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Inspection on 08/12/08 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 8th December 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 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

The college has a comprehensive assessment procedure. After obtaining information from the prospective student and a range of other relevant people, students are able to visit the college and stay for three days assessment. This benefits the student as they can make sure they are happy with the college. The college is able to ensure that they can meet the students` needs appropriately. Information is available in a range of formats that are suitable for prospective students. Students are actively involved in planning their care. Care plans identified what students can do independently, and contained good detailed information for staff on how to assist and support the student where necessary. Students are supported to manage their own medicines safely through a risk assessed process. The college offers students pathways to employment and independence. A wide range of activities are available both in the college and the community. Students are encouraged to be independent wherever possible. Staff provide training and support to enable students to be more independent. Students are able to make decisions and choices in daily life. They are actively involved in the day to day running of the college through meetings, Student Council and take part in staff selection. Staff spoken with were keen to support and enable students at the college. Staff were seen interacting well with students. Staff demonstrated a good knowledge of individual students` needs and have undertaken a range of training to ensure they are up-to-date with current best practice.

What has improved since the last inspection?

At the start of term, the college now undertakes a six week baseline assessment. Students are able to take part in taster sessions so that they can find out what interests them and identify what they might like to do. The college has introduced individual transition plans for students. Students are actively involved in their own personal development - where they are now; where they want to go; how to get there; who will help; and by when. The college now provides timetabled personal relationship classes to provide students with information and guidance to help them make appropriate decisions. In each accommodation, students had devised their own set of house rules. These had been agreed by all students in each accommodation and signed up to. This is good practice as it ensures that students` rights are respected. The college has increased its therapeutic support by employing a music therapist and occupational therapist. The bedrooms at Manor Farm Main House have been redecorated and look clean and fresh. The college has altered its management structure to create a clear structure with more ownership. Staff spoken with said that they like the new structure and it provides better outcomes for students. The college confirmed that they are now providing fire training every three months, and safeguarding training once a year. This is good practice as it will keep staff up-to-date with the latest advice and guidance. Staff confirmed that they are receiving regular supervision to support them in their work.

What the care home could do better:

The college is currently working with us to review its service provision and procedures to ensure that the appropriate registration is in place and all students are placed in suitable accommodation to meet their needs. The college must ensure that clear procedures are in place and care plans are followed by staff. This is to ensure students` changing health needs are met and to protect students` health and wellbeing. The date that students` complaints are responded to should be recorded, in order to evidence the college is responding to complaints within timescales. The college should undertake a detailed risk assessment in relation to the use of shared towels to document how they are managing the risk of spread of infection. The college should record staff supervision meetings and observations of practice to evidence that they have taken place.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Lufton Manor College Of FE Lufton Manor College Of FE Lufton Yeovil Somerset BA22 8ST one star adequate service The quality rating for this care home is: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Alison Philpott Date: 0 9 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Internet address www.csci.org.uk Information about the care home Name of care home: Address: Lufton Manor College Of FE Lufton Manor College Of FE Lufton Yeovil Somerset BA22 8ST 01935403120 01935403126 tess.baber@mencap.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Royal Mencap Society care home 74 Number of places (if applicable): Under 65 Over 65 74 0 learning disability Additional conditions: 2 2 0 1 2 0 0 8 A bit about the care home Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of Home Individual needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct and Management of the Home How we did our inspection: This is what the inspector did when they were at the care home This was an unannounced inspection which took place over a total of 21 hours on 8th and 9th December 2008. The inspection was undertaken by Alison Philpott and Brian Brown, Pharmacist Inspector. Although there were two inspectors, throughout the report the term we will be used as it is written on behalf of the Commission. The preferred term for the home is college. The preferred term at the college for people who live at the home is student. These are used throughout the report. As part of this inspection we received twelve completed surveys from students and ten completed surveys from staff. During the inspection we spoke with students, management and staff. Students comments included Im very happy at the college; the staff are nice; its very good; the food is nice. We viewed most of the accommodation at the Main House and Manor Farm. We looked at six individual care plans, and looked at records relating to medication, finance and health & safety. The inspectors would like to thank students, staff and management for their assistance on the day of inspection. The focus of this inspection visit was to inspect the relevant key standards under the CSCI Inspecting for Better Lives 2 framework. This focusses on outcomes for students living at the college. The quality of the service is measured under four ratings. These are excellent, good, adequate and poor. