Inspection on 09/11/06 for Langdon Foundation

This inspection was carried out on 9th November 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 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 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 9th November 2006 11:00 Langdon Foundation DS0000008456.V297746.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.V297746.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.V297746.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 Foundation Mrs Christina Wilks Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Langdon Foundation DS0000008456.V297746.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. 2nd February 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, synagogue, Kosher food shops and community resources. Public transport is available a short walk to the main road. Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Short notice was given for this inspection and it took place over seven hours. The inspector spoke to the registered manager, the new principal, the quality assurance administrator, one support worker and a group of six young people. The inspector also, looked around the houses and at paperwork. Six relative comment cards were returned, all of which were satisfied with the overall care provided. One stated, “The level of support and care in the Home is extremely high and I am more than happy with the staff, they are excellent.” Another indicated that they would like to be kept better informed about how their child was doing and be more involved.” Five surveys were received from students all of which were positive about the support they receive. But some said that they would like more independence around day-to-day decision making. One former student is currently living at the Tewkesbury drive temporarily. What the service does well: Tewkesbury Drive is an ordinary house setting and is not distinguishable as a care home. 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. Students have very busy lifestyles and liked being independent, having their freedom and socialising with friends from college. Good relationships between students were observed. Students appeared to be relaxed, happy and enjoying life. The religious and cultural needs of the students’ are very important and are respected as such. There is a capable and experienced manager in place who continues to make improvements to the service in the best interests of the students. Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The present arrangements for student accommodation are under review. A decision needs to taken as soon as possible as to whether new arrangements are necessary or to invest in the existing properties, as the houses are looking tired and in need of attention. Although all the staff members have a CRB check, a request for a POCA check appears not to have been made on the part of the counter signatory. This matter needs to be addressed as soon as possible to ensure the protection of students who are still legally children. As part of the structural changes within the management of the organisation, issues surrounding the role of the responsible individual within the organisation must be resolved. Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Langdon Foundation DS0000008456.V297746.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.V297746.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service spends time getting to know prospective students and their families,so that they can meet their needs, before they come to live at Tewkesbury. EVIDENCE: All students are admitted and funded through the LSC and LAC documentation is not provided in this case. Fees are set individually, based on the Learning and Skills Council matrix. The college undertakes their own assessment. Copies of the initial assessment are now held on the students care file. Prospective students make the transition from school to college as a planned move. They visit the college with their parents over a two-day period, which includes an overnight stay to check out that they like the college and Tewkesbury Drive and ensure that they will meet their needs. The needs of the student are assessed from this point. There is an admission policy and procedure in place. The registered manager now works closely with her education counterpart to produce the assessment with the student. Work on an assessment was being undertaken on the day of the inspection. Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 Page 10 Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 Page 11 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 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Records continue to improve with initiatives in place to make best use of information technology to improve efficiency and consistency for the benefit of the students. EVIDENCE: The inspector looked at two student care files. Each student has a support plan that links to their initial assessment, 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. Plans are signed by the student and reviewed on a winter, spring and summer cycle in line with the College. The inspector looked at risk assessments, which form part of the care and support plan. Improvements continue to be made around the risk assessment Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 Page 12 process and the quality of documentation, including where restrictions are in place for students. An example of a health and safety risk assessment where the student is learning a new skill such as catching a bus was examined. The task is broken down into a number of areas that must be safely achieved. The student must be able to complete all the areas on six consecutive occasions before agreement is reached that the student can undertake the task independently. The risk assessment is simple and visual to assist the student to monitor their progress. The student signs the risk assessments. Risk assessments are held on individual care files. The staff members sign to show that they understand the content of the support plan and risk assessment. The principal will also sign the risk assessments. There are no behavioural management issues at the Home. However some members of the staff team have received training in positive care and consistent approach. A nurse delivered the training who was also a former registered manager with an education and residential background. Support workers have received training in recording. Records are positively written and show the progress the student has made. The registered manager closely monitors all records and signs them to acknowledge she has done so. A database package has now been found that will enable the care plans and risk assessments to be electronically held, which will improve communication, consistency and reduce the duplication of information between Tewkesbury Drive and the College. An IT technician is in the process of being recruited and a working