Inspection on 20/11/06 for Lindeth College

This inspection was carried out on 20th 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lindeth College 22/03/06

Lindeth College 15/09/05

Lindeth College 27/01/05

Lindeth College 20/09/04

Lindeth College 09/02/04

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 Lindeth College The Oaks Lindeth Bowness on Windermere Cumbria LA23 3NH Lead Inspector Liz Kelley Unannounced Inspection 20 November 2006 10:00 th Lindeth College DS0000022699.V305031.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 Lindeth College DS0000022699.V305031.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. Lindeth College DS0000022699.V305031.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lindeth College Address The Oaks Lindeth Bowness on Windermere Cumbria LA23 3NH 015394 46265 015394 88840 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) S.C.O.P.E. Limited Vacant Care Home 46 Category(ies) of Learning disability (46) registration, with number of places Lindeth College DS0000022699.V305031.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Registered for 46 people between the ages of 16 and 25 years with a learning disability (LD) The maximum number of people under 18 years of age shall be 18. Date of last inspection 22nd March 2006 Brief Description of the Service: Lindeth College offers students with learning disabilities a three year structured course in education and daily living skills. It is a College of Further Education for up to 46 young people between the ages of 16 and 25. The premises comprise a large main house and six training houses, which are self contained with kitchens and bathrooms. There are spacious grounds and appropriate areas for recreation. The college has recently built a new recreation hall. The Commission for Social Care Inspection has a remit to inspect the living accommodation and services connected to the personal care and welfare of students which are not connected to the educational function of the college. The educational provision is inspected by the Learning and Skills Council and by OFSTED. The college is owned and run by a national company called Craegmoor Health Care Ltd. The residential support workers are a separate team to the college teaching staff, and work with students outside of the college day and at weekends. The college has administration and maintenance support teams. The college operates to further education term- times and during holiday periods all students return home. Fees are worked out by each level of students needs and paid for by the students local authority. A handbook is issued to each perspective student which includes details of CSCI inspection report findings. Lindeth College DS0000022699.V305031.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an inspection which looked at all the important areas in the college and took place over a one-month period across October and November. It included an unannounced visit to the college on the 20th November 2006, which involved meeting with students and talking to them about their experience of the college. The inspector also: • Received surveys back from students, parents and other people working with the college • Interviewed the Principal and spoke with staff • Examined files and paperwork • Observed staff working with students • Carried out a partial tour of the college buildings To help the inspector to write this report the college was asked to provide a self-assessment report/questionnaire, which was completed by the management team and received by the CSCI on 18th October 2006. Information was also used on past information CSCI had about the college. This was all used to plan the inspection and to make judgements about the quality of care provided to students. The overall picture gained by the Inspector was that students were being offered a consistently high quality service that meets their needs individually and collectively. All students and relative survey cards were positive about their experience of the college. What the service does well: Students, often leaving home for the first time, are offered a stimulating and supportive environment providing them with opportunities for developing new skills and promoting social and personal relationships. The college is clearly capable of establishing a residential environment that fosters learning, selfdevelopment, esteem and respect for others. All students spoken to were positive about the college, most being excited about making new friends. They also said that the care staff were great and “really helped with any problems”. A relative comment card stated: “My son has been here since Sept. 04 and has enjoyed every minute and has developed to a remarkable degree in such a short space of time, Thank you Lindeth!” another said “The overall atmosphere is positive and vibrant”. Staff are well supported by comprehensive policies and procedures that continue to be developed through on-going review. Lindeth College DS0000022699.V305031.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Lindeth College DS0000022699.V305031.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lindeth College DS0000022699.V305031.