Inspection on 09/05/06 for Lufton Manor College Of FE

This inspection was carried out on 9th May 2006.

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 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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lufton Manor College Of FE 08/12/08

Lufton Manor College Of FE 22/01/08

Lufton Manor College Of FE 14/12/06

Lufton Manor College Of FE 08/02/06

Lufton Manor College Of FE 19/07/05

Lufton Manor College Of FE 22/02/05

Lufton Manor College Of FE 29/09/04

Similar services:

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

2 Perhaver Park

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

CARE HOME ADULTS 18-65 Lufton Manor College Of FE Lufton Yeovil Somerset BA22 8ST Lead Inspector David Kidner Key Unannounced Inspection 9th May 2006 09:30 Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 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.V291182.R01.S.doc Version 5.1 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.V291182.R01.S.doc Version 5.1 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) Mrs Teresa Ann Baber Care Home 74 Category(ies) of Learning disability (74) registration, with number of places Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th February 2006 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 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 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. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The previous inspection was Unannounced and took place on 8th February 2006. At that inspection ten requirements and fifteen recommendations were made. Two Inspectors carried out this inspection over two days from 9th May 2006. The Inspectors spoke with a number of students and staff in private and in small groups. Steve Robinson, Assistant Principal and other members of the management team were available during the inspection. The Inspectors viewed most of the accommodation at the main house and Manor Farm. Records viewed included student portfolios, medication and health records, recruitment, health and safety records, minutes of meetings, menus, quality assurance, and staff training. On the day of the Inspection the inspectors observed the staff interacting with students in a professional manner. Staff were observed being kind and supportive. Students appeared very happy with the services that are provided at the College. There were some students under the age of 18 resident at the college. This means that the college is also inspected against the supplementary standards of the National Minimum Standards for young people aged 16 and 17. The college is aware of the need to meet these supplementary standards. The Inspectors would like to thank students and staff for their involvement and participation in the inspection process. As a result of this inspection the college has eight requirements and eight recommendations. What the service does well: Students appear to be happy and enjoy their learning experience at Lufton College. Students stated that they liked the activities on offer. Staff appear to be very committed in proving a high quality service to the students. Staff demonstrated a good awareness of student’s individual needs. The Inspectors observed staff supporting students in a professional and courteous manner. Staff have skills in communicating with students who have limited verbal communication. The college is committed to identifying and addressing the needs of students from other cultures. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 6 The college is committed in providing staff with training opportunities and are committed in developing a skilled workforce. The college has a robust staff recruitment process. What has improved since the last inspection? What they could do better: Pre-admission assessments must be carried out for any student moving into accommodation on the Main Site or Manor Farm. Individual student and environmental risk assessments must be completed. Further re-decoration and refurbishment is required to make student’s accommodation more homely. However, some funding has been allocated for students to buy small items that will enhance their accommodation. Staff should receive regular 1:1 supervision with their senior/manager with records kept. The management should continue to review staffing levels to ensure that students are offered activities at evenings and weekends. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 7 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 DS0000016084.V291182.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The quality in this outcome area is poor. The college does not always complete pre-admission assessments to ensure they can meet the needs of prospective students. EVIDENCE: The college has recently admitted students to the college but have not conducted a pre-admission assessment to ensure that the service can meet the needs of the individuals. The Assistant Principal stated that these students were living within their community support facilities. The Inspectors stated that all students who are admitted to the service regardless of their previous accommodation must have a pre-admission assessment. This was acknowledged. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 The quality in this outcome area is adequate. There have been some improvements in the care plan format. Some require more detail relating to student’s health and social needs. Students make decisions and exercise choice in their day to day lives. Risk assessments are not completed in all cases to promote health and safety EVIDENCE: Students have an Individual Learning Plan. This sets the objectives for students to work toward each term. The college completes an individual three year progress report for each student. This identifies the achievements and progress made by students and also identifies areas for support. Objectives are educational and lifestyle centred with students following a weekly timetable of the curriculum based on the Mencap Essential Skills Award. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 11 Since the last inspection, the college has developed a care plan for each student. The Inspectors viewed a number of care plans. They contained pictures and information relating to help and support required. The plan was drawn up with the student’s involvement. It was noted that some students had signed their care plans. This is good practice. The care plan of one student with epilepsy contained clear guidance for the management of seizures. However, the care plan of one student with communication difficulties did not contain clear guidance for staff on how to communicate effectively. A plan relating to the management of communication must be introduced to ensure that the student’s needs are being met appropriately. However, it is acknowledged that the college is committed to training its staff in the use of Somerset Total Communication and creating alternative methods of communication. The Inspectors spent some time with one student whose first language is not English. The college has addressed this by developing a communication package for this person. The Inspectors met with the individual and were able to have some dialogue with the student. This reflects the college’s commitment to promoting equality and diversity. It is also noted that the college provides services for people from other cultures and there was clear evidence in relation to diet, skincare and haircare needs being identified and met. The Inspectors suggested that each section of the care plan also contains a ‘link’ to identify where the supporting information can be obtained to fully inform staff. Following discussions with the Assistant Principal, the Inspectors recommended that wherever possible students hold their care plans in their bedrooms. Students are encouraged to make decisions and exercise choice wherever possible. The Inspectors had discussions with a number of students in small groups and in private who confirmed that they are offered choices in many aspects of daily living. Each student has a key worker. The Student Council meets weekly and are involved in the running of the college. A number of students confirmed that they attend these meetings and that they are good. Minutes of these meetings are produced. Some students had individual risk assessments relating to epilepsy, room sharing, keys, traffic, and animal care. These contained scores relating to risk. This scoring system needs to be clarified, as there was no explanation as to what the score meant. The Inspectors were advised that the risk assessment process and documentation is being reviewed. A risk assessment had been undertaken for one student with Epilepsy. This contained review dates. However, there was no information relating to a risk assessment being conducted to ensure that they were safe to live in accommodation that is not supported 24hrs a day. This may relate to a Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 12 number of students who have Epilepsy. A risk assessment must be conducted and reviewed regularly. This was a requirement at the last inspection and has been unmet. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17. The quality in this outcome area is good. The college provides a variety of leisure and social activities. Student’s privacy is respected. Some students have keys to their accommodation. Students are offered a choice of menu that provides a balanced diet. EVIDENCE: Students spoken with at the inspections in small groups and individually were happy with the activities provided. Activities include the weekly book club, disco, swimming, pub visits, cricket and football. On the morning of the inspection, one student had been on a group visit to the River Parrett visitor’s centre. Some students spoken to commented that they would like additional evening and weekend activities. However, staff reported that there are more staff available at weekends to offer more activities. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 14 The Inspectors had discussions with the Assistant Principal as to how the service could develop an individual recording system to record and monitor the number of activities pursued on an individual basis. The Assistant Principal said this would be given further consideration. Students confirmed that they keep in contact with their family through letters and telephone calls. The Inspectors noted that individual student files contained records of contact with families. Some students held a key to their bedroom. Some of the students spoken to expressed a wish to have a key. One student commented that they had not been ‘key assessed’. The Inspectors did not view any risk assessments relating to this. Therefore, this remains a recommendation as of the previous inspection dated 8 February 2006. Students spoken with said that staff knock before entering the student’s bedroom. The students feel that their privacy is respected. The Inspectors were given a copy of a memo sent to all staff reminding to promote student privacy. Students spoken with said that they liked the food at the college. The college is currently building a new dining area to improve the facilities. Students are currently taking their meals in a temporary dining area. The Assistant Principal confirmed that consideration has been given to changing weather conditions and health & safety. The tables were laid attractively with tablecloths and condiments. The college has a 4 week menu with a choice of dishes that promote health and wellbeing. Some students eat in their accommodation. Some students confirmed that they are actively involved in weekly meal planning and shopping. Many students receive tutorial support in kitchen maintenance, hospitality services and food preparation as part of the college curriculum. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. The quality in this outcome area is adequate. The college ensures that student’s personal care needs are met. A nominated key worker is able to provide support in this area. The college ensures that students have access to a variety of healthcare professionals. Minor improvements are needed in the management of medicines. EVIDENCE: The college has nominated key workers to support students with their personal care needs. Students spoken to confirmed that they have choice in what they wear and what time they get up and go to bed. However, following further discussion with the Assistant Principal it was agreed that he would ensure that students are always given the choice of when to go to bed, especially if watching a programme of interest late in the evening. Students at the college have access to a variety of healthcare professionals. There is a designated Day Care Officer both at Manor Farm and Main Site who Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 16 co-ordinate GP appointments and outpatient appointments where necessary. Students are registered with a local GP during term time. Some students spoken to confirmed that they visit the GP. A Speech and Language Therapist visits the college once a week and conducts individual sessions with students and will also liaise with staff to give help and advice when needed. There is Student Counsellor support available on site. Currently all records for visits to healthcare professionals and the outcomes are held individually in medical portfolios held by the Day care Officer. It is recommended that these records be held within the students individual care plans/files. Each student has a medical overview form with a photo of the student. This identifies medical conditions, allergies, and requirements when administering medicines. Lufton College uses a Monitored Dosage System. Medication is stored in individual houses. The Inspectors viewed the MAR sheets in a number of accommodation areas. All records were satisfactory. One service user is now receiving prescribed medicines in their home. Two staff signatures supported all hand transcribed MAR sheets. These were recommendations made at the last inspection. There were discussions in relation to homely and homeopathic remedies. The Inspectors recommended that the college contact the Pharmacy Inspector at the local Taunton Office to request that the Pharmacy Inspector visits the college to offer advice and support on some areas of the management of such medicines. A medication cupboard sited in Stable Block is not secured. The college must ensure that this cupboard is fixed. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. The quality in this outcome area is good. The college records complaints received and the outcome of each complaint. The college has policies and procedures relating to the protection of students. Students’ monies are well recorded and stored securely. EVIDENCE: Students spoken with knew who to contact if they had any concerns. The Inspectors noted that the college also provides leaflets to students called ‘Making a complaint about Mencap’. The complaints records were viewed. The college had received one complaint since the last inspection. The Inspector viewed the documentation relating to this complaint. The complaint had been upheld. The Assistant Principal confirmed that a complaints log book had been introduced. The college has policies relating to adult protection, child protection, abuse, physical contact and bullying. The college has received confirmation from the Somerset Local Safeguarding Children Board that the revised child protection policy is appropriate and suitable. A POVA First check is received prior to a new member of staff starting work. The college has provided staff with training in Child Protection. Records viewed and staff spoken to confirmed this. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 18 The Inspectors viewed some records in relation to the management of student’s monies. Each student has an individual cash tin that is locked and kept safe with records of transactions. The balances of the tins viewed were correct and wherever possible students sign for their monies. However, one tin contained in excess of the college’s policy in relation to the upper limit of cash to be stored. This was brought to the attention of the Assistant Principal. It is recommended that wherever possible students tins are safely stored in their bedrooms. This should promote independence and responsibility. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 30. The quality in this outcome area is adequate. Some accommodation areas are in need of redecoration. However, the college has a planned maintenance and renewal programme. On the whole the colleges living accommodations were clean and hygienic. EVIDENCE: The Inspectors viewed student accommodation areas. This included lounge and dining areas, kitchens, some bedrooms, bathrooms and toilets. Since the last inspection, some bedrooms had been re-decorated. All of the student bedrooms viewed were personalised. Some areas of student accommodation were more homely than others. A number of areas are in need of re-decoration. The carpet in one accommodation area is in need of replacement. The Assistant Principal confirmed that this would be replaced in the very near future. The college has a planned maintenance and renewal programme. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 20 All of the bathrooms viewed had liquid soap. However, paper towels are not provided in all communal bathroom and toilets. At the inspection, the college provided a plan for the implementation of hand drying facilities in all areas. This will be in the format of electronic hand dryers. The Inspectors commented that paper towels are acceptable. It is expected that hand drying facilities will be available in all areas without delay. Two bathrooms did not have blinds to promote student’s privacy. This was brought to the attention of the Assistant Principal and remains a recommendation. The shower in one of the accommodation areas at Manor Farm has now been repaired and is fully functional. The locks in the bathroom and shower areas in the main house have also been repaired. The Assistant Principal confirmed that some funding had been made available for students to buy small items to make their communal accommodation more homely. This is positive as the inspectors noted that some areas lacked a homely feel. As part of daily living skills, students are responsible for keeping their accommodation clean. The standard of cleanliness was higher in some student accommodation areas than others. The college has sufficient laundry facilities. The college provide infection control training for staff and personal protective equipment is available. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36. The quality in this outcome area is good. The college has a comprehensive induction and training programme. The college has a robust staff recruitment process. The college does not carry out regular formal 1:1 supervision for all staff. EVIDENCE: The college appeared to have sufficient staff on duty throughout the inspection. Some staff spoken with confirmed that staffing levels had improved at weekends since the last inspection. Some students still felt that staffing levels were insufficient at weekends. The Inspectors recommend that the management team continue to monitor and review staffing levels to ensure that students are supported appropriately, especially at weekends and evenings. At the previous announced inspection it was recommended that staffing rosters be maintained in each student accommodation. This would provide a clear indication of who is on duty at a particular location at anytime and indicates Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 22 the support provided. The college is exploring methods on how this can be achieved in line of the operation and needs of the service. Two staff recruitment files were seen. The files contained the documentation required as listed in Schedule 2 of the Care Homes Regulations 2001. The staff health declaration is brief with little detail. The Inspectors made a recommendation relating to this in the last report. The management confirmed that they have raised this with Mencap. The induction programme planned for June 2006 was available. The training includes health & safety, risk assessments, total communication, challenging behaviour, fire safety, medication, and care planning. New staff have the opportunity to shadow the team. The college has a comprehensive training programme. Since the last inspection on 9th February 2006, the college has carried out staff training in race relations, risk assessments, child protection, first aid, total communication, respond & respect and food hygiene. The college has a staff training plan with targets for completion in relation to NVQs. Twenty two staff have gained NVQs in Care. Thirteen staff are currently undertaking an NVQ. Seven staff have completed their NVQ and are awaiting verification and certification. The Inspectors spoke with some staff that said they have not received regular 1:1 formal supervision. This was a recommendation at the last inspection and remains. The Assistant Principal stated that he would forward an overview of the supervision that has taken place. At the time of writing this report, this has not been received. Therefore, it is recommended that this overview be forwarded to the local CSCI office. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 42 The quality in this outcome area is adequate The Inspectors did not fully assess Standard 37. As the Registered Manager and Responsible Individual were not available at the time of the inspection. The college has quality assurance systems in place. The college does not promote health and safety in all areas of the service. EVIDENCE: The college has a number of ways of monitoring its quality assurance. The Assistant Principal advised that the college is designing an accessible questionnaire for students. Parent forums are held twice a year. There is a Student Council meeting held every week during term time. However, it was a Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 24 requirement at the last inspection that the provider submits the Regulation 26 report to the local CSCI office. This is an unmet requirement. Servicing records relating to fire safety are being maintained. Weekly fire point tests are undertaken. The emergency lighting is tested on a monthly basis. The fire fighting equipment was last tested in July 2005. The annual fire alarm system service is due to be undertaken on 18 and 19 May 2006. Portable appliance testing is overdue in some areas. However, all PAT testing has been completed in Manor Farm Site. The Project Manager audits a number of environmental risk assessments. However, risk assessments in relation to the storage of cleaning chemicals in student accommodation, radiators being covered and ground floor and first floor windows being restricted have not been conducted. These were requirements at the last inspection and have been unmet. It is noted that the hot water outlets exceed the safety recommendations. The Project Manager has taken steps to address this matter and has developed an action plan to address the issue. This will be reviewed at the next inspection. The temperatures of the fridges and freezers in the student accommodation are now being recorded and food is being stored appropriately. These were requirements at the last inspection. Accidents and incidents are recorded. A monthly analysis of accidents and incidents is undertaken. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 25 This clearly shows the number and type of accident or incident. This is good practice. The college keeps birds and livestock on the farm. It is recommended that a policy for Avian bird flu be developed. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 1 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X X X 2 X X 2 X Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 27 Are there any outstanding requirements from the last inspection? Yes 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 YA2 Regulation 14 Requirement The college must ensure that a Pre-Admission assessment is conducted before and student attends the college. The care plans must ensure that the service will meet the needs of students with their communication and develop communication plans where needed. The college must ensure that those students with epilepsy or other health care needs who live in accommodation that is not supported 24hrs a day, have detailed risk assessments to address such matters and these are kept under review. (The previous timescale for this requirement has not been met). The college must ensure that the medicines in one identified area are kept secure. A Providers’ Regulation 26 report must be submitted to CSCI every month. (The previous timescale for this requirement has not been met). DS0000016084.V291182.R01.S.doc Timescale for action 05/06/06 2. YA6 12 1 (b) 30/06/06 3. YA9 13(4) 19/06/06 4. 5. YA20 YA39 13 (2) 26 5 (a) 05/06/06 12/06/06 Lufton Manor College Of FE Version 5.1 Page 28 6. YA42 13(4) 7 YA42 13 (4) Portable appliance testing must be completed in all areas in order to promote health and safety. (The previous timescale for this requirement has not been met). Environmental risk assessments must be carried out in relation to the following health and safety issues: • Covers being fitted to radiators. • Cleaning chemicals in student accommodation being kept secure. • Window restrictors being fitted to some identified accommodation areas. (The previous timescale for this requirement has not been met). 31/07/06 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. Refer to Standard YA6 YA16 YA19 YA23 YA24 YA27 Good Practice Recommendations The college should consider where ever possible that students care plans/files be kept in student’s individual bedrooms. The college should offer a bedroom key to all students. Where this may not be appropriate this should be recorded in the individual person’s care plan. The college should consider students individual medical records being kept with the care plans/files. It is recommended that wherever possible students personal money tins are safely stored in their bedrooms. This should promote independence and responsibility. The college should continue to review the refurbishment and redecoration programme to ensure all student accommodation areas are well maintained and furnished. Blinds should be provided in all bathrooms to promote DS0000016084.V291182.R01.S.doc Version 5.1 Page 29 Lufton Manor College Of FE 7. 8. 9. YA33 YA36 YA42 privacy. The management should continue to review staffing levels to ensure that students are offered activities at evenings and weekends. Staff should receive regular 1:1 supervision with their senior/manager. The college should review the need for the ground floor bedroom windows in the Bungalows to be restricted. This may promote security. Lufton Manor College Of FE DS0000016084.V291182.R01.S.doc Version 5.1 Page 30 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street 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 DS0000016084.V291182.R01.S.doc Version 5.1 Page 31 - 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. 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