Inspection on 22/01/08 for Lufton Manor College Of FE

This inspection was carried out on 22nd January 2008.

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

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 2 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 14/12/06

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 Marion Hurley Unannounced Inspection 22nd January 2008 09:30 Lufton Manor College Of FE DS0000016084.V357157.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.V357157.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.V357157.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 tess.baber@mencap.org.uk www.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) Stephen David Robinson Care Home 74 Category(ies) of Learning disability (74) registration, with number of places Lufton Manor College Of FE DS0000016084.V357157.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.V357157.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use the service experience good outcomes. This was an unannounced inspection undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. All key standards were assessed according to the Care Home for Adults (18-65) National Minimum Standards. Key inspections are aimed at making sure that the individual services are meeting the standards and that outcomes are promoting the best interests of the young people living in the home/College. This inspection and was carried out over a period of 10 hours spread over two days, January 22nd and January 23rd, 2008. An Expert by Experience and their supporter assisted the inspector on both days; details from their report have been included in this report. During the visits time was spent talking to the students living at the College, support staff, and the manager and Principal of the College. Some judgements about the quality of life and choices were taken from direct discussion with the students and their support workers and from evidencing records held at the college. Throughout the visit various records were looked at, a tour of the campus was carried out. Further information about the College was collected in a number of different ways. Prior to the inspection the manager provided the Commission for Social Care Inspection with written information about the home/College in their annual quality assurance self assessment (AQAA). This assessment is aimed at looking at how services are performing and achieving outcomes for people. It is now a legal requirement for services to complete and return the Annual Quality Assurance Assessment (AQAA). The manager had comprehensively completed the AQAA identifying positive aspects of the service and areas for development. The College continues to provide a good standard of support and progress has been made towards meeting the requirements set at the last inspection. The inspector would like to thank the students, staff and managers for their friendly welcome, kind hospitality and support during the inspection process. Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 6 The Expert by Experience specifically looked at the level of independence students were able to fulfil and enjoy and commented, “The students are given work experience placements. In their first year they try out all the different things available at the college. In the second year they can choose up to a point the things they want to learn and do. If they visit a pub or somewhere else in town in the evenings, they have to get risk assessed to travel independently or use public transport. They also have to be risk assessed to go to the Manor Farm site”. The Expert by Experience also looked at the social opportunities available to the students at College and noted “Every Saturday evening the students plan and run a disco with support. As regards to alcohol you can’t get it on site but you can buy cans off site and bring it back to your own room. There is a no smoking policy at the college that includes all buildings and the grounds. Each year in May, the college have a May Ball for students who are leaving. The college get an entertainment and drinks licence. This means they can buy alcohol at the ball. The college has an IT suite also an Internet café on site. The access to the Internet is controlled to stop students getting into inappropriate sites. The college has an Activities Week where the students go on camping trips or day trips. These are group activities”. The Expert by Experience observed and chatted to many students throughout their visit and felt there were many good things happening for the students at Lufton College e.g. “They are supported to cook, clean and budget money. All the students have bank books, the students are given work experience placements, the accommodation and college buildings have a mainstream student accommodation feel, first year students are given all the information they need to know about the college, Student Charter, Code of Conduct, Rights and Responsibilities, the students have their own student council the members of the council, are elected by the students. Staff help the students at their meetings. This is one way for students to have their say. All the students have Individual Learning Plans (ILP) and Care Plans, which include healthy eating and healthy living. (HAP’s). The students have copies the staff also have copies. Their individual aspirations are set out in their ILP, which they work towards. The students have access to independent advocacy. There are lots of photos of student activities around the college. You can also see the timetables for students. They have symbols and photos in them”. However there were areas that the Expert by Experience identified could be considered in the future and these were based from conversations with students and included: - “The college has a student led sex and relationships policy but there is no Men’s or Women’s group, more could be done to inform students about sex and relationships. Some students felt they would like more choice in what they do, i.e. the lessons from the second year onwards. (Twice a year the students are asked to complete a survey, so the staff should know what they wanted and how they felt). The students did have some choice but they wanted more. Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 7 Lots of things they want to do need to be risk assessed or ask the staff’s permission, and it feels as if there is quite a lot of staff control and more could be done around Person centred planning to give students ‘ownership’ of their learning and their future lives”. Comment cards were circulated prior to the inspection and those returned from students (20) were mainly positive including: - “good staff”, “the best things I like doing are farming and woodwork”, “they listen to me”, “I like going to College with all my friends”. A total of 9 comment cards were received from relatives with a range of comments including: - “some of the staff are superbly dedicated, they care about the students and as a result these are happy and engaged, it all depends on the quality of the students “worker”, “ treating students as individuals provides a varied timetable of events and educational needs”, “Lufton does everything very well”, “the staff make good relationships with the students”. A total of 18 staff comment cards were returned with mostly positive comments though some identified: - “there have been a number of changes to the structure”, “there is usually enough staff”, “I have always found my line manager approachable”, “some training courses are over subscribed which is frustrating” and finally “Lufton cares about the students”. What the service does well: Lufton College has good assessment and admission procedures. New students are able to visit and stay at the College for a three-day assessment. They are given detailed information about the College and the residential houses. Some of the information is illustrated with pictures and diagrams or on a compact disc or information can be obtained via the College’s web site. Lufton College provides students with a co-ordinated package of care and support to ensure independence and lifestyle choices are maximised as much as possible. There is a programme of social and leisure activities. Students can access a range of educational facilities both on and off site. Students are offered opportunities to gain work experience and gain skills in preparing for employment Students are protected by the Colleges’ recruitment procedures and are supported by a competent and qualified team of staff. Support workers and managers benefit from staff training and development programmes. It was not possible to gain comments from all the students however observations made during the visits and those students spoken to confirmed that they were well supported and that the college provided suitable care and support to meet their needs and the students were supported in a friendly and Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 8 respectful manner with the students in general terms being complimentary about the qualities and skills of the staff team. Staff members are clearly committed and enthusiastic in providing pro-active support to assist students in making choices about their lives. Staff spoken with were aware of equality and diversity issues and were able to discuss this in relation to the students’ care and individual learning plans. Care plans are presented in a clear format giving guidance to ensure that individual student support needs and lifestyle preferences are being met. Students are involved in the care planning process. Quality assurance is approached in a number of different ways. Students, parents and stakeholders are surveyed and suggestions for development are welcomed. There is an active student council and employee forum that has representatives on the College Board of Governors. Managers and staff undertake regular accommodation audits. Students’ benefit from a well run College by a manager is suitably qualified with considerable experience in the field of social care. What has improved since the last inspection? What they could do better: Person centred care planning continues to be developed however the plans would benefit from further expansion to illustrate how students have contributed to their plan and detail how students are encouraged and supported to design their own plans and timetables of learning. Action must be taken to ensure that all staff receive regular fire safety training and a monitoring system developed to ensure all staff complete training within the required time scales. Action must be taken to ensure all staff must receive regular supervision and an annual appraisal. Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 9 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.V357157.R01.S.doc Version 5.2 Page 10 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.V357157.R01.S.doc Version 5.2 Page 11 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): 1, 2, 3 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective students have access to good information and can make an informed choice regarding the services. The college carry out student assessment and enrolment days and provide a fair and transparent assessment system, which if appropriate will include a three residential assessment. EVIDENCE: Lufton College has an annual intake of students each September. The inspector met with some students who were in their first year who described their first visit and the “fresher week” where all new students have the opportunity to experience “taster classes” and familiarise themselves with the layout of the college before second and third years students return. All students are asked to complete a pre-admission assessment. In addition, the college gathers information from the students’ carers and existing providers. This information with the student’s personal contribution during their residential assessment and freshers week contribute to their first year care plan and individual learning plan. Each student is provided with a Terms of Residency, Service User Guide, Complaints procedure and information on Keeping Safe. All these documents are in easy read text and use symbols taken from Somerset Total Communication system. Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 12 Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 13 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care and support at the College is provided to a good standard. The care plans ensure staff have information to satisfactorily meet the students assessed needs. EVIDENCE: Students continue to be involved in the planning process including regular reviews and weekly sessions with their individual learning support worker (keyworker) and personal tutor. These sessions ensure that individual choices, needs and preferences continue to be monitored and achieved. Six care plans were inspected and they contained current information and guidelines to meet the individual’s needs including activities and communication guidelines, health and safety issues. Two students kindly showed the inspector their portfolio, which included copies of their care plan and individual learning plan. In addition each student has a personal care log, which includes his or her communication profile, and these are kept in his or her accommodation. When the students were asked if the plans were a fair Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 14 description of what they did and where they needed some extra help to get things done both agreed that the plans were good and they had helped to write them. All the plans viewed during the visit had been signed and reviewed with the students each term. The plans had been up dated and goals changed as individuals developed greater levels of independence or their health needs change. Information is presented using a combination of text and symbols using clear statements detailing likes and dislikes. Risk assessments are included in individual files and students are consulted about these assessments and are reviewed simultaneously with the care plans. Student’s parents/relatives can be involved in the review process if the student wishes. The health care of students is regularly monitored and staff assist students with GP and out patient appointments where necessary. Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 15 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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff provide appropriate support to ensure that students have access to a wide range of activities in both the college and in the community to meet their needs and interests. Students are offered a choice of menu that provides a balanced diet. EVIDENCE: Students continue to be involved in a wide range of activities including contact with various sporting venues and external colleges and art and drama centres. Staff are actively involved ensuring the students receive the level of support and encouragement required to maximise the benefit from these community experiences. There are regular shopping trips to local towns and places of interest. The college has a dedicated manager known as the Head of Function for Enrichment whose responsibilities include the overall management of activities, the purchase of equipment and the safe access of community facilities. The Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 16 manager supports and encourages students and staff in the planning and development of opportunities and is currently constructing an “Enrichment Calendar” which will include events, activities and festivals run by the college and other external agencies, cultures and religions. The range of activities and opportunities is comprehensive and are based on sporting opportunities, art, music and drama and Equality and Diversity days. The activities are primary viewed as leisure opportunities but equally offer a learning experience through the activity e.g. drama sessions may promote keeping safe and self-confidence skills. Students where required are assisted with daily living routines and practical living skills including laundry, cleaning, planning meals and food preparation. Individual dietary preferences are recorded in care plans. Students have access to televisions, DVDs, hi fi equipment in the communal lounges and many have their own equipment in their bedrooms. Students have regular contact with relatives and friends and visitors are welcome according to the student’s preferences and within reason to prevent significant disruption to their educational timetable. The college continues to promote individual choice and independence and staff interact with students in a friendly and sensitive manner. Communication is proactively and creatively addressed through a variety of methods, which included pictorial aids based on the individual’s needs. Those students met during the course of the visit were complimentary about the support and services they received in the College. Most students have chosen to have keys to their bedrooms and when asked confirmed that staff knock before entering their room. Students said they liked the food at the college. The students’ main meal is mid day and eaten in the refractory in the “main house”. This room is bright, large and very welcoming. There is ample space and large doors lead onto a patio area. The cooks’ work on a four-week menu plan and students confirmed there was always a choice of meals each day. Students eat in their own accommodation in the evenings and at weekends and many are actively involved in the weekly menu plan and shopping for these meals. Many students have tutorials in kitchen safety, hospitality and food preparation as part of their individual learning plan. On the Manor Farm site a coffee shop is run and managed by students with staff support. This coffee shop is open to the public and serves excellent home made snack lunches and a variety of beverages and offers students a positive work experience. Students have access to the gardens and grounds and are able to choose to spend time alone if they wish to do so. Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 17 Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 18 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students receive appropriate health and personal care to meet their assessed needs together and receive appropriate support in taking prescribed medication. EVIDENCE: Staff continue to support students with personal care needs when required. Each student has a precise of their medical needs and this information is recorded on their “medical overview form” which includes their photograph. This form records any medical conditions, allergies, and requirements when administering medicines. The college has designated day care officers for Manor Farm and the main site. Their responsibilities include co-ordinating GP and outpatient appointments and ensure students are supported where necessary. Individual records are kept of all attended appointments. The day care officers also have responsibility for the overall management of medication. A monitored dosage system for drug administration is in place and all staff that administer medication receive appropriate training. Medication is stored in individual houses. A sample of records of medication administration Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 19 were checked and found to be accurate. A local pharmacist continues to provide advice/guidance when required. Specialist advice is available from members of the multi-disciplinary team, which may include regular meetings with speech and language therapists, psychiatrist and psychologist. Students’ health care is detailed in their care plan and reviewed on a regular basis as part of the care planning process. The manager stated that the college continues to have a good relationship with the local GP surgery and stated that the GPs and other practitioners are responsive to students’ needs. Primary health care checks including dental and optician appointments are carried out at appropriate intervals and recorded in individual plans. A recommendation from the previous inspection remains outstanding, which refers to the relocation of the large medicine cabinets from the communal lounges to an alternative secure site. The manager and day care officers are aware of this and are currently trying to resource more suitable cabinets and identify other safe and secure locations. Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 20 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The college has a satisfactory complaints procedure to make sure that students have their complaints or concerns listened to and acted upon properly. There are suitable arrangements for ensuring the protection of students from neglect or harm. EVIDENCE: The College has a full complaints procedure, which includes timescales to ensure that all complaints are fully investigated and actioned appropriately. CSCI have not received any complaints/concerns regarding this service. Each student has an easy read copy of the complaints procedure plus the college operates a system called “Steve’s card”. This is a pre printed form, which students can hand to any member of staff or directly to Steve (the registered manager) to indicate they want to talk to someone. The cards are displayed prominently on notice boards round the college campus and were also seen on students’ own notice boards in their bedrooms. Students when asked to describe what the cards meant were very clear about the purpose of the card and how they would use them. In addition weekly “Chat Shops” are used as a further method /forum for students to raise any issues plus weekly accommodation meetings are held in each house. The college also has a student council, which meets regularly, and where students can present any issues or compliments which the council will take to the College Board. Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 21 The College has a robust policy in place to ensure that students are protected from abuse. The manager stated that there have been no changes to the procedure since the last inspection. Staff confirmed that they receive on going POVA training to ensure that they are aware of adult protection principles and procedures. Feedback received from students and relatives comment cards received by CSCI, did not raise any concerns regarding the College. Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 22 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is homely and clean and suitable for the needs of those living at the College. The college has a planned maintenance and renewal programme. EVIDENCE: The premises remain suitable for the students’ needs and are accessible and safe and regularly maintained. The college has two campus sites Manor Farm and Lufton Main House and within these sites are several small living units, which accommodate from 3 to 6 students. A senior learning support worker and tutor have direct responsibility for each unit, which are all individually named. All the accommodation units have communal lounges, kitchen and laundry facilities. Students may move accommodation during their stay at the college depending on their preferences and individual abilities and independence. Students are encouraged to personalise their rooms to reflect their individual tastes and interests however some of the ones viewed had a real mix of Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 23 furniture making the rooms look unkempt and rather poorly furnished. Several sets of curtains needed hanging and prominent notice boards in each room would look less out of the ordinary and more in keeping with the bedroom if decorated. Manor Farm site is in need of major refurbishment and decoration and the manager stated this work has been schedule for the summer of 2008. Extensive signage is used throughout the campus based on Somerset Total Communication system and students clearly find this useful. The college has recently completed an audit of safe storage of COSHH related cleaning products and overall the report indicated that the storage was safe and the use of products containing chemicals were restricted and carefully monitored. Comprehensive documentation compliments the policy including COSHH assessments, risk evaluation, and inventory forms. The report identified some accommodation units where additional safe storage is required and installation of these cupboards and locks have been added to the maintenance cycle. Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 24 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, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The College’s recruitment policy and processes make sure that students are protected from harm. The college has an induction and training programme which helps to ensure that all staff are competent to deliver care to the students they support. EVIDENCE: The college has two staff dedicated to recruitment, human resource matters and staff training and development. Both staff are newly appointed and are still actively working to bring all staffing records up to date with particular reference to mandatory training and staff supervision and annual appraisals. Staff welfare, training and development continue are given a high priority in the college providing each member of staff twenty training and development days per academic year. Training in mandatory health and safety issues are organised throughout the year along with specific training events however not all staff were up to date with the mandatory training e.g. fire safety training had lapsed for some staff. The officers provided copies of the training programmes that have been undertaken and those that are planned. Several staff were spoken to during the visit and all confirmed that they received training in both mandatory and specialist subjects including epilepsy, Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 25 autism, understanding complex behaviour, protection of children and vulnerable adults, medication, and care planning. Specialist advice /input is also received from the multi-disciplinary team specific relating to individual student care. The College’s recruitment policy and processes ensure that students are protected from harm, A full training and induction programme is provided to ensure that all staff are competent in providing care and support to students. A random selection of 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, which are renewed on a three-year cycle. All learning support staff have dedicated “non–contact time” which amounts to one day every three weeks for administration work and this helps ensure student records are well maintained and up to date. An employee forum meets once a term and this is an opportunity for staff to express any ideas or raise issues of concern. Full staff meetings/ briefings are held at the start of every term and include all tutors and learning support staff. Since the last inspection staff teams and rotas have been changed and staff are now assigned to teams. Staff commented that this is working well and staff cover for sickness comes from within the team. Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 26 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The College is well managed with a positive attitude and supportive leadership providing guidance to staff ensuring that students receive high quality care. The college has quality assurance systems in place. The college is generally pro-active in addressing matters of health and safety however some omissions in fire safety training require immediate attention. EVIDENCE: The manager creates a supportive and positive approach and communicates a clear sense of leadership and direction to ensure that the College is well managed. Staff confirmed this to be the case and they stated that they are encouraged to participate fully in the development of the College. Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 27 The college has a comprehensive quality assurance system, which includes regular half termly audits of accommodation. Each accommodation unit has an “accommodation file” which holds relevant information including inventories, health and safety records e.g. fridge /freezer temperatures, accommodation risk assessments, and minutes from student/accommodation meetings. In addition the Student Council meet weekly during term time and students uses this forum to discuss a wide range of issues, which include discussions about the range of services and faculties available to them. Regulation 26 reports and Regulation 37 reports are sent to the local CSCI office. Servicing records relating to all aspects of health and safety were seen to be well maintained and up to date. Fire safety requirements were undertaken with weekly fire point tests, monthly emergency lighting, servicing of equipment and the alarm system. 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 recorded and food is being stored appropriately however temperature of cooked foods were not being monitored and recorded, nor the record of meals eaten in the students’ own accommodation. Accidents and incidents are recorded and a monthly analysis of this data is undertaken by the registered manager to ensure an overview of all accidents and incidents at the college. Lufton Manor College Of FE DS0000016084.V357157.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 3 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 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 Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 29 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. 2. Standard YA36 YA42 Regulation 18(2) 23 (4)(d) Requirement Staff must receive regular recorded supervision at least six times a year. The manager must ensure all staff receive regular fire safety training. Timescale for action 31/03/08 31/03/08 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 YA6 Good Practice Recommendations The manager needs to consider ways to expand the care plans to ensure they are based on the principles of person centred planning and can demonstrate how students have been involved in making their personal choices. The manager needs to consider ways to support students to understand and manager their personal relationships and own sexuality. 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 the manager review the standard of furnishings in some areas of the College to ensure all the DS0000016084.V357157.R01.S.doc Version 5.2 Page 30 2. 3. YA15 YA20 4. YA24 Lufton Manor College Of FE students’ bedrooms are comfortable and homely and appropriately furnished. Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 31 Commission for Social Care Inspection Taunton Local Office 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. Extracts may not be used or reproduced without the express permission of CSCI Lufton Manor College Of FE DS0000016084.V357157.R01.S.doc Version 5.2 Page 32 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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