks are now carried out for all staff that ensures background information around children is checked against prospective employees. We were informed that support workers from outside agencies are never used at Tewkesbury Drive at the request of a person using the service. New employees undertake the Skills for Care induction programme. We discussed with the responsible individual and the registered manager that consideration be given as to whether it would be a suitable option for the staff team to attend Skills for Care training through Bury Adult Care Services Training Partnership. This would also be a means of keeping the registered manager updated as a partner member in new training initiatives and an opportunity to network with other services. The service was also using elearning tools for some training e.g. health and safety and food hygiene. The registered manager must ensure that support workers are competent in practice following this type of training and evidence this. The planned mandatory training on the training needs analysis must be undertaken to ensure that support workers can carry out their responsibilities in a safe way. There are plans in place also to introduce specialist training in the near future covering the autistic spectrum. The staff team receive training in equality and diversity and the values and principles of care. The responsible individual holds weekly staff meetings and support workers have regular supervision sessions with line managers. Appraisals are due to be carried out with all staff in February 2008. Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a new responsible individual and registered manager in place who are both keen to improve the service for the benefit of the students. EVIDENCE: At the last inspection we expressed some concerns about the temporary arrangements for the responsible individual of the organisation. This matter has now been addressed and a new responsible individual is in place. The new responsible individual is the student support manager. She has nine years residential care experience, eight of those in a managerial capacity. She has a psychology degree and is completing her dissertation for an MA in the study of Autism. She operates an open door policy for students who confirmed that they could see her at anytime. There is also a new registered manager, Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 20 who has worked at Tewkesbury Drive for sometime. She has seven years residential care experience with three in a management capacity. She has completed NVQ Levels 2 and 3 and is currently taking her Registered Manager’s Award. It is acknowledged that both the responsible individual and the registered manager have only been in post for a short period of time and there are many plans in place to improve the service. Both are keen to promote teamwork and they said that the principal of the college was “very supportive.” It was discussed that Langdon College had received a very good Ofsted report and that attention was being paid to getting the social care side to achieve the same standard. It was clear from the discussion that part of the student scheme remains unregistered and it was clear that personal care and support was being provided to some students, in one case by mainly agency staff. This matter must now be formally addressed as soon as possible. We discussed possible options as to how this might be achieved. We need the service to contact us with their view on this situation and what they are going to do about registering the service. We discussed the Inspecting For Better Lives process, including AQAA, KLORA, quality ratings, and the frequency of future inspections. Regulation 26 visits are now being undertaken by the responsible individual and are now scheduled in to take place every half term. A copy of the report produced is forwarded to CSCI. We have received a plan for the review of the quality of care for 2008. We looked at health and safety checks for the home most of which were in order. We were concerned about the electrical safety at the home. The homes NECIEC certificate is dated 14.09.06 and is valid for 5 years. However, on closer inspection the report states that some of the bedrooms were locked and the contractor was not able to gain access to check sockets and other fittings at the time of the visit. It was not clear from the report which bedrooms had not been checked and whether the electrical fittings and fitments were safe. To add to this cause of concern, a decision was reached by the organisation not to PAT test portable electrical appliances this year. Observation in students’ bedrooms was that, like most young people their age, they had many electrical items, such as televisions, DVD’s, CD players etc. Some items had not had a PAT test and block plug sockets were being used in wall sockets that might not have had a satisfactory check for sometime. The second hand washing machine in the laundry had not had a PAT test either. The central heating boiler in one house was found to be dripping water and required attention. It was noted that the internal workings of the boiler were accessible to everyone and this could prove to be a hazard if tampered with. Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 21 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 2 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 3 12 4 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 2 X 2 X Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 22 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. Standard YA20 Regulation 13 Requirement To ensure the safety of the identified student a risk assessment must be undertaken of their involvement in dispensing and administering a controlled drug. That the planned programme of maintenance, decoration and furnishings is undertaken to improve the living arrangements for students. That all the planned mandatory health and safety training is undertake to ensure that the staff team support students in a safe way. That second hand electrical equipment and personal items belonging to students are PAT tested to ensure that they are safe to use in the home. That a thorough assessment of the homes electrical fittings and fitments is undertaken to ensure the safety of the electrical system. That the central heating boiler at the identified property is checked out by a suitably qualified person to ensure that it is safe to use. DS0000008456.V358038.R01.S.doc Timescale for action 25/02/08 2. YA24 16 31/08/08 3. YA35 13 30/06/08 4. YA42 13 29/02/08 5. YA42 13 29/02/08 6. YA42 13 29/02/08 Langdon Foundation Version 5.2 Page 23 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. 2. 3. 4. 5. Refer to Standard YA17 YA20 YA20 YA20 YA32 Good Practice Recommendations To promote healthy eating the service needs to ensure that students have enough fresh fruit and vegetables. That written transcribes of medication are countersigned by a second member of staff to ensure that the detail on what had been transcribed was accurate. A number of homely remedies being used were found to be out of date. Care needs to be taken to ensure, for example, eye ointment once opened is dated to ensure that it is not used beyond the expiry date, which is usually within four weeks. To ensure qualified support workers support that student’s, at least 50 of the staff team need to achieve an NVQ Level 2, including agency staff. Langdon Foundation DS0000008456.V358038.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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