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. What the care home does well The college has a comprehensive assessment procedure. After obtaining information from the prospective student and a range of other relevant people, students are able to visit the college and stay for three days assessment. This benefits the student as they can make sure they are happy with the college. The college is able to ensure that they can meet the students needs appropriately. Information is available in a range of formats that are suitable for prospective students. Students are actively involved in planning their care. Care plans identified what students can do independently, and contained good detailed information for staff on how to assist and support the student where necessary. Students are supported to manage their own medicines safely through a risk assessed process. The college offers students pathways to employment and independence. A wide range of activities are available both in the college and the community. Students are encouraged to be independent wherever possible. Staff provide training and support to enable students to be more independent. Students are able to make decisions and choices in daily life. They are actively involved in the day to day running of the college through meetings, Student Council and take part in staff selection. Staff spoken with were keen to support and enable students at the college. Staff were seen interacting well with students. Staff demonstrated a good knowledge of individual students needs and have undertaken a range of training to ensure they are up-to-date with current best practice. What has got better from the last inspection At the start of term, the college now undertakes a six week baseline assessment. Students are able to take part in taster sessions so that they can find out what interests them and identify what they might like to do. The college has introduced individual transition plans for students. Students are actively involved in their own personal development - where they are now; where they want to go; how to get there; who will help; and by when. The college now provides timetabled personal relationship classes to provide students with information and guidance to help them make appropriate decisions. In each accommodation, students had devised their own set of house rules. These had been agreed by all students in each accommodation and signed up to. This is good practice as it ensures that students rights are respected. The college has increased its therapeutic support by employing a music therapist and occupational therapist. The bedrooms at Manor Farm Main House have been redecorated and look clean and fresh. The college has altered its management structure to create a clear structure with more ownership. Staff spoken with said that they like the new structure and it provides better outcomes for students. The college confirmed that they are now providing fire training every three months, and safeguarding training once a year. This is good practice as it will keep staff up-to-date with the latest advice and guidance. Staff confirmed that they are receiving regular supervision to support them in their work. What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Alison Philpott CSCI Fourth Floor 33 Colston Avenue Bristol BS1 4UA If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The college has a comprehensive system in place to ensure that they are able to meet prospective students individual aspirations and needs. Evidence: The college has an intake of new students every September. Prospective students and their families are invited to visit the college to have a look around. If the prospective student wishes to make an application, the college will give them an application form at the end of the visit. We viewed care plans that contained an application form completed by students, and information obtained from carers and Connexions. Documents that are given to students are all written in an easy read format using symbols. Once a successful application has been made, the college invites students to stay at the college for three days. The college then undertakes an initial assessment to ensure that the students needs can be met appropriately, and to give the student the opportunity to sample life at the college to ensure that they are happy. New students have a freshers week where they are able to meet key people at the college and find their way around the site. At the start of term, the college undertakes a six week baseline assessment. Students are able to take part in taster sessions so that they can find out what interests them and identify what they might like to do. Each student has a Personal Tutor and Key Worker who can give information, answer questions and help to make students feel comfortable at the college. Evidence: Staff at the college have undertaken training in Total Communication. We observed staff interacting well with students. Some students use alternative methods of communication. Staff were observed to have a good knowledge of students communication needs. The college has an Equality and Diversity noticeboard. This contained information for students and a celebration calendar. The Student Council also discuss equality and diversity at their meetings. Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Students assessed needs and personal goals are clearly reflected in care plans. Students are encouraged to make decisions and are actively involved in the running of the college. The college encourages students to take responsible risks. Evidence: We viewed six care plans. It is evident that students are involved in planning their care. The plans were clear and person centred with a good level of detail. They identified what students can do independently, and contained information for staff on how to assist and support the student where necessary. Each plan contained detailed communication profiles and interaction profiles with behaviour management support plans. The college was seen to be meeting the needs of students from other cultures. Diet related information was clearly identified in the care plans. Care plans are reviewed regularly with the student and updated as necessary. Some students had signed their care plans which is good practice. Since the last inspection, the college has introduced individual transition plans for students. These have been completed for all first and third year students, with plans to meet with second year students. Students meet with a college transition officer to discuss their own personal development - where they are now; where they want to go; how to get there; who will help; and by when. The student can decide who they want at the review. The plan is then sent to other people including the social worker and Evidence: Connexions prior to a review so that they can prepare the necessary information requested by the student. Each student has the opportunity to review and update their plan at their weekly tutorial or their personalised learner meeting which is held once a term. Staff encourage students to be independent wherever possible. Students were observed making decisions and choices. The college supports some students to manage their finances. Monies are stored separately and individual records are kept. Wherever possible, students sign the records of financial transactions with a member of staff. The college provides support and tuition so that students are able to manage their own money. Students that manage their own money have lockable storage facilities to keep their money safe. Each student has a key worker and personal tutor. The Student Council hold regular meetings. They are involved in making improvements within the college and produce minutes of these meetings. Students are able to speak to a student council representative if they have any problems or there is anything they would like the Student Council to talk about. We viewed interview records that evidenced that students take an active part in interviews and staff selection. The college holds meetings in each student accommodation every two weeks. Students are able to raise any maintenance or other issues. Minutes of the meeting are produced and follow up action is identified. Through observation and discussions, it was evident that staff encourage students to take responsible risks. We viewed individual risk assessments relating to Epilepsy, Asthma and self medication. These assessments were clear and detailed. Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Students are enabled to have a fulfilling lifestyle within the college and in the local community. The college respects students rights. Students enjoy their food and mealtimes at the college. Evidence: We spoke with a large number of students during the inspection and viewed individual timetables. The college offers students pathways to independence and employment. Students confirmed that they are happy with the activities provided. Activities include drama, swimming, cycling, bowling, army cadets, film club, discos, going to the pub. The college has a number of specialist volunteers who coach students in different types of sports. Students were preparing for their end of term Christmas play. One student who has a part in the play said she was looking forward to it. On the day of inspection, there was a planned helicopter landing. We observed students being supported to read bus timetables to plan a journey. We observed some students dancing in the college hall. Students confirmed that staff support them to maintain contact with families and friends. We viewed lists in bedrooms and care plans with contact details. Students have access to computers to write e-mails. The college has recently provided an Evidence: information technology suite at the Manor Farm site. The college now provides timetabled personal relationship classes to provide students with information and guidance to help them make appropriate decisions. The farm at the college is now being run by Cannington College. This has promoted links with other students. A football match has been arranged for the students to play against each other. A number of students hold a key to their accommodation. Staff were observed knocking on doors before entering bedrooms to respect students privacy. Students feel that their privacy is respected and staff are helpful. In each accommodation, students had devised their own set of house rules. These had been agreed by all students in each accommodation and signed up to. This is good practice as it ensures that students rights are respected. On the day of the inspection, some students were going shopping. They had planned their meals and were taking a shopping list. The college is committed to being green by encouraging students to take used containers to the recycling bank at the supermarket. Students spoken with confirmed that they prepare food and meals. Some students were cooking lasagne and another was baking a cake. Other daily living skills includes cleaning bedrooms and communal areas and laundry. Students confirmed that they enjoy their meals at the college. We viewed menus that show a choice of dishes including a vegetarian option. The main dining room is bright and airy with patio doors leading onto the pleasant decked area. We viewed information in one accommodation relating to how to achieve a healthy diet. We spoke to staff in the kitchen who showed a good knowledge of individuals dietary and cultural needs. Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Students are generally supported to manage their individual healthcare needs by trained members of staff. Evidence: Students have a designated key worker to support them with their personal care needs, where required. Students confirmed that they have choice in what time they get up and go to bed and what they wear. The college has increased its therapeutic support by employing a music therapist and occupational therapist. We saw that there is good support to help students attend medical appointments and this is supported by information provided to tutors in the college. A log is kept of all appointments for each student. There are plans to introduce a well man session and a well woman session. The college monitors students health needs and action to be taken is written in the care plan. For one identified student, the college had not followed the individuals care plan to ensure their changing needs were met appropriately. The college must ensure that clear procedures are in place and followed by staff to protect students health and wellbeing. We found that students are supported to manage their own medicines where appropriate through a risk assessed process with a lot of individual support provided. The college have looked at making the medicine storage areas appear more homely and less intrusive into the living areas of the accomodation. We found that there were clear records for the receipt and administration of medicines at the college. However we found that the records were less clear about medicines that were leaving the college as no records were made when students took medicines out of college such as Evidence: the end of term. The person in charge of medicines developed a monitoring form for this whilst we were inspecting and told us that this would be in use from the Spring Term. Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Students benefit from the colleges effective system for hearing and responding to concerns and complaints. The colleges policies and procedures protect students from the risk of harm. Evidence: The college has a comprehensive complaints policy. Two complaints books are maintained. One for students and the other for relatives/carers. We viewed the complaints that had been received since the last inspection. The college had recorded the action taken and outcome. The date the complaint was responded to was not recorded within the students complaints record. The college should record the date to evidence they are responding to complaints within timescales. Students spoken with knew who to speak to if they had any concerns. All of the students who completed the survey confirmed that they knew who to speak to if they were unhappy. Some students also mentioned filling in a Jonathan Card. These cards are available throughout the college. Students can use the card to inform staff that they want to talk to someone. The college has policies relating to adult protection, child protection and whistleblowing. The college confirmed that staff now undertake safeguarding training every year. Staff files viewed contained Criminal Record Bureau checks for staff to protect students. The college recently took part in Anti-Bullying Week. Bullying was discussed at the Student Council meeting. Signs and information defining the different types of bullying were visible throughout the college. This is good practice as it raises awareness of bullying and what students should do if they are bullied. Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The college provides a homely environment where students can personalise their own accommodation. Evidence: We viewed a range of student accommodation. This included a number of bedrooms, bathrooms, lounge and dining areas, and kitchens. Most of the bedrooms are used for single occupancy. Two larger rooms accommodate two students in each room. These students all requested and chose to share a room. The accommodation is homely and comfortable. The students had decorated their lounges for Christmas. Bedrooms were personalised by each student and reflected their individual tastes and preferences. The bedrooms at Manor Farm Main House have been redecorated and look clean and fresh. The college has plans to redecorate other areas. We viewed lots of signage with symbols throughout the accommodations. These encourage independence by informing students and prompting them to do things themselves. All of the bathrooms viewed had liquid soap available. Students have their own individual towels for bathing. A number of bathrooms had one towel for students to dry their hands. The towel is changed daily to minimise the spread of any infection. We discussed this with staff and the manager. The college should undertake a detailed risk assessment in relation to the use of shared towels to document how they are managing the risk of spread of infection. The college has one main laundry and a number of smaller laundry areas in individual accommodations. Staff undertake infection control training and gloves and aprons are available. Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The college has a comprehensive induction and training programme which helps to ensure that all staff are competent to deliver care to the students they support. Students are protected by the homes recruitment procedures and benefit from well supported and supervised staff. Evidence: Throughout the inspection, it was evident that staff have a good knowledge of the students they support. Staff spoken with said that they enjoy their work and appeared committed to promoting students independence, wherever possible. We viewed the staff rotas and cover arrangements for weekends which indicated that staffing levels are sufficient to meet students needs. On the day of inspection, there appeared to be enough staff on duty to meet the needs of students. Some staff commented that the number of staff on duty is sometimes less than the numbers on the rota due to staff sickness. One member of staff said that the needs of the students are still met. Another member of staff said that staff cover had improved. The college has recently recruited more staff to try and address this issue. The college has put boards up with photos of staff on duty so that students know who is working at a particular time. We viewed four staff recruitment files. The files were well organised and contained all of the necessary checks to ensure that students are protected. On the day of the inspection, new staff were undertaking induction training. The college has a three week comprehensive induction programme. New staff also have the opportunity to work shadow shifts with an experienced member of staff. Evidence: The college has a comprehensive training programme. Staff said that there has been some very good training, and the training has improved and become a lot more focused on the needs of students. We viewed training records which included first aid; fire; food hygiene; medication; Total Communication; challenging behaviour, equality & diversity. In addition training is provided to meet the specific needs of students including Asthma, Aspergers, and Autism. The college confirmed that they are now providing fire training every three months, and safeguarding training once a year. This is good practice as it will keep staff up-to-date with the latest advice and guidance. Staff spoken with confirmed that they feel well supported by management. All staff who completed the survey confirmed that they meet with their manager on a regular basis for support and to discuss their work. The college should record supervision meetings and observations of practice to evidence that they have taken place. The college has recently given out its annual supervision paperwork to staff. Once the form is returned and completed, the college confirmed it will arrange a personal development meeting with each member of staff. Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Students at the college benefit from a well run service. The college uses quality assurance systems to review and develop the service. Students health, safety and welfare is generally promoted and protected. Evidence: The Registered Manager has left the colleges employment since the last inspection. One of the College Learning Managers is in the process of applying to register with CSCI. Staff spoken with confirmed that they feel well supported and find the management are open and approachable. The college has altered its management structure to create a clear structure with more ownership. Staff spoken with said that they like the new structure and it provides better outcomes for students. On 19th January 2009, we met with the college. The college is working with us to review its service provision and procedures. The college must ensure that all students are placed in accommodation appropriate to their needs and funding to protect their health and wellbeing. We found that the college carry out regular surveys of parents, carers and students to monitor how well they are meeting the needs of the students. There is also in place a regular programme of student and staff meetings which we were able to see produced action points that had been addressed within the time scales agreed. Evidence: We viewed the colleges health and safety records. These were found to be well maintained and up-to-date. This includes portable appliance testing and fire system testing. Fridge and freezer temperature records are maintained in student accommodation. We observed that food is stored appropriately. The staff in the main kitchen are using the Safer Food, Better Business pack to manage food safety and comply with food hygiene regulations. Each student has an accident/incident profile record. An incident follow up form is used to evidence what action has been taken as a result of the accident, where appropriate. Accidents are logged so that an overview is available to identify patterns. Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 19 12 The college must ensure that 08/03/2009 clear procedures are in place and care plans are followed by staff. This is to ensure students changing health needs are met and to protect students health and wellbeing. 2 42 12 The college must ensure that 08/03/2009 all students are placed in accommodation appropriate to their needs and funding. This is to protect students health and wellbeing. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 22 The date that students complaints are responded to should be recorded, in order to evidence the college is responding to complaints within timescales. 2 30 The college should undertake a detailed risk assessment in relation to the use of shared towels to document how they are managing the risk of spread of infection. The college should record staff supervision meetings and observations of practice to evidence that they have taken place. 3 36 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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