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The college has good procedures and paperwork in place to ensure approriate refferals and that they accept only students who’s needs they can meet. EVIDENCE: The registered provider had produced both a Statement of Purpose for the college and a Service Users Guide. Range of fees was available at inspection and was determined using the Learning and Skills formula incorporating both education and care and was set for each college year. The Statement of Purpose and Service Users Guide had been produced in a wallet format to allow for flexibility and to target different groups according to ability and need. The Service Users Guide contains student views of the establishment, and a summary of the most recent CSCI report. The Statement of Purpose had been revised to include areas where the college did not meet the physical environmental standards required by National Minimum Standards, as they are required to do by CSCI. The Statement of Purpose also clearly stated that the funding of a placement through the Learning Skills Council was primarily for education purposes and a student’s placement was dependent on attendance at lessons. A new system of staggered starting dates had been tried for the first time last year. First years had commenced college earlier than the second and third years. This had enabled the first years to find their way round more easily and Lindeth College DS0000022699.V305031.R01.S.doc Version 5.2 Page 9 for staff to give them more attention. Students are offered a full day at the college to look around and take part in activities, some of these include tasks to assess students abilities and whether the college can meet their needs. Assessments utilised reports from Educational Statement of Special Needs, a social work assessment and reports from psychologists, speech and language therapist, occupational therapists and physiotherapist. This goes to develop an Individual Learning Plan (ILP) used across the educational and care setting and is in place for the 1st term, along with risk assessments. This includes an Equality and Diversity evaluation form to enable the college to meet individuals needs and to audit for fairness of access. Lindeth College DS0000022699.V305031.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Students are well supported through individually tailored support plans that promote independence and inform decision-making. EVIDENCE: Developing individual plans that promote choice and encourage personal development is a notable strength of the staff team. There are two styles of support plans one to direct staff and the other style termed “Person Centred Plans”. Staff use a variety of skills and ways to engage students in planning their care and setting goals. Students are involved through picture work and symbols and were appropriate, are encouraged to take ownership of their personal files. Individuals plans are regularly up-dated and revised as goals have been attained. This leads to care plans that are dynamic and evolving documents that encourage significant personal developments for students. Lindeth College DS0000022699.V305031.R01.S.doc Version 5.2 Page 11 Risk taking is well-managed and a good balance is achieved between promoting independence and ensuring the well-being and safety of students. The college is not risk adverse but instead will carefully consider each potential risk and weigh up the benefit to the resident engaging in the identified activity. Risk assessment demonstrate step-by-step planning to allow activities to take place enabling students to gain value and enjoyment from taking part. These are regularly up-dated and monitored to ensure that risk to students is minimized. The college has comprehensive systems for recording daily notes and these are collated into monthly up-dates, which in turn inform regular review meetings. One-to-one sessions with students and RSW’s focuses on decision-making and the consequences of an individuals actions on others. Staff where observed supporting students to make informed decisions. Students were given a number of different ways to have a say and influence the day-to-day running of the college. For example a weekly activities meeting takes place for students to plan and organise the weekend, and a Student Council is involved in any new development or policy. Lindeth College DS0000022699.V305031.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Students are offered a stimulating and supportive environment providing them with varied opportunities for developing new skills and promoting social and personal relationships. EVIDENCE: A major thrust of the college’s work is to assist individual’s to become more independent, and informed decision-making is a large part of the student and staff activity, crossing both educational and social areas of the college. Students were keen to show the work they had achieved and there was a real sense of ownership and pride in their development, both by the individual and by the college. Each student’s Individual Learning Plan (ILP) focuses on promoting independence and responsibilities to others. Privacy was an area the college and personal tutors focus on, particularly as the students move into their own bedrooms in the second and third year. Students were observed respecting the Lindeth College DS0000022699.V305031.R01.S.doc Version 5.2 Page 13 privacy of others by knocking on each other’s bedroom doors, and discussed with the inspector how they could choose which students visited their house. College rules are currently being reviewed, and in particular the codes of conduct and behaviour expected by students with regards to sexual behaviour, relationships and accepted norms. A social work student on placement has this as her project and is to research good practice and policies nationally, and then consult with the student group to develop a set of rules and codes of conduct. This would be a positive development and has been recommended at previous inspections. The drive to promote independence skills, in conjunction with education colleagues, has resulted in students accessing the local community to greater levels. Students spoken to spoke of taking part in varied activities both on and off site. Including a Pub group, bowling, swimming, Drama group, basketball, contemporary dance, performing arts evenings, theatre, IT, Youth clubs, Arts and a sailing club. The college now has a wheelchair accessible vehicle and has made communal areas accessible to students with limited mobility. The college is good at promoting healthy eating and lifestyles. Healthy options are offered to students for example fresh orange juice, more fresh fruit and less processed foods, as demonstrated by newly developed menus. The menus examined were varied and wholesome. The atmosphere observed at lunch-time and breaks was lively and friendly, with plenty of conversation. Students are involved in menu planning, shopping, cooking and cleaning up after each meal as part of promoting new skills and learning about responsibilities. Lindeth College DS0000022699.V305031.