Inspection on 14/12/06 for Lufton Manor College Of FE

This inspection was carried out on 14th December 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lufton Manor College Of FE 08/12/08

Lufton Manor College Of FE 22/01/08

Lufton Manor College Of FE 09/05/06

Lufton Manor College Of FE 08/02/06

Lufton Manor College Of FE 19/07/05

Lufton Manor College Of FE 22/02/05

Lufton Manor College Of FE 29/09/04

Similar services:

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

2 Perhaver Park

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

CARE HOME ADULTS 18-65 Lufton Manor College Of FE Lufton Yeovil Somerset BA22 8ST Lead Inspector David Kidner Unannounced Inspection 14th December 2006 09:30 Lufton Manor College Of FE DS0000016084.V315848.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 Lufton Manor College Of FE DS0000016084.V315848.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. Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lufton Manor College Of FE Address Lufton Yeovil Somerset BA22 8ST 01935 403120 01935 403126 jonathan.james@mencap.org.uk H4037@mencap.org.uk Royal Mencap Society 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) Mr Stephen Robinson Care Home 74 Category(ies) of Learning disability (74) registration, with number of places Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Lufton College of Further Education is one of three specialist colleges that together form Mencap National College. All the Colleges offer the Mencap Essential Skills Award as their curriculum framework. Lufton offers full-time residential and day education for students aged 16-25 with learning disabilities. The College is registered for 74 residential students. It is located on two rural sites on the outskirts of Yeovil at Lufton Manor and at Manor Farm. The college provides a range of residential provision on both sites. Accommodation is tailored to meet students developing independence skills, and provide various levels of support. A third of students live away from the main site in semi-independent settings. The aim of the college is to prepare students for the next stage in their lives (Mencap). All students follow the Essential Skills Awards as their curriculum framework, which consists of four elements: daily living skills; personal care and presentation; community and leisure; and practical and vocational skills. The CSCI inspects the service using the National Minimum Standards that which applies to residential services for younger adults (Care Homes for Adults 18-65). However, as an educational establishment Lufton is also inspected by Ofsted. The CSCI reports should therefore be read in conjunction with the Ofsted reports to gain a comprehensive overview of the service provided. The Registered Manager is Mr Stephen Robinson. Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two Inspectors carried out this inspection over two days from 14th December 2006. The Inspectors spoke with a number of students and staff in private and in small group settings. Mr Stephen Robinson, Registered Manager and Jonathan James, the Principal were available throughout the inspection. The Inspectors viewed most of the accommodation at the Main House and Manor Farm. Records viewed included student care plans, medication and health records, recruitment, health and safety records, risk assessments, minutes of meetings, menus, quality assurance, and staff training. The Inspectors sent “Have your Say” comment cards to 20 students, 17 were returned. Overall the students stated that they are very happy with the services they receive at the college. Comments included: • • • • • “Staff are good” “I enjoy college, I like my room” “I like the people I live with” “Food is nice, I have choices” “Staff are nice and helpful” Some students commented that they like the activities but would like to do more. Some students felt that they have lots of activities. The Inspectors sent a total of 20 relative/carers comment cards at random to students’ families. 11 were returned. Again all comments were very positive. All relatives/carers were satisfied with the overall care provided. Comment cards were sent to a variety of care managers and health care professionals. One comment card was returned this was disappointing. However, the one comment received stated that the staff act in a professional manner and are person centred. The Inspectors would like to thank students and staff for their involvement and participation in the inspection process. The Inspectors were made to feel very welcome. Senior management were open and access was given to all areas of the college. It is the Inspectors judgement that considerable improvements have been made at the college over recent months. As a result of this inspection the college has three requirements and two recommendations. Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 6 There were some students under the age of 18 resident at the college. This means that the college is also inspected against the supplementary standards of the National Minimum Standards for young people aged 16 and 17. The college is aware of the need to meet these supplementary standards. What the service does well: What has improved since the last inspection? There have been many improvements in recent months. These include the following: Detailed Pre-admission assessments are conducted prior to students being offered a place on the course. The care plans are user friendly and contain information as to the support required to meet individual service user needs. Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 7 There have been improvements in the refurbishment and redecoration of some accommodation areas including redecoration of some bedrooms, re-carpeting, new windows and improvements in the homely feel and atmosphere in accommodated areas. Staff receive regular 1:1 supervision. The risk management process has been reviewed and a comprehensive system has been introduced. 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. The summary of this inspection report can be made available in other formats on request. Lufton Manor College Of FE DS0000016084.V315848.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 Lufton Manor College Of FE DS0000016084.V315848.