Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 19/07/05 for Lufton Manor College Of FE

Also see our care home review for Lufton Manor College Of FE for more information

This inspection was carried out on 19th July 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

It was clear during the inspection that students value the learning experience offered by the college and social activities provided by Lufton. Students are allocated a tutor and key worker at the college. Staff who act in this capacity who spoke with inspectors had a good knowledge of the needs of students they have supervisory responsibility for.

What has improved since the last inspection?

Two recommendations were made at the last inspection. The college is working to support students to self-medicate following an initial risk assessment that is reviewed frequently to assess if an individual student needs more support in managing their own medications. There is evidence that students are also more involved in the review of the individual learning plans and personal objectives since the last inspection. During the summer break the college will undertake a significant amount of works in the ground to improve upon environmental facilities for the students returning in the autumn. The college has also improved its internal quality assurance monitoring processes and evidence of this was seen in good critical quality assessments of individual learning plans for some students.

What the care home could do better:

The college demonstrates a drive to improve facilities and services for students and their families. Four recommendations are made in this report. They are in relation to staff recruitment records, ensuring privacy for students when in their own bedrooms, staff roster records and confidentiality of student visits to their own GP. Five requirements are also made. These are in the areas of health and safety risk assessment recording, child protection policies and protocols, additional staff training in care of students aged under 18 years, student access to harmful cleaning chemicals at the college and safe management of foods stored in fridges.

CARE HOME ADULTS 18-65 Lufton Manor College of Fe Lufton Yeovil Somerset BA22 8ST Lead Inspector Judith Roper Announced 19th, 20th & 21st July 2005 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 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 Stationary 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 D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lufton Manor College of Fe Address Lufton Manor College of Fe Lufton Yeovil Somerset BA22 8ST 01935 403120 10935 403126 tess.baber@mencap.org.uk Royal Mencap Society Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Tess Baber Personal Care Home Only 74 Category(ies) of Learning Disability (74) registration, with number of places Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd February 2005 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 student’s 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 College 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 small number 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 criteria, which applies to any other ‘residential’ service for younger adults. 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. Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors carried out this announced inspection over two and a half days between the 19th – 21st of July. The inspection took place during the last week of the summer term and students were preparing for the end of term. The inspectors were able to see and spend time talking and interacting with the majority of students. Prior to the inspection the CSCI received feedback cards about the provision of care at Lufton College from 50 current students. The vast majority of responses were positive. Issues raised that indicated particular dissatisfactions were discussed with individual students who had supplied their name and general responses were raised with the college’s senior management team. A visiting health professional feedback card response forwarded to the CSCI prior to the inspection from one GP practice was very positive regarding care at the college and professional working relationships with college staff. Six relatives responses were noted by the CSCI prior to the inspection and their comments were discussed generally with the college senior management team. During the inspection many staff on duty were able to give time to speak with the inspectors. This included staff that had worked at the college for some time and newly appointed staff. The registered manager Mrs. Baber was available for comment during the inspection. The inspectors would like to thank Mrs. Baber and her staff for their time and hospitality shown to the inspectors during their visit. The atmosphere at the home was upbeat and informal. Students were looking forward to the summer break. Some said they would miss their college friends but many were expecting to see college friends during the holiday. Some students were anxious regarding moving to different college accommodation in the autumn term, but they were also pleased that they had made progress allowing them to move to more independent living accommodation. During the inspection staff were observed carrying out their duties in a friendly and supportive manner to students. The weather during the inspection days was warm and dry. Students enjoyed spending time outside to socialise and take part in outside activities. 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. This is the first inspection using the new CSCI reporting format, which focuses on outcome statements for National Minimum Standards. The inspectors’ aims on this inspection visit were to seek views on the quality of the service from as many service users as possible and to speak to staff. Records examined were eight student individual learning plans, a selection of staff recruitment records, health and safety documentation, medication and health records, risk assessments, quality assurance documentation, staffing rosters and Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 6 maintenance works records. The college completed and forwarded a detailed pre-inspection questionnaire to the CSCI prior to the inspection. The college also provided inspectors with copies of additional information requested by inspectors during the inspection. Other records will be examined at subsequent inspection visits. What the service does well: 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. Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 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 standard(s) 3,5. Education and health care provision is personalised and holistic, reflecting student abilities and individual needs. EVIDENCE: Students are allocated a tutor and key worker. They monitor the needs of their individual students and record progress toward individual learning plan goals. Health care needs are monitored by tutors, key workers and the day officer who has a responsibility for the overview of the health needs of the general student populous. Staff are trained in meeting the individual communication needs of students. Student progress is assessed at least termly. Contracts for individual students were sampled and were maintained in good order. Pre-admission assessments were not inspected on this occasion. They were last inspected during the inspection that took place in the autumn term of 2004. At this time the admission standards were all met. Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,10. Individual student learning plans have improved since the last inspection to make them more holistic and accurately reflecting current student progress. The internal quality review of student learning plans introduced since the last inspection has contributed significantly to this. Students are offered active choice and are encouraged to participate in the day to day running of the college. This enhances student confidence and selfworth. A recommendation is made for students over the age of 18 that personal consultations with community health care professionals be confidential and not shared with parents unless this consent be obtained by the student and recorded in writing. EVIDENCE: Students have an individual learning plan at the college. This maps out objectives for students to work toward each term. Objectives are educational and lifestyle centred with students following a weekly timetable of the curriculum based on the Mencap Essential Skills Award. Since the last inspection the college has been working to devise a student centred health needs summary sheet that is to be incorporated into the individual learning Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 10 plan. The introduction of this information into the core learning plan will assist key workers in planning the health needs of students more holistically; in conjunction with educational needs. The present system where the day officer oversees the medical health needs of students’ gives rise to a sense that education and health requirements of students are separate. The introduction of the new system will remedy this. Since the last inspection the college has been quality auditing student learning plans. This is to critically evaluate the reviewing process of plans and the accuracy and completeness of information held in plans. Of the plans inspected it was apparent that plans that had benefited from this auditing process were the better maintained of the sampled group of plans. Students have a college charter that was devised in consultation with them. Goals in individual learning plans are made that reflect student ability to make informed choices. Students are supported by key workers to manage their own monies and weekly accommodation meetings allow students to express their views to how their week has gone or if they have something troubling them. There is also an active student council operating at the college. Staff receive training in Somerset Total Communication (STC) and communicating with students who have communication difficulties. The college also employs a speech and language therapist. Since the last inspection the college has devised improved signage for the home for students with communication or language difficulties. These signs are due to be placed strategically around the campus during the summer break ready for returnees and new students in the autumn term. Policies and procedures are in place to maintain issues of student confidentiality and these policies were updated in the last year. During this inspection the inspectors recommended that the college amend its form notifying parents when students have visited the local GP practice for a medical consultation. For students over 18 the inspectors recommend that consent from the individual student be recorded on this form that the student is happy for such personal information to be shared with parents. This would ensure that confidentiality of the student’s health matters is maintained appropriately. Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,13,14,15,16,17. As Lufton College is a further education establishment readers of this report are advised to obtain the most recent Ofsted report on the college for a detailed assessment of the college’s educational provision for students. The Mencap Essential Skills Award framework and individual student curriculum within this framework supports students to become more confident and independent. The college offers and supports students to pursue leisure and cultural interests off campus so that students mix with people who are neither staff nor students of the college. Students said that staff do not always respect their privacy. This was highlighted for the college’s senior management to address. Meals are prepared and planned by students. The college promotes healthy eating but student choices can reflect a liking for processed foods. The college is aware of this and of their responsibilities to educate students to eat well. The main site refectory will be improved and upgraded when funding is granted. This will enhance the dining experience in the main campus. EVIDENCE: Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 12 Student individual living skills are promoted and monitored as part of the essential skills curriculum. Students use part of each day in supported ‘daily living skills’ at their own accommodation. The college supports students to find appropriate vocational opportunities, including paid employment locally. Several students spoke to inspectors about their work experience placements and their plans to seek jobs and their own flats when they leave the college. The college has some accommodation off the campus for students who have progressed through the supported essential skills curriculum to live in less supported accommodation. Students said that they attend local clubs and resources. Students also run the Manor Farm café near to the main campus. This café is open to the public. Since the last inspection the college has introduced