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health needs of students is carefully monitored and well-managed by the college. EVIDENCE: All students are registered with the local GP practice, as is the norm for students, and revert to a GP of their choice when out of college term time. Dentist and optician appointments usually take place in the student’s home area. The college has good working relationships with the Community Mental Health Team, who provide advice on anger management, counselling and the services of a psychologist. The college also has on its staff team an occupational therapist and a speech therapist. All healthcare appointments and checks are recorded. The college no longer employs a college nurse and all health issues are handled via the local GP practice. Initial teething problems were reported by the Practice Nurse but now the most recent feedback states “ We have Lindeth College DS0000022699.V305031.R01.S.doc Version 5.2 Page 15 conferred together and have worked out a new system which appears to be working much better, to the satisfaction of all. We have no concerns currently.” The home has policies and procedures in place to ensure the safe handling of medicines including a self-medication procedure and risk assessment. Selfmedication is an area identified by the Student Services Manager to develop further as there is the potential for students to gain more independence learning and skills in this area. The college sought the advice of the CSCI pharmacy Inspector in drawing up policies around self-medication and in the use of homeopathic medicine. This has recently been supported by one student who chose to self-administer homeopathic medicines with support from her parents. The college carries out assessments to test the students understanding and compliance with instructions to ensure the students safe handling of these medicines. Lindeth College DS0000022699.V305031.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The college has satisfactory measures in place to safeguard the well-being of students, however the recording and reporting of some incidents has been inconsistent. EVIDENCE: The college has policies and procedures on complaints that are issued by the registered provider, Craegmoor Healthcare. Students are issued with appropriate formats of the complaints procedure and are given individual support to understand when and how they can complain. This takes place in individual tutorials. The college’s student committee can take up issues, and the college also uses Craegmoor’s Home Analysis survey, which seeks views on a regular basis from students and family members. These systems allowed students, and others to openly discuss issues and raise concerns. This is reflected in the low number of complaints that reach a formal stage. The college staff group is well-trained to handle aggressive outbursts and on appropriate use of intervention techniques. Staff reported that because they are trained in de-escalation techniques the number of incidents of aggression was extremely low. The emphasis of training was to avoid and defuse situations, and these areas are addressed in training on Challenging behaviours. This ensures that students demonstrating this type of behaviour are understood and their rights and best interests are protected by the appropriate actions of staff. Lindeth College DS0000022699.V305031.R01.S.doc Version 5.2 Page 17 The college has the latest guidance on reporting incidents and allegations of abuse to social services. Staff receive training on protecting students from abuse during induction training and the Head of Care has attended a two day course run by Social services. However, both local social services and other social services from students’ placing authority have reported that they are not always informed of allegations, or not quickly enough. On other occasions they have felt that incidents have not been identified as requiring a referral and they have found out from another source, usually from parents. The Head of Care position is currently vacant, and a senior is acting up. In light of these issues the college needs to quickly improve these short falls and ensure that the acting Head of Care is familiar and has training in Adult Protection and Child Protection procedures. As part of these improvements it is recommended that the college improve its communication with the local social services Learning Disability team. Lindeth College DS0000022699.V305031.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The college environment is safe but in need of up-dating to comfortably accommodate students needs individually and collectively. EVIDENCE: At the last inspection it was evident that the fabric and maintenance of the building had not had any substantial funding for sometime. The buildings required painting and were generally looking run down. Craegmoor have agreed to invest in a major programme of refurbishment and up-grading. Work has started and a project manager has been designated from the parent company, Craegmoor, to oversee a comprehensive programme of up-grading of the college environment. This should address a number of requirements for improving the building made on past inspections. Lindeth College DS0000022699.V305031.