Inspection on 11/03/09 for NCYPE - College Residential Services Lingfield.

This inspection was carried out on 11th March 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: NCYPE - College Residential Services Lingfield. St Piers Lane Lingfield Surrey RH7 6PW two star good 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: Ruth Burnham Date: 1 5 0 4 2 0 0 9 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.cqc.org.uk Information about the care home Name of care home: Address: NCYPE - College Residential Services Lingfield. St Piers Lane Lingfield Surrey RH7 6PW 01342831314 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The National Centre for Young People with Epilepsy Name of registered manager (if applicable) Mrs Wendy Elizabeth Doyle Ms Joanne Eileen Lutton Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 110 0 care home 110 learning disability Additional conditions: The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). The maximum number of service users to be accommodated is 110. Date of last inspection A bit about the care home NCYPE Residential College provides education. personal care and accommodation for 110 students who have epilepsy and varying levels of learning disability. Many of the students have complex needs including physical disabilities and require significant levels of care and support. In addition to the educational facilities there are 12 houses on the campus where students live during term time. One of the houses provides accommodation for students who live there for 52 weeks of the year. The houses vary from new build to older houses. There is also a medical centre and good recreational facilities on site. The College is located in a rural setting close to Lingfield and local amenities. Fees vary according to levels of care and support required. Full information about fees can be obtained by application to the college. 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: two star good 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 inspection of the Service was an unannounced Key Inspection. Two site visits were undertaken, The first visit was on 11th March 2009 at which time we visited 4 houses on the campus, spoke to a number of staff and students and examined a number of documents. We also arranged for an expert by experience to visit on that day, she met with 6 students in private and also had lunch with a group of students in one of the houses. We gave feedback to the residential services management team at the end of this visit. We made a short second visit on 15th April to meet staff and students at the student house where accommodation and care is provided throughout the year, rather than just in term time. We also looked at staff records during the second visit. The inspection was a thorough look at how well the Service is doing. It took into account detailed information provided by the college and any information that CSCI has received about the Service since the last inspection. This information included surveys sent out before our visit to students, advocates, health and social care professionals and GPs. The expert by experience provided a report following her visit, parts of which have been included in this report. There are no Required Developments at the end of this Report although the environment has been given an overall judgement of adequate, existing student accommodation which does not meet current standards is gradually being replaced as part of the ongoing building programme at the college. The quality rating for this service is 2 star. This means the young people who use this service experience good quality outcomes. We would like to thank the management team, staff and students for their hospitality and cooperation during this visit. What the care home does well Young people who are considering moving into houses on the college campus can be confident their needs will be properly assessed to ensure their needs are fully understood and can be met. They are provided with detailed information about what life will be like and opportunity to visit to enable them to make an informed decision about living there. The young people can be confident their needs are understood and can be met through good care planning. Their independence is promoted and they are encouraged and supported to make choices according to their individual needs and abilities. The young people are protected from harm through good risk management systems. They also enjoy opportunities to take part in a variety of activities and a full social life. They are supported to maintain contact with family and friends and establish links with the local community. The young people are encouraged to develop independent living skills and help prepare nutritious meals in line with their individual needs and choices. The health of the young people. They are supported by a range of on site health care professionals. Personal care is provided in a way that promotes their privacy and dignity. Good medication systems ensure young people are protected from harm. The young people are listened to and protected from abuse. Many of the young people benefit from good student accommodation within the newly built or refurbished housing on site. The young people can be confident there are sufficient staff on duty who understand their needs and are well trained and competent to support them. Students are protected from harm through robust recruitment and selection. They can be confident the service is managed in their best interests. Effective quality assurance systems ensure their views are taken into account when decisions are made. Students are protected from harm through safe working practices. What has got better from the last inspection No improvements have been noted in this report as this is the first inspection of the college since its new registration. Each of the student houses were formerly registered separately. 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 Ruth Burnham Hermitage Court Hermitage Lane Maidstone ME16 9NT 01622 724 950 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Young people who are considering moving into the college can be confident their needs will be properly assessed to ensure they are fully understood and can be met. They are provided with detailed information about what life will be like and opportunity to visit to enable them to make an informed decision about living there. Evidence: Within the NCYPE college residential homes there are 12 individual residences. Aims and objectives for each home are reviewed annually to ensure that each home continues to meet the needs of the young people and offers the young people an appropriate peer group as well as appropriate learning and development opportunities. The college residential homes Statement of Purpose details the individual aims and objectives of each home and in turn each of the houses have developed an individual service user guide which offers the young