Inspection on 30/11/05 for Ruskin Mill College

This inspection was carried out on 30th November 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ruskin Mill College 16/10/06

Ruskin Mill College 06/02/06

Ruskin Mill College 04/03/05

Ruskin Mill College 21/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Ruskin Mill College Old Bristol Road Nailsworth Glos GL6 0LA Lead Inspector Mr Simon Massey Announced Inspection 30th November 2005 12:45p Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 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 Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 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. Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ruskin Mill College Address Old Bristol Road Nailsworth Glos GL6 0LA 01453 837500 01453 837512 richard.rogers@ruskin-mill.org.uk 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) Ruskin Mill Educational Trust Mr Richard William Rogers Care Home 90 Category(ies) of Learning disability (90), Mental disorder, registration, with number excluding learning disability or dementia (90) of places Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registration of Ruskin Mill College will only cover accommodation of service users in the houses listed in Appendix A 04/03/05 Date of last inspection Brief Description of the Service: Ruskin Mill Educational Trust (RMET) is a charitable trust founded in1987 which runs Ruskin Mill College. The College is a residential college for people with special needs and provides placements for the age range of 16 to 25 years. Following discussions between RMET and the National Care Standards Commission (NCSC) the College has been registered as a Care Home and was inspected with reference to the National Minimum Standards for Younger Adults, including the Supplementary Standards for care homes accommodating young people aged 16 and 17. The College provides accommodation for students in 42 different locations, which break down into three different types. Firstly there are staffed homes, which are either rented or owned by the College, secondly there are independent flats, which are supervised by care staff and finally there are “home providers”. This last group comprises people who are contracted by the college to provide care and support their own homes. Students are provided with a full weekly timetable of activities at the College, which provides a diverse range of educational, vocational and therapeutic activities. The registered manager is based at the college and supervises four “Neighbourhood Heads,” who are in turn responsible for the supervision of a group of homes in one particular geographical area. The four areas can generally be described as Nailsworth, Stroud, Minchinhampton and Stonehouse. Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken by two inspectors, Simon Massey and Paul Chapman, over 5 hours on 30/11/05. An additional visit also took place on 05/12/05 to some accommodation provided by the College. The College has had full inspections in the previous two years in the summer and autumn terms respectively, as well as additional unannounced visits. A further full inspection is planned of February 2006, which will mean the College will have been inspected in each of the academic terms in which it operates. The purpose of this visit was to co-ordinate the coming inspection with the registered manager, follow up issues from certain previous requirements and inspect the environment in the four new properties that have been added to the College’s registration. The inspectors also examined a number of staffing records, discussed the arrangements for the supplying of notifications to the Commission and also met the care staff employed in the new accommodation. Prior to meeting the Registered Manager the inspectors also had lunch in the communal dining area and informally met a number of students and staff. For more detailed information about the College’s performance against the National Standards, people are referred to the previous reports, particularly the announced inspections completed in 2004. Due to the limited range of accommodation looked at and limited issues examined during this inspection, no scores have been entered against the corresponding standards. What the service does well: The College provides a specialist education facility that is diverse and geared to meeting the needs of students with a range of learning disabilities. The College is able to offer a variety of accommodation that means the individual needs of the student can always be considered. The College has been open and positive in its approach to partnership working and has demonstrated a commitment to meeting and exceeding standards in line with best practice. Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected during this visit. EVIDENCE: One student was spoken to who was undertaking a trial visit to the College, prior to considering whether to apply for a place. They were positive about the experience and stated they had been supported through the process. They had met a number of staff, experienced a variety of activities and received sufficient information about what the College had to offer them. Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standard were not inspected during this visit. EVIDENCE: Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 10 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): These standard were not inspected during this visit. EVIDENCE: The inspector visited one home where two students are being supported to become more independent. They spoke about how this was being achieved and a recent weekend where they lived independently for a weekend. Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 11 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): These standard were not inspected during this visit. EVIDENCE: Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 12 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): These standard were not inspected in detail during this visit. EVIDENCE: The College has employed a system for notifying the Commission of any significant events affecting the well being of a student, as required in the regulations. This involves notifying the Commission, via e-mail, that an incident has occurred, and then subsequently a detailed report of the circumstances and resultant action taken, if any is required. Information from these notifications has demonstrated the Colleges intention to deal with issues affecting students in a supportive and open manner, whilst also being prepared to take firm and decisive action if required. There has been a significant decrease in the number of notifications received since the previous inspection and discussion with the Registered Manager and the staff member responsible for forwarding the information, confirmed that the system and criteria for notifying the Commission had not changed. The decrease identified by the inspectors relates mainly to the notifying of incidents regarding challenging behaviours. The reasons for the decrease were primarily attributed to having a relatively more settled group of students and an autumn intake that have adjusted to College quickly. It was also stated, by the Registered Manager, that other on-going improvements in the College were contributing to this change. Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 13 The inspector clarified that students leaving the college unauthorised, or “absconding”, would qualify as a serious incident, and that the Commission should be notified of these occurrences. Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 14 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): The college has improved its stock of accommodation and continues to provide a variety of provision that can suit a variety of needs. EVIDENCE: The College has supplied to the Commission, as agreed, a termly updated list of the accommodation that it currently uses to accommodate students. Four new properties replaced existing ones this term, and the inspectors visited all four. In general these were all seen as being satisfactory and meeting the outcomes of the relevant standards. The two new semi-detached houses in Stroud provide spacious, modern and homely accommodation. Students spoken to these houses were very pleased with their rooms and also the location, which provides easy access to the centre of town. The staff in these houses have identified a number of “snagging” items that they have brought to the attention of the building firm and these are being addressed. This included the tiling in the bathroom, some very slippery paving stones, and additional handrails for some steep steps at the rear of the building. Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 15 The new house further up the Slad Rd also provides good quality accommodation. This is an older property and two recommendations are made in respect of this house. The house has an integrated fire safety system, with alarms situated in the main hallways on the various floors. There is, however, a room in between the kitchen and the downstairs hallway and it is recommended that the College take advice as whether some form of heat or smoke detector should be installed in the kitchen dining area. The current arrangement make it likely that there would be a delay in the alarms sounding if some sort of fire were to start in the kitchen area. Also, the entrance to the property from the main road, ascending the steps towards the front door appeared to be very badly lit and it is recommended that the possibility of extra external lighting is considered. The property located in Washpool, near the college, provides good quality accommodation in an older style property. Risk assessments have been completed to ensure that this is suitable for the students who live there. Both students were met briefly and both expressed satisfaction with their rooms and the home in general. The inspector was concerned about an electrical heater that is located in the main bathroom. This is a style of heater not normally found in care homes and a requirement is made that a safety check be completed. If necessary a risk assessment on its usage should be completed. Due to the limited number of properties visited during this inspection no scores have been place against the relevant standards. Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 16 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): The recruitment procedure had not been adhered to and this may have increased the potential risk to the students. EVIDENCE: The inspector examined files for staff recruited recently. Some major shortfalls were identified and these were discussed with the registered manager during the inspection. The shortfalls relate to the references received for new staff and the records of induction training. The manager must ensure that the current staff files are reviewed to ensure they meet the criteria of the regulations, and that any future recruitment adheres to the regulations. This is a requirement of this report. Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 17 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): These standard were not inspected during this visit. EVIDENCE: Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ruskin Mill College Score X X X x Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000043202.V270774.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA34 Regulation 19 schedule 2 Requirement Timescale for action 31/01/06 2 YA27 13(4)(a) The manager must ensure that current staff files are reviewed to confirm they meet the criteria of the regulations. Also, they must ensure any future recruitment adheres to the regulations. The College must complete a 31/01/06 safety check and risk assessment on the bathroom heater identified in the report 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 Refer to Standard YA42 YA28 Good Practice Recommendations The College should consider fitting an additional heat or smoke detector in the kitchen identified in the report The College should consider the possibility of installing additional external lighting to the entrance of the house identified in the report. Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Ruskin Mill College DS0000043202.V270774.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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