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels have improved and this along with a management reorganisation has strengthened the provision of care offered to students. EVIDENCE: The senior management team has been reorganised and strengthened, and now a Head of Care is supported by three “Extended Curriculum Managers”, instead of just one. This ensures that a senior person is always on duty, and senior tasks can be shared. In addition to this a Quality Assurance manager post has been created to look at ensuring a consistently high quality service is reached across both the care and educational setting. This re-organisation also includes making the Head of Care the registered manager of the service. The Principal currently holds this role but in addition to being the Principal of this college is also now Principal of the partner college, Arden in Lancashire. Residential Support workers (RSWs) are quickly gaining qualifications to equip them to meet the demands of their role. The college has a good track record of training staff and frequency of supervision has improved with a rolling programme of individual supervisions and annual appraisals. RSWs are now being enrolled on the higher care qualification, NVQ level 3 as this focuses on promoting independence, and is much more relevant to the Lindeth College DS0000022699.V305031.R01.S.doc Version 5.2 Page 20 needs of students. 6 staff have gained the higher award and a further 17 are working towards the award. This will achieve very good levels of qualified staff. All staff are currently being trained on a Learning and Disability Induction course. Staff are also offered a number of one day courses to enhance their knowledge such as in Adult Protection and medication training. A Training Matrix is completed to monitor and assess training needs of the college and of individuals to ensure compliance with mandatory training requirements. A member of staff has recently been dismissed following a breach of the organisations recruitment policy. While the college followed Craegmoor policies, it needs to reconsider how to reduce the likelihood of this happening again. The Principal agreed to discuss with Craegmoor, and to review its practice to ensure that their procedures are as robust as possible. Lindeth College DS0000022699.V305031.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 at least once during a 12 month period. 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. The management of the college is good and continues to improve. The new management team have clear ideas on how to improve to ensure a quality service is delivered to students. EVIDENCE: The introduction of more effective management systems and quality assurance checks has already improved the running of the college and the care delivered to service users. Lindeth College is owned and operated by Craegmoor Healthcare who had extensive Quality Assurance systems and these had been applied to the college situation, and expanded, to suit the college needs. For example a new post of Quality Assurance Manager has been recruited to, and Craegmoor provide Clinical Governance advisors and Risk Assessment Managers who provide regular up-dates and refresher on legislation and good practice. The “hot topic” Lindeth College DS0000022699.V305031.R01.S.doc Version 5.2 Page 22 from Craegmoor this month was the reduction of scalding and prevention of Legionella. The Regional Manager from Craegmoor Healthcare carries out monthly visits and reports these to the CSCI. Of particular note was a Residents Questionnaire/Home Analysis for students and relatives alike to air their views on all aspects of the college. From this survey an action plan is drawn-up to address any criticisms or concerns highlighted. All these measures ensure that the college is well run and the management team have a good understanding of the areas in which they could further improve. Planning was in place and set out how these improvements were to be resourced and managed. For example the improvements to the environment and the building. A period of consolidation is required to allow time for the new management team and new staff deployments to take effect. This will include appointing and registering a Manager for the college with CSCI. Lindeth College DS0000022699.V305031.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 4 2 3 3 3 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 1 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 x x LIFESTYLES Standard No Score 11 4 12 4 13 2 14 3 15 x 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 x 4 x x 3 x Lindeth College DS0000022699.V305031.R01.S.doc Version 5.2 Page 24 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA27 Regulation 23 Requirement Female showers must be improved and made into private facilities (Previously set for 31/03/06) 2. YA24 23 The rear of the training house 31/03/07 that are the designated means of escape for Fire evacuation must be made safe (Previously set for 30/04/06) 3. YA27 23 Showers must be fit for the purpose and the problems of low water pressure must be resolved (Previously set for 31/05/06) 4. YA34 19 A review of recruitment procedures must be undertaken to assess for areas requiring strengthening 18/12/06 31/03/07 Timescale for action 31/03/07 Lindeth College DS0000022699.V305031.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. 2. Refer to Standard YA15 YA23 Good Practice Recommendations The college should consider ways to inform and instruct students on appropriate sexual behaviours A protocol should be devised to work with social services on Adult and Child Protection referrals Lindeth College DS0000022699.V305031.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Lindeth College DS0000022699.V305031.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!