group is in place to monitor progress to ensure it will meet the demands of the service. The benefits of good recording systems has led to clear direction and communication overall has improved. The support worker spoken with felt that they were becoming more valued members of the overall team. Plans to introduce a twenty-four curriculum should enhance the role of the support workers further. The inspector met with students as a group of six. In this lively meeting the 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. Students said that one of the best things about living at Tewkesbury Drive and attending the college was gaining their independence and freedom. The students said that they were pleased to note that in his opening address that the principal said that he would be putting the students at the heart of the service. It was discussed with the registered manager that there was a need to consider the relevance of the quality of life outcomes that feature in the White Paper and person centred planning, which will make the transitional links to the students’ future independence, beyond college life. Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 Page 13 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 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 well as a group and said that they were able to make decisions about what they wanted to do as a group without too much difficulty, but stated in the surveys that they returned that they would like more time to do one to one activities and sometimes had to fall in with what the group wanted when they would have preferred to do something else or nothing at all. Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 Page 14 Students regularly use community-based facilities like the swimming baths, gym, bowling and the cinema. They also enjoyed watching TV and DVD’s and listening to music. On the evening of the inspection the students were going out shopping as a group, but once they had reached their destination planned to split up with staff support. A staff member discussed the plans for the evening with them, College events were very popular and provided an opportunity to meet other students socially. Students said that their religious and cultural beliefs were very important to them and felt that the service observed their faith well. A new staff member who shares their faith was said to help the students resolve any issues that the group might have between them in respect of interpretation. Many of the group had long-standing friendships or personal relationships with other students. All students were in regular contact with their families and go home for the holiday periods and regular weekends. 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 either the registered manager or the staff team would deal with any issues they had. They could also approach college staff if necessary. Students said that they “liked living away from home and living with friends” and said that they had “a good social life and their freedom.” One student said that, “I am safe, happy, have friends and enjoy my life here.” The students have very busy lifestyles and like to relax and have a lie-in at the weekend. The students were now split more clearly into two groups. Three older students were living more independently within one house with reduced support from the staff team and more responsibility for looking after themselves. Students said that they were happy with the meals that were provided. Students said that there was plenty to eat and they liked the meals provided. Preparation of food follows Jewish culture. One young person was to be supported by a staff member to prepare and cook their tea. Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An improvement is noted in medication procedures and recording systems 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. No major issues were raised in respect of the medication system. However, it would be beneficial to purchase a small inner lockable cupboard to securely hold an identified medication. One student is now self-medicating and another is partially self-medicating. Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 Page 16 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 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All staff 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. A copy is available to students. Students were clear about what to do and who to approach should they have any concerns. The students said that they trusted the manager and would not hesitate to approach her with a problem. Two internal complaints made by students are recorded in the complaints log, which have been taken seriously and dealt with by the registered manager. The students sign to say they are happy with the outcome. The students can also raise issues at the Friday Forum at college. Tewkesbury Drive has a copy of the Local ACPC procedures. The internal procedures for adult and child protection clearly link into the Local Authority Child and Adult Protection Policies. New support workers will receive child protection training at the beginning of next year from the local child protection team. There have been no allegations of abuse. Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 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. 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. EVIDENCE: The accommodation comprises of two semi-detached houses, which are not inter-linked. Access between the houses is via the back doors. A bargeboard over one of these doors remains in an unsafe condition. Both houses were comfortable and homely and seen to be generally of a satisfactory standard though looking a little tired in parts. All the service users have single bedrooms. There are an adequate number of toilets, bathrooms and showers available to the students. The houses cannot accommodate a student who is a wheelchair user. 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.V297746.R01.S.doc Version 5.2 Page 18 The suitability of the accommodation is currently under review. A swift decision is needed to ensure that there is no further decline in standards. The students said that although the properties were homely and comfortable there was a need to refurbish the properties. The registered manager and the inspector discussed a number of different options that might be worth exploring as part of the future planning and development of the service. Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 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. There have been improvements in the supervision of support workers, which ensures continuity and consistency for service users. POCA checks need to be undertaken for all staff members to ensure the protection of those students who are still legally children. EVIDENCE: Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 Page 20 Support workers have a job description. The registered manager has implemented induction and health and safety training records, which give an overall picture of the competencies and needs of the staff team. The registered manager has registered with Skills for Care and received their pack. The inspector discussed with the registered manager the possibility of contacting Bury Adult Care Partnership to check out whether it is a suitable option for the staff team to attend Skills for Care training through the partnership. This would also be a means of keeping the registered manager updated in new training initiatives and an opportunity to network. Three support workers are currently going through the induction process. Three support workers are undertaking NVQ Level 4 and a further three NVQ Level 3. The registered manager is looking at more flexible timing for delivering training, in the evening for example or by using DVD’s and CD roms, particularly for night staff. It has also been agreed that the students will return home on the Thursday evening before holiday periods at half term to allow regular training days for the staff team. Training will help develop the professional role of the support workers. A record of the roster is kept that clearly identifies the staff members working, and demonstrates the accurate hours that they worked and includes the manager. The core staff team is stable and said to be working well together. There is a waking night support worker available in one of the houses. There are a number of support worker vacancies at Tewkesbury Drive and one of a number of regular agency support workers cover approximately four shifts a week. Ways of utilising a present staff member was discussed which will help to reduce this number. The support workers recruitment records where looked at and now in the main meet the requirements of Schedules 2 and 6 of the Regulations. However, close examination of CRB checks identified that the counter signatory was not requesting information relating to children. This matter must be dealt with as a matter of urgency. The implementation of a format to be sent to the domiciliary care agency was discussed. This would evidence that the service had checked with the domiciliary care agency and for them to declare that the support worker being sent to Tewkesbury Drive, meet the above legal requirements. It was discussed that it might be a more efficient use of time if the service carried out their CRB checks. The registered manager has started supervision sessions with support workers. Time is now available for staff team meetings to take place. The registered manager wants the staff team to take more ownership of the meetings by taking it in turn to chair the meetings and take minutes. There is now clear direction and the staff team know what is expected of them. Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There has been a significant improvement in the day-to-day management of the Home which has benefited the students. Clarification is needed in respect of the arrangement of responsible individual for the organisation. Improvements in self-monitoring and quality assurance must continue. EVIDENCE: The registered manager holds a NVQ Level 4 in Care, NVQ Level 5 in Operational Management, 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. She is a very capable manager who has addressed long outstanding requirements to a high standard. The manager was said to be very approachable and feedback from service users, Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 Page 22 support workers and colleagues was highly complimentary. The manager has now completed the fit person process with CSCI. A new principal has been appointed at the college and has been in post since the start of the new academic year. It is clear from discussion with the principal and the registered manager that the coming year will be a period of significant development for both the residential and educational aspects of the service. It is clear that the principal and the registered manager share a similar vision and understanding of what needs to be done to improve standards and strengthen the service. There is much to do and progress will take some time. The inspector is very confident that this will be achieved. The inspector has some concerns about the present arrangements for the responsible individual of the organisation, which was a temporary measure. The principal is aware of this and will be addressing the matter with the Chair of the Trustees and agreeing a suitable person to take on the role of responsible individual. This matter needs to be resolved as soon as possible. Quality and self-monitoring will play a major part in the development of the service. Regulation 26 visits have not been undertaken by the organisation in line with the Regulation. These are now schedule in to take place every half term and a copy of the report produced will be forwarded electronically to CSCI. A review of the quality of care must be carried out in line with Regulation 24. The inspector has received a copy of the quality-monitoring schedule for the academic year. The Homes policies and procedures are currently under review and will be revised as necessary by the registered manager and the principal and ratified by the Trustees. Health and safety checks were seen to be in order. Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X 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 3 3 2 2 3 3 X Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES 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. Standard YA24 YA24 Regulation 13 16 Requirement That the identified bargeboard is made safe. (Outstanding) That a review on the suitability of the present student accommodation is completed. If a decision is made to continue using Tewkesbury Drive then a programme of maintenance, decoration and furnishings must be undertaken. That a POCA check is carried out for all members of the staff team. That the issues surrounding the Responsible Individual are resolved. That Regulation 26 visits are undertaken. That the Homes policies and procedures are reviewed and revised as part of the quality assurance procedures. That a review of the quality of care is undertaken. Timescale for action 30/11/06 31/12/06 3. 4. 5. 6. YA34 YA39 YA39 YA40 19 7 26 13 31/12/06 31/12/06 31/12/06 31/03/07 7. YA42 24 31/03/07 Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 Page 25 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 YA20 Good Practice Recommendations That a small internal cupboard is purchased for the drug cabinet to securely hold a controlled drug. Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 Page 26 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: 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. Extracts may not be used or reproduced without the express permission of CSCI Langdon Foundation DS0000008456.V297746.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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