more structured weekend activities for students. This helps to guide students whose ability to initiate choices may be self-limiting and helps to prevent isolation or boredom for such students at weekends. Students spoke to the inspectors stressing the importance that friend and families have in keeping them happy. Many students have mobile phones and students have an email account at the college. Not all accommodation offers a telephone from which students can make private calls to friends or families. This was discussed with the senior management team at the college. There is a historical logistical and technical problem of providing phone lines for each student house or accommodation area and the management have been considering solutions to this. There is a plan to introduce email access from each accommodation that could help alleviate this problem – for students who are able to use computers. Many students have partners and the college provides education in relationship and sexual health matters. Students carry their own keys to their accommodation following a risk assessment. This risk assessment process was discussed with the senior management, as inspectors were keen to promote students owning keys to their bedrooms unless the assessment indicated a safety risk. Students said that generally other students respect their privacy, but a minority of students said that staff do not always knock before entering a student’s bedroom. This was reported to the senior management for them to feedback to staff to ensure that student privacy of personal space is respected at all times. Students are expected to attend classes. The management reported that some students might be tempted to return to their bedrooms and not attend class should they be provided with a bedroom door key. The inspectors would like to see a different method of ensuring class attendance that would not exclude a student from holding a key to their room. Expected responsibilities for students are built onto personal timetables regarding tidying rooms and other domestic tasks. Rules on drugs, smoking and alcohol are made clear to Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 13 students. The college has policies relating to Physical Contact and Personal Care Contact guidelines for staff who support students in their daily living activities. Meals are taken either in the student’s accommodation or at the campus dining rooms. Students are actively involved in weekly meal planning. Many students receive tutorial support in kitchen maintenance, hospitality services and food preparation as part of the college curriculum. The main dining space is due for significant upgrade and improvement. Tender documents have been prepared and it is planned that application for funding from the Learning and Skills Council will be submitted for this in October 2005. Of the 50 feedback cards received by the CSCI from Lufton College prior to the inspection 48 students said that they liked the food at the college. Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 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 standard(s) 18,19,20. Personal support is provided by key workers and those key workers who spoke with the inspectors seemed to know the health needs of their students well and could predict behavioural changes or medical intervention needs. Emotional support for students is fostered from the on-site counsellor to the individual support of key workers. Medication management is good. The day officer is competent and systematic in managing student health appointments. EVIDENCE: Students are supported with personal care from a staff member of the same gender. Individual learning plans give guidelines for care support needed. A personal passport of a summary of personal care needs is kept in the student’s accommodation for staff reference. A minority of accommodation is in shared rooms. This is being addressed as part of the long-term planning for accommodation at the college, to reduce shared room occupancy. Students were attired in their own style reflecting personality and choice. There is an on-site speech and language therapist and a student counsellor. Community based professionals provide additional health care support such as GP, nursing or consultant reviews. The college is registered with one GP Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 15 practice for students during term time. This has enabled the college to form a strong link with the practice. Staff complete appointed persons and first aider courses to provide emergency treatment at the college. A day medical officer coordinates most of the health screening for students. Medications are managed on site and some students are managing or partly managing their own medications. Medication storage and recording was inspected and this was satisfactory. The college was reminded that medication errors must be reported to the CSCI using the Regulation 37 notification format. Key worker staff are expected to undertake NVQ care training to a minimum level 2 as part of acceptance of a post at the college. In student feedback card responses to the CSCI 2 students out of 50 said that they did not feel well cared for, 1 person said that this varied. 3 students reported that they did not feel safe at the college, 1 person reported that the staff did not treat them well. During the inspection students spoke with inspectors and the responses were positive from students regarding their experiences of care at the college. One student said that they were not always happy with staff and that staff were ‘bossy’. The student also said that most staff were kind. Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 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 standard(s) 22,23. The college has an ethos of encouraging students to air their views and concerns. Complaints are dealt with appropriately. There are procedures and policies in place for the protection of children and adults. The policies and procedures for the protection of children require revision and updating to reflect current best practice local guidelines. EVIDENCE: Students who responded to the CSCI in pre-inspection feedback cards and during meeting with inspectors at the inspection said that they were confident that they could raise concerns with staff and management at the college. Student spoken with could identify key workers and personal tutors by name. The students can contact the principal via a ‘Dear Tess’ card. The college’s complaint’s file was inspected and concerns and complaints were handled appropriately. The inspectors commented that some of the concerns raised by students in the ‘Dear Tess’ system ought to be logged as complaints. Presently they are not. The home has an adult protection procedure in place and the CSCI has been consulted during this academic year to comment on the processes. Staff training in abuse awareness commences at the staff induction level. As the college admits students from the age of 16 the home must have a policy in place for the protection of children. The college’s policy does not reflect the current guidelines of the local Area Child Protection Committee (ACPC). This is a requirement. When updated the college’s policy should be sent to the ACPC for comment. Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 17 Between inspections the college has been informing the CSCI of notifiable incidents via the regulation 37 process. Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 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 standard(s) 24,25,26,27,28,29,30. The amount of communal space at the college sites and quality of student accommodation varies. Students are provided several alternative locations in which to socialise. The college is committed to improving facilities for students. Staff feel supported and supervised but several commented that they would welcome more 1:1 supervision sessions with managers. EVIDENCE: The college offers a range of accommodation on the main campus, the Manor Farm site and in Yeovil. Accommodation reflects the dependency level of students. Some accommodation has limited communal space. Students can use communal space provided in other parts of the college. Facilities at the college have been reviewed and there are upcoming improvements planned for dining space, accommodation for physically disabled students, routine decoration and maintenance and further outside activity and leisure facilities. Shared room occupancy will be phased out. Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 19 Student bedrooms and accommodations are personalised. Students have input into colour schemes for the accommodation that they live in. The numbers of bathrooms are sufficient and some bathrooms will be upgraded over the summer break. Outdoor shared space includes on the main campus the farm and gardening projects and an upgraded lake with nature conservation areas. There is a football pitch and spaces for students to sit in relative seclusion. Inside the college offers drama space in a hall and an IT suite. The college will be providing accommodation for wheelchair users in the future. This will be built to National Minimum Standards and will provide environmental adaptations for individual student needs. Students clean their accommodation as part of their daily living skills. Key workers oversee this. During the inspection the standard of domestic cleanliness of student accommodations varied. The college also employs domestic staff. The college has sufficient laundry facilities. Washing machines are available in student accommodations. Personal protective equipment for staff handling soiled linen is provided and staff receive training in infection control measures. Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36. Staffing levels are such as to provide suitable levels of supervision for students. Training is comprehensive for staff although there needs to be further training for staff in caring for children enrolled at the college, (16 and 17 year olds). Induction training is comprehensive and detailed. This gives a good grounding for new staff in roles and adds to their confidence. Staff recruitment records were not always complete to ensure that adult and child protection considerations had been sufficiently robustly vetted. EVIDENCE: Staff spoken with during the inspection were clear regarding their job role and job responsibilities at the college. Staff seemed to have job satisfaction. Most staff were unclear about child protection procedures and this is made a requirement under the supplementary National Minimum Standards (NMS) for colleges accommodating students added 16 and 17. The college is required to forward to the CSCI an action plan detailing how the college will train key staff caring for children to an NVQ level 3 award (or equivalent). The college provides Child Protection training but currently the level and length of training does not meet NMS. Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 21 The college has a comprehensive training plan for staff. Most key worker care staff are enrolled in NVQ training (adults) and the college also provides LDAF training for staff that includes training in the management of challenging behaviour and Somerset Total Communication (STC). The staff induction programme runs to three weeks and new staff who were going through this induction process during the inspection days said that their experience of the induction process so far was that it was thorough and a good preparation for their new roles at the college. The staff induction is linked with TOPPS, NVQ’s and the Open College Network (OCN). Staffing levels allow for 1:1 student support. Like most care establishment staff sickness impacts upon staff stress levels for the duration of that shift. A sample of staff recruitment files were inspected. Staff were sometimes employed before two satisfactory written references had been received. Gaps in employment histories were also not discussed with the applicant prior to employment. The inspectors discussed with the management team the need to ensure that information held within staff recruitment files meets Schedule 2 of the National Minimum Standards (NMS). During the inspection staff appeared relaxed and interacted with students in a friendly manner. Staff were observed signing to students in order for students who use STC to communicate effectively. Staff receive an annual appraisal and also an annual supervision. Staff also meet weekly with other colleagues for team meetings. Managers attend team meetings at least monthly. Staff also are observed in tutor led student teaching sessions as part of ‘observation of learning supporters’ supervision sessions. Feedback of observed work practice is given to the staff member being observed. Staff spoken with said that they would welcome more 1:1 supervision sessions with their managers. Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 22 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42,43. The senior management team work well together providing a clear direction for staff and students. The college is friendly and students are made to feel welcome and relaxed. Staff are invested in via comprehensive training in order to provide a skilled work force that meets student needs. Internal quality assurance processes continue to strengthen and provide critical appraisal of college systems and practices that need improvement. Health and safety risk assessment needs to improve in order to provide a safe environment for individual students. EVIDENCE: Management of the college possess the necessary qualifications and skills for their posts. The atmosphere at the college is relaxed and friendly. Students Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 23 said that staff and management are approachable. Inspectors observed that students were happy at the college. The college holds the Investors In People Award. Quality assurance processes are formal and includes audits of systems and processes at the home. A number of improvements in record keeping have been made at the home since the appointment of the quality assurance manager last year. The college also employs a staff development officer. The pre-inspection questionnaire submitted by the college to the CSCI prior to the inspection reported that a number of Mencap policies had been revised over the last year. (See Standard 23 re. Child protection policy). Records are stored confidentially in a records room on-site. Staffing rosters are maintained but it is recommended that a roster be maintained in each student accommodation of the particular staff who have been allocated to work in the accommodation for that shift. This would therefore provide a clear indication to whom was on duty at a particular location at any time should any problems arise with a staff member. Health and safety issues were inspected. The college is in the process of introducing a revised risk assessment form for risk within the college environment posed to individual students. The introduction and staff training in the use of this revised form is welcomed by the CSCI. The risk assessment records that the inspectors examined demonstrated some poor assessment recording of environmental risks posed to students and poor follow-up of control measures to be taken to reduce identified risks. Inspectors also observed that some chemicals used in the laundry on the main campus were not stored in a manner that was safe. Students had access to chemicals used in the laundry that were hazardous and the laundry was open and unmanned. Students have fridges in accommodations. Thermometers should be provided for fridges and temperatures within fridges recorded daily to ensure that the cold storage of food within fridges is at a safe temperature, ( 2 to 8 degrees Celsius). Food in fridges should also be labelled with a date opened and a use before date to prevent food poisoning. Staff receive basic training in food safety as part of the induction. 30 staff are booked on the one-day essential food hygiene award over the summer. Staff who are involved in food preparation at the college need this award as part of statutory training. Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 24 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x 4 x 3 Standard No 22 23 ENVIRONMENT Score 3 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 x 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 2 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lufton Manor College of Fe Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 3 D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 25 N/A. 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 YA23 Regulation Schedule 5 of the NMS. Requirement Timescale for action 21/11/05. 2. YA32 3. YA42 4. YA42 It is required that Mencap Lufton College of FE revises its policies on child protection to reflect current guidelines for best practice from the local Area Child Protection Committee, (ACPC). When completed a copy of the revised policy should be shared with the ACPC for comment. 18 (1) (c.) It is required that the registered 21/11/05. (i). manager forwards to the CSCI an action plan detailing how the college will provide suitable additional training for staff in the care management of young people aged 16 and 17 that will satisfy Standard 32.7 of the NMS. 13(4)(c.) It is a requirement that 21/11/05. environmental risk assessments recorded on behalf of individual students are accurate, current and signed off as completed when identified control measures to minimise risk are put in place within timescale as identified. 13(4)(a) It is a requirement that the 2/9/05. college ensures that any cleaning chemicals that may pose risk to students (following a COSHH assessment) are not left D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 26 Lufton Manor College of Fe 5. YA42 16(2)(h) accessible to unsupervised students. It is a requirement that the college ensures that food left in student accomodation fridges is labelled with a use by date. Fridge thermometers must be provided for staff to maintain daily records of fridge temperatures. Fridges should operate between 2 to 8 degrees Celsius. 2/9/05. 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 YA10 Good Practice Recommendations It is recommended that the college revises its form notifying parents of the outcome of students visits to their own GP surgery. It should be ascertained and recorded for students over the age of 18 that the student consents to the college informing a parent that they have visited their GP surgery in order to maintain the students confidentiality. . It is recommended that staff at the college are reminded to knock on doors and wait for a reply before entering a students bedroom. Some students reported that this basic courtesy and respect for their privacy was not always maintained. It is recommended that the college ensures that all staff files contain the information listed in Schedule 2 of the NMS. Gaps in employment records of applicants ought to be discussed robustly with the applicant. It is recommended that a staffing roster be maintained in all individual accomodations in order for there to be an accurate record of staff daily allocations in an accessible format. 2. YA18 3. YA34 4. YA41 Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection Riverside Chambers Castle Street Tangier Taunton TA1 4AL 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 Lufton Manor College of Fe D53 - D02 S16084 Lufton Manor College of Fe V231241 190705 Stage 4.doc Version 1.30 Page 28 - 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!