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): 234 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The college conducts a comprehensive pre-admission assessment to ensure they can meet the needs of prospective students. The college promotes equality and diversity. The college encourages students to visit and meet other students prior to accessing the course. EVIDENCE: The Inspectors viewed detailed and comprehensive pre-admission assessments on a number of recently admitted students. Documentation viewed confirmed that prospective students received the prospectus, visited the college and that the college identified personal likes and dislikes, aspirations, health care needs, personal care needs and other specialist requirements. The college is committed to training its staff in the use of Somerset Total Communication (STC) and creating alternative methods of communication. During the Inspection the Inspectors observed care staff at all levels interacting with service users in STC. A large number of students use Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 10 alternative methods of communication. Staff were observed to be patient and had a great understanding of the communication needs of the students. It is also noted that the college provides services for people from other cultures and there was clear evidence in relation to diet, skincare and hair care needs being identified and met. The college has an ‘Equality of Opportunity’ action plan that covers many areas relating to equality and diversity. The Inspectors also noted that equality and diversity is discussed at the Student Council. The Inspectors met with a group of students and some students were able to identify what is meant by equality and diversity. This reflects the college’s commitment to promoting equality and diversity within the college. The Inspectors spoke to a number of students who confirmed that they visited the college and received information about the college before making a decision to access the college. The “Have Your Say” surveys also confirmed that students were offered this opportunity. Students stated that they were made to feel welcome. Lufton Manor College Of FE DS0000016084.V315848.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): 679 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There have been significant improvements in the care plan format. The care plans now contain details relating to student’s health and social needs. They are also very user friendly. Students make decisions and exercise choice in their day-to-day lives. Risk assessments are completed to promote health and safety. EVIDENCE: All students have an Individual Learning Plan. This plan sets the objectives for students to work toward each term. The college then completes an individual three-year progress report for each student. This identifies the achievements and progress made by students and also identifies areas for support. Objectives are educational and lifestyle centred with students following a Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 12 weekly timetable of the curriculum based on the Mencap Essential Skills Award. The Inspectors viewed a number of individual care plans. Since the last inspection the college have once again reviewed the format in which the care plans are presented. The care plans now contain detailed information as to specific communication needs of individual students and how these are to be met. An action plan has been developed to review all care plans to ensure this is addressed. Care plans for the students with high support needs in relation to communication have been developed. The care plans contained detailed information relating to the care and support needs. They were presented in a user-friendly manner containing pictures and plain English. Care plans are developed with the student’s involvement. The care plans for a number of service users with specific medical needs contained clear guidance as to how this was to be managed. Care plans had been reviewed and identified where students had developed skills and achievements. It was noted that some students had signed their care plans. This is good practice. The Inspectors also spent some time talking to a group of students about their care plans and the day-to-day records kept of individual activities and daily living. Wherever possible and so wished, the students’ keep their care plans in their bedrooms. Students are encouraged to make decisions and exercise choice wherever possible. The Inspectors had discussions with a number of students in small groups and in private who confirmed that they are offered choices in many aspects of daily living. Staff spoken to were able to describe how students are offered choices on a day-to-day basis. Each student has a key worker. The Student Council meets weekly and are involved in the running of the college. A number of students confirmed that they attend these meetings and that they are good. Minutes of these meetings are produced. The home supports students to manage their finances and the course teaches students budget management. The home keeps records of individual service user finances. Wherever possible service users sign the records of financial transactions. Students had individual risk assessments relating to epilepsy, keys, traffic, and animal care and hazardous activities. The college has reviewed the risk management process and has developed a more detailed and specific risk assessment format. Risk assessments are signed, dated and reviewed as needed. Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 13 Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 14 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): 12 13 15 16 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The college provides a variety of leisure and social activities during the day and at weekends. Student’s privacy is respected and dignity is promoted. Students are offered a choice of menu that provides a balanced diet. The dining facilities at the main site have been vastly improved and provide a very pleasant area to take meals. EVIDENCE: The Inspectors spoke to a large number of students at the time of the inspection. Students spoke with the Inspectors individually, in small and large groups. Overall, the students were happy with the activities provided. Activities include the weekly book club, disco, swimming, pub visits, cricket Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 15 and football. At the previous inspection some students spoken to commented that they would like additional evening and weekend activities. However, staff and some students reported that there is more staff available at weekends to offer more activities. There is also a Saturday Club now that students can attend if they so wish. The ‘Have Your Say about…’ surveys identified that the vast majority of students can do what they want during the day, evenings and weekends. Students confirmed that they keep in contact with their family through letters and telephone calls. The Inspectors noted that individual student files contained records of contact with families. All the relatives/carers comment cards that the Inspectors received stated that they are kept informed of important matters that affect their relative and that the college make them feel welcome. Some students held a key to their bedroom; others do not wish to have a key. Students spoken with said that staff knock before entering the student’s bedroom. The students feel that their privacy is respected and that the staff are polite and helpful. Students spoken with said that they liked the food at the college. The students’ main meal during the day is taken at the colleges newly built refrectory and kitchen. This is a vast improvement. The refrectory is bright, large and very welcoming. There is ample dining space and there are patio doors that can be opened that lead directly onto a large decking area. The cooks that the Inspectors spoke were delighted with the new facilities. Students are very pleased with the new facility. Students are able to choose form a variety of food options. The college has a four-week menu with a choice of dishes that promote health and wellbeing. There is also an additional large dining facility and kitchen located at Manor Farm site. Students eat in their accommodation at evening and weekends. Some students confirmed that they are actively involved in weekly meal planning and shopping. Many students receive tutorial support in kitchen maintenance, hospitality services and food preparation as part of the college curriculum. Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 16 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 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The college ensures that student’s personal care needs are met. Students have access to a variety of healthcare professionals. The college has good policies and procedures in relation to the management of medicines. EVIDENCE: The college has nominated key workers to support students with their personal care needs. Students spoken to confirmed that they have choice in what they wear and what time they get up and go to bed students with specific needs in relation to skin and hair care have these identified in their care plan. Aids and equipment are used based on individual need. Students have access to specialist support including Speech and Language Therapists. Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 17 Students at the college have access to a variety of healthcare professionals. There is a designated Day Care Officer both at Manor Farm and Main Site who co-ordinates GP appointments and outpatient appointments. Each student has a medical overview form with a photo of the student. This identifies medical conditions, allergies, and requirements when administering medicines. Individual records are kept of all attended appointments. Service users are supported to access such services but if so wished would visit a GP in private. Students are registered with a local GP during term time. There is Student Counsellor support available on site. Lufton College uses a Monitored Dosage System. Medication is stored in individual houses. The Registered Manager should consider relocating the medicine cabinets from student lounge areas to an alternative secure area. The Inspectors viewed the MAR sheets in a number of accommodation areas. All records were satisfactory. A medication cupboard sited in Stable Block that was not secure at the inspection conducted on the 09/05/06 has now been secured. The Inspectors recommended at the previous inspection that the college contact the Pharmacy Inspector at the local Taunton Office to request the Pharmacy Inspector to visit the college to offer advice and support on some areas of the management of some medicines. The Pharmacy Inspector visited the college on the 26th July 2006. No requirements or recommendations were made at this visit. Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 18 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. The college records complaints received and the outcome of each complaint. The college has policies and procedures relating to the protection of students. There are robust systems in place to safeguard student’s finances. EVIDENCE: Students that the Inspectors spoke to knew who to contact if they had any concerns. All of the ‘Have your say about survey comments confirmed that the students knew who to speak to if they were unhappy and the vast majority of the students stated that they knew how to make a complaint. Students identified how they would and whom they would make a complaint to. The college also provides leaflets to students called ‘Making a complaint about Mencap’. The college has a detailed complaints policy. Two complaints records are maintained. One from students and the other from relatives/carers and other interested stakeholders. The Inspectors viewed the records of the complaints received. There were eight complaints from students and three complaints from parents. Satisfactory outcomes were achieved. It was noted that the college had received a total of fourteen compliments. The college has policies relating to adult protection, child protection, abuse, physical contact and bullying. The Somerset Local Safeguarding Children Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 19 Board has agreed the child protection policy. A POVA and POCA First check is received prior to a new member of staff starting work. The college has provided staff with training in Child Protection and Protection of Vulnerable Adults Training. Records viewed and staff spoken to confirmed this. The Inspectors viewed some records in relation to the management of student’s monies. Each student has an individual cash tin that is locked and kept safe with records of transactions. The balances of the tins viewed were correct and wherever possible students sign for their monies. It is recommended that wherever possible students tins are safely stored in their bedrooms. This should promote independence and responsibility. The Registered Manager agreed to give this further consideration. Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 20 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 27 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The college has a planned maintenance and renewal programme. Since the last inspection the college has improved some areas of the accommodation and communal areas. On the whole the colleges living accommodations were clean and hygienic. EVIDENCE: The Inspectors viewed student accommodation areas. This included lounge and dining areas, kitchens, some bedrooms, bathrooms and toilets. It was noted that the college has made further improvements in the maintenance and refurbishment of student accommodation. In some areas bedrooms have been decorated and re-carpeted, hallways have been recarpeted and one accommodation area now has a new lounge area. The students chose the furnishing and fixtures. This is a good facility. Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 21 The college has improved the signage throughout both sites. This includes appropriate signage in students’ accommodation. This does not distract from making the accommodation areas feeling homely. However, it was noted that there were some signs/information that applied to staff that were located in the student accommodation areas that may distract from the environment being homely. This was discussed with the Registered Manager. It is recommended that information for staff does not impact on the service users environment. It was noted that many accommodation areas have been improved to make them feel more homely. New windows have been installed in some accommodation areas. Environmental risk assessments have been conducted. All of the bathrooms and toilet facilities viewed had liquid soap and hand drying facilities. Blinds have been installed in all but one bathrooms area. The Registered Manager stated that a blind would be installed without further delay. However, frosted glass is in situ. As part of daily living skills, students are responsible for keeping their accommodation clean. At the time of the inspection the Inspectors viewed students partaking in a variety of household tasks. The standard of cleanliness was higher in some student accommodation areas than others. The college has sufficient laundry facilities. The college provide infection control training for staff and personal protective equipment is available. Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 22 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 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The college is very pro-active in ensuring the workforce is well qualified. Great emphasis is placed on staff obtaining NVQ qualifications. The college has a comprehensive induction and training programme. The college has a robust staff recruitment process and conducts regular formal 1:1 supervisions for all staff. EVIDENCE: The college has a staff training and development plan with targets set for completion of NVQs. At the time of the inspection the college had total of 82 care staff. 47 of the care staff have a NVQ qualification. This equates to a total of 57 of the workforce. A further 22 care staff are currently undertaking an NVQ qualification. The college is very committed in ensuring the workforce is well trained. Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 23 Care staff receive training in specific needs of service users including epilepsy, autism, STC, challenging behaviour, protection of children and vulnerable adults, medication, and care planning. Such training is also provided at Induction. The college appeared to have sufficient staff on duty throughout the inspection. Some staff spoken with confirmed that staffing levels are adequate to meet the needs of the students. Staffing levels are addressed at weekends and evenings to ensure activities and opportunities are made available to students. The college has also purchased more vehicles so students can access wider community facilities. Most students felt that staffing levels were adequate at evenings and weekends. The relatives/carers survey stated that all but one relative felt that there was sufficient staff on duty. At previous inspections it was suggested that staffing rosters be maintained in each student accommodation. This would provide a clear indication of who is on duty at a particular location at anytime and indicates the support provided. Further discussions took place in relation to this and the Inspectors recommend that this be given further consideration. Students then will be able to identify which staff will be supporting them in their accommodation. The Registered Manager agreed to look into this in more detail. Four staff recruitment files were viewed. The files contained the documentation required as listed in Schedule 2 of the Care Homes Regulations 2001. The college maintains detailed records in relation to POVA and POCA. All care staff have Enhanced CRB disclosures. All staff completes a three-week induction programme. The Inspectors met a group of staff that were on the last week of their induction. They were very complimentary of the content of the induction programme. It was very comprehensive and included training in health and safety, adult and child protection, epilepsy, challenging behaviour, care plans, confidentiality, risk assessments, accident reporting, first aid, equality and diversity and diabetes. Newly appointed staff will also have ‘shadow shifts’ with care staff. This was felt by the newly appointed staff as very helpful and The college has a comprehensive training programme. Training given and planned included training in race relations, risk assessments, adult and child protection, first aid, total communication, respond & respect, infection control food hygiene, diabetes, STC, medication and challenging behaviour. Individual records are kept of all staff training. The Inspectors spoke with some staff that said they confirmed that they are now receiving regular 1:1 formal supervision. Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 24 Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 25 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 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Lufton College is well run. The college has quality assurance systems in place. The college is pro-active in addressing matters of health and safety but minor improvements are needed in some areas. EVIDENCE: Mr Stephen Robinson is now the Registered Manager of Lufton College after his previous role of Acting Principal. In 1998 he became Operations Manager at Lufton College supporting the staff delivering the Essential Skills Award to the students. In July 2004 he became Projects Manager at Mencap National Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 26 Colleges (MNC) in North Wales, then vice principal in Dec 2004 when he was registered as manager with CSIW. He returned to Lufton College in the role of e of Acting Principal in November 2005. Mr Robinson’s qualifications include: NVQ 3 Caring for Children and Young Adults 2000 NVQ 4 Management 2002 O.U. K100 Understanding Health and Social Care 2001 NVQ 4 Management of Learning and Development Provision 2003 NVQ 5 Operational Management 2004 Registered Managers Award NVQ level 4 2006 Strategic Management Diploma level 7 2006 Mencap appointed a new Principal in the summer of 2006. The Principal directly manages and supports Mr Robinson. The Inspectors received very positive comments in relation to the management style of Mr Robinson. Staff commented that he is approachable, supportive, shows leadership and direction. Staff also commented that Mr Robinson is very aware of the needs of the students and often walks around the college talking to students and staff. The college has a number of ways of monitoring its quality assurance. Mr Robinson visits each accommodation area and now conducts various quality monitoring processes. Parent forums are held twice a year. There is a Student Council meeting held every week during term time. Regulation 26 reports and Regulation 37 reports are sent to the local CSCI office. Servicing records relating to fire safety are being maintained. Weekly fire point tests are undertaken. The emergency lighting is tested on a monthly basis. The fire fighting equipment had recently been serviced. The annual fire alarm system service was conducted on the 18th and 19th May 2006. A number of recommendations were made to improve the system and the college is addressing theses. The Inspectors were advised that following further discussions with the fire service engineer the system is safe. Portable appliance testing is overdue in one small-accommodated area. The Registered Manager is aware of this. However, all PAT testing has been completed in other areas at Manor Farm and the Main Site. An Operational Manager now takes a lead role in environmental risk assessments and equality and diversity. The Operational Manager has developed a very detailed risk management process and has conducted a vast amount of environmental risk assessments with other staff involvement where appropriate. An action plan has been devised to address all matter of health and safety at the college. However, it is noted that risk assessments have not been completed in relation to the storage of cleaning chemicals in student accommodation. This must be addressed. This was a requirement at the last inspection. Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 27 Risk assessments in relation to radiators being covered and windows being restrictors have been completed. The college has installed window restrictors in some previously identified accommodation. Records are kept of the hot water outlets and monitored very closely to ensure they do not exceed heath and safety recommendations. The temperatures of the fridges and freezers in the student accommodation are now being recorded and food is being stored appropriately. However, it was noted that the fridge and freezer temperatures in the main kitchen at Manor Farm Site are not being recorded. This must be addressed. Accidents and incidents are recorded. A monthly analysis of accidents and incidents is undertaken. Mr Robinson has an overview of all accidents and incidents at the college. Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 28 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 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 3 25 X 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Version 5.2 Page 29 Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc 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 YA42 Regulation 13 (4) Requirement The college must ensure that fridge and freezer temperatures are recorded. This will promote health and safety at the college. Portable appliance testing must be completed in all areas in order to promote health and safety. (The previous timescale of 31/07/06 has not been met). Environmental risk assessments must be carried out in relation to the following health and safety issue: Cleaning chemicals in student accommodation being kept secure. (The previous timescale of 30/06/06 has not been met) Timescale for action 31/01/07 2 YA42 13(4) 31/01/07 3 YA42 13 (4) 31/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 30 No. 1 Refer to Standard YA20 Good Practice Recommendations The Registered Manager should consider relocating the medicine cabinets from student lounge areas to an alternative secure area. This should promote a more homely environment in the lounge areas. It is recommended that wherever possible students personal money tins are safely stored in their bedrooms. This should promote independence and responsibility. The Registered Manager should consider removing posters/information in student accommodation areas that are directed to care staff. This should promote a more homely environment. The Registered Manager should consider staffing rosters be maintained in each student accommodation. This would provide a clear indication of who is on duty at a particular location at anytime and indicates the support provided. Students then will be able to identify which staff will be supporting them in their accommodation. 2 3 YA23 YA24 4 YA33 Lufton Manor College Of FE DS0000016084.V315848.R01.S.doc Version 5.2 Page 31 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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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