people specific information about the home that they are considering living in. Open days are arranged for prospective families and professionals to visit the college and determine whether the services provided are relevant and suitable for the needs of the young person. Full detailed assessments are carried out prior to admission if the college feels that it can meet the needs of the young person. This will involve an overnight visit and in some cases outreach visits. The expert by experience reported that most of the Evidence: students she spoke to said they had a visit to the college before they were admitted. Up to date information is reviewed by an admissions panel made up from members of the multi disciplinary team before assessment. These assessments identify staffing required as well as any specific equipment needs. Young people can be confident they will be placed in a house that meets their needs. Once a young person moves in staff work with them to develop an individual student management plan detailing their needs and how they wish their needs to be met. Young People may also move between homes during their time at the college and this is identified with involvement from the young person, their families and the staff teams working with them. Transition visits are planned and necessary information is shared between the two staff teams. 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 . The young people who live on the college campus can be confident their needs are understood and can be met. Their independence is promoted and they are encouraged and supported to make choices according to their individual needs and abilities. Effective risk management systems protect students from harm. Evidence: Each young person has an individual learning,care plan which identifies the objectives they are working towards to enhance and improve their independence and social skills. The young people are encouraged to be involved in this process. This care plan is a person centred document which reflects the needs and wishes of the individual as well as how the staff team will meet them. Young people at the college come from a variety of ethnic groups and religious backgrounds. Policies are in place to ensure that equality and diversity are promoted and pracitised. Staff have training on values, diversity and disability awareness.The training covers respecting values and beliefs and how to recognise that our own beliefs and values could influence the work we do. The young people have the opportunity to access places of worship and are supported to attend as required. Religious celebrations and events are acknowledged through culture evenings. Each young person has an annual review as well as regular multi disciplinary meetings to discuss progress and any factors which may affect the young person. This takes account of the young persons views. Actions may be set from these meetings which both the young person, the staff teams and any relevant others ensure are carried out. Many of the young people have complex needs and cannot communicate their needs easily. Evidence: Specialist support is available on site and and a range of services are available to support the young people in their individual needs and choices. For example, occupational therapists assist with practical support to aid and promote independence. Speech and language therapists are available to ensure communication needs are identified and strategies are in place for staff to provide appropriate support. Each Young person has a keyworker with whom they have regular individual sessions. Their keyworker listens to them and supports them to make choices. The young people are encouraged to become involved in the running of each of the homes. They are involved in choosing their keyworker wherever possible. The young people are protected from harm through effective risk management processes. Risk assessments were seen for 3 students, these were individual and provided clear guidance for staff on how to minimise risk. The expert by experience reported students told her how happy they were at the college. The confirmed they are involved in the running of their houses. Regular student meetings are held and students plan their menus. They are encouraged to do their own washing and clean their rooms. Students in one of the houses said they are encouraged and supported to shop and do their own cooking and are very happy to do so. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The young people who live on campus enjoy a variety of activities and a full social life. They are supported to maintain contact with family and friends and establish links with the local community. The young people are encouraged to develop independent living skills and help prepare nutritious meals in line with their individual needs and choices. Evidence: The college has excellent links with the local community and students visit places in the local community such as the local gym,library, sports centre, pubs, clubs and places of worship. Students have good access to college transport and are supported to use public transport. They enjoy a full social life and are offered many and varied activities such as trips to the cinema, bowling, night clubs, swimming and a variety of places of interest. The students attend college each day and are involved in work experience placements. While we were at the college some students were going to play football, others went donkey walking and others were in the gym. One student told us that he is on work placement and goes out to work at the hairdressers. He said he likes his work there and staff give him good support.Another student said he likes going out and goes to the cinema, bowling and also plays pool in the college. A selection of Evening activities are also offered on-site that cater for a wide range of needs and abilities.Discos are held in the main hall regularly. The young people are asked what activities they would like and this is reviewed annually. The houses on site Evidence: have a good selection of leisure equipment. Many of the college homes participate in an annual holiday and some young people are able to attend a skiing holiday with Surrey Special Schools. One student told us that about planning on a trip to France. The students all have regular weekends at home and are supported to maintain regular contact with their family and friends. Parents and families are encouraged to visit at any time and do so. They are able to meet in the privacy of their own bedrooms or in a separate family area that affords privacy. The young people share the responsibility of keeping their house clean and tidy where appropriate. There is a rota in place and they are supported develop their independence skills. Healthy eating is actively promoted and students are supported to plan a healthy menu. Lunch is provided in most of the homes by the central kitchen however some of the houses choose to remain self catering where lunch is prepared by staff. All homes cater for their own evening meals and the young people are supported to be actively involved in preparing this wherever possible. A selection of nutritious recipes has been provided by the catering manager for houses to ensure a healthy and balanced diet whilst considering individual preferences. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The health of the young people who live on campus is promoted. They are supported by a range of on site health care professionals. Personal care is provided in a way that promotes their privacy and dignity. Good medication systems ensure young people are protected from harm. Evidence: Care staff and management work as part of a multi disciplinary team to meet and support the health and personal care needs of students whilst maintaining dignity, privacy and respect. A 24 hour medical centre is available for use by the young people and each house has a named key nurse who visits regularly to discuss any concerns with the young person and advise the staff team if necessary. All young people are registered with the local GP and clinics are offered at the NCYPE medical centre. Some young people also access the local surgery if they prefer. Details of healthcare needs are recorded in student management plans. Students are encouraged to manage their own personal care but are made aware that staff are able to support if needed. Any concerns or issues can be discussed during key sessions or with experienced members of professional staff. Communication between care staff and health care professionals is good. There is Opportunity to raise any issues or concerns during multi disciplinary meetings, annual reviews and team meetings. Privacy, dignity and respect is maintained when dealing with young people who are unable to manage their own personal care. Young people are encouraged to choose staff to help them and same gender support is encouraged Evidence: Students are also made aware of the additional services which they can access. These include psychology, physiotherapy, occupational therapy and speech and language therapy. The young people are also encouraged to make and attend their own clinical appointments wherever possible but are aware that they can also ask for staff support if they wish. For those young people who are unable to do this staff advocate for them and arrange appointments if necessary. The young people are protected from harm through safe handling of medication. Whilst it is acknowledged there have been a small number of medication errors reported to us during the last year, these are fully investigated, all necessary action is taken and no students have been harmed. Medication is held securely,in line with current guidance and legislation. Risk assessments are carried out and support is provided where a young person is risk assessed as not being able to manage their own medication safely. Young people who can manage their own medication are provided with lockable storage areas.Any medication changes are subject to consultation with the young person and or their representative. Care staff are also required to attend the following training: Epilepsy Awareness, Moving and Handling, Risk Assessment and Medication training, to ensure they understand and can support the students with their individual healthcare needs. Students have access to Mens or womens groups and health issues can be discussed with a Key nurse allocated to each home. Care Staff are are also trained in Sexuality and relationships to enable them to support and provide appropriate guidance for students in these areas in a way which supports their privacy and dignity. 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 . The young people who live on the campus are listened to and protected from abuse. Evidence: Young people who live on the campus are listened to and protected from abuse through robust policies and procedures for both safeguarding adults and complaints. All staff attend a full training course in Safeguarding prior to working with the young people and are also expected to refresh this annually. A social worker with experience in safeguarding is employed by the College who co-ordinates and communicates concerns to the local Surrey Safeguarding Authority. A team of additional professionals from different disciplines within NCYPE ensure there is 24 hour cover for reporting concerns. Staff from the houses may also liaise directly with Surrey County Council if they wish. The expert by experience reported that Students who were spoken to are aware of the complaints procedure and said if they were unhappy or concerned about anything they knew who to talk to. Complaints are dealt with as soon as they arise. Each home holds a low level complaints book where complaints are logged. A satisfactory outcome is explored and this and any actions necessary are also recorded. The registered managers review this book regularly. More serious complaints or complaints where the complainant is not happy with the outcome are forwarded to the college Director of Health and Social Care who will ensure a full investigation is carried out and will respond in writing to the complainant with the outcome within a specific time frame. It is also policy that any complainant is given the details of the Commission and may also refer their concerns to us.We have not received any complaints about the service. A copy of the complaints policy has also been produced in a symbolised format to ensure the young people also have access to this, some discussion took place about the accessibility of the widget symbols in use at the college. The managers agreed these symbols were not very helpful to students and are looking at changing this in the Evidence: future. Keyworkers support the students to make a complaint and advocate for them as necessary. In some cases, if it is felt that the young person may need additional support to complain or raise a concern the NCYPE will involve the visiting independent advocate who is trained in seeking students views. The complaints procedures are available both in the Statement of Purpose and the individual service user guides. There are occasions when staff need to intervene physically to ensure the safety of students. There are clear individual restraint procedures in place and all incidents are logged. All staff receive training in safe and appropriate physical interventions. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Many of the young people benefit from good student accommodation within newly built or refurbished housing on site. However a number of houses do not meet current standards. The Commission has agreed the gradual phasing out of less suitable accommodation as the building programme progresses. Evidence: The students who live on campus are accommodated in 12 houses, all these homes are situated within the grounds of NCYPE and within walking distance to the college where all young people attend. NCYPE uses approx 80 acres and is set in countryside affording a safe place for young people to independently access different areas if appropriate. Five houses were seen during the visit. The environment within each home is designed around the needs of the young people who live there ensuring appropriate activities and equipment are available. This year has seen the opening of a new build which was designed to meet adult standards. It houses 24 young people,in 4 separate wings all with their own en suite facilities. Tucker house has also been redesigned and meets the required standards. Students benefit from access to a large sports hall, gym, aqua trainer pool and soft play area on site. It is recognised that Other accommodation does not meet current standards however staff teams work hard to ensure each home offers a homely atmosphere ensuring facilities are clean and maintained. There is a rolling building programme in place to replace the older, less suitable accommodation. Each house has its own laundry facilities and kitchen. Those seen during the visit were well equipped and well maintained. 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 young people can be confident there are sufficient staff on duty who understand their needs and are well trained and competent to support them. Students are protected from harm through robust recruitment and selection procedures. Evidence: The young people are protected from harm through robust recruitment, selection and vetting processes. Five staff files were examined and all contained application forms, Criminal Record Bureau checks, proof of identity and 2 written references. Ongoing recruitment takes place to ensure there are always sufficient staff to meet students needs. Potential candidates are required to spend the evening on one of the houses to meet the young people, prior to interview. They are assessed for their skills with particular ability levels and to see if they can demonstrate effective communication with the young people and their peers. The views of the young people who meet them are taken into account. If agency staff are needed, specific skills are identified and sought, the use of the same regular individuals ensures students receive consistent support. House managers are responsible to ensure the students individual needs are meet and that there are adequate numbers of staff on shift. Students can be confident staff who support them are trained to understand their needs before starting work on the houses, staff are required to attend a 5 day induction course to cover the mandatory courses and to provide an overview of the service that is offered. New staff are supported in the work environment through weekly supervisions, induction training and mentoring. Staff need to satisfactorily demonstrate skills and knowledge in line with the Skills for Care Common Induction Standards. Staff receive a 1, 3 and 6 month appraisal. In order to pass the 6 month Evidence: probation period, staff must demonstrate good practice, have completed the induction training Programme and booklet and have a satisfactory appraisal. A grading structure is in place to ensure staff meet the required competency level. Half termly supervisions are carried out and documented for all staff and an annual appraisal is also undertaken. An NVQ programme is offered to all staff, including levels 3, 4 and Registered Managers Award. Both in house and external management courses are offered. All staff are encouraged to seek training opportunities to aid their personal development. Regular team meetings are held to ensure staff are up to date with the support students need. Thorough handovers are undertaken between shifts to ensure all relevant information is passed on and each students needs are met and any changes are understood. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Young people who live on campus can be confident the houses are managed in their best interests. Effective quality assurance systems ensure their views are taken into account when decisions are made. Students are protected from harm through safe working practices. Evidence: Before September 2008 each of the houses on site were registered separately. This has been changed so that NCYPE has one registration. There are 2 registered managers for the 12 houses who are qualified and experienced in the role. Each home has a dedicated staff team comprising of a house manager, assistant managers and support workers. Good communication between managers ensures students who live on campus are protected and enjoy a good quality of life. The conduct and management of each home is reviewed during monthly inspection visits. It was clear throughout the inspection that the houses are run in the best interests of the students. They are involved as far as possible in decision making processes through regular house meetings where the young people can meet as a group and share ideas about how the house is run. The minutes are available to all in a format that is usable by the young people, There are effective quality assurance systems in place. The College holds regular Student council meetings where nominated young people represent the views of others. They invite various members of the organisation to discuss any issues that they feel strongly about. An independent advocate visits the organisation once a month and spends time with the young people listening to their views and opinions. She provides a report on the visit including any actions required. Formal annual Evidence: reviews are held and the young people are asked for their views and opinions by the Chairperson about the house and college. The meeting is documented and sent to the relevant professionals. Some houses use student questionnaires to gain the young peoples views however these are not suitable for some of the young people with complex disabilities, questionnaires are sent to the person advocating instead.Visits from various members of the organisation including the chief executive are undertaken. Unannounced monthly visits are also carried out and the person completing the visit seeks the opinion of the young people, observes practice, choices and interactions. The young people are protected from harm through safe working practices. Staff are required to attend all induction training courses which include moving and handling, first aid, infection control, health and safety, basic food hygiene and fire safety. Regular safety checks are carried out on all equipment and installations. Regular health and safety inspections are carried out on each house. 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 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 Helpline: Telephone: 03000 616161 or Textphone : or Email: enquiries@cqc.org.uk Web: www.cqc.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). 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. 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