Inspection on 26/02/08 for The Mount

This inspection was carried out on 26th February 2008.

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

The Mount 06/04/10

The Mount 28/02/07

The Mount 18/01/06

The Mount 13/07/05

The Mount 21/01/05

The Mount 04/10/04

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

CARE HOME ADULTS 18-65 The Mount Faircrouch Lane Wadhurst East Sussex TN5 6PT Lead Inspector Mrs Sally Gill Unannounced Inspection 26th February 2008 09:38a The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Mount Address Faircrouch Lane Wadhurst East Sussex TN5 6PT 01892 782025 01892 782917 brigittevanrooij@mountcamphill.org 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) The Mount Camphill Community Brigitte van Rooij Care Home 39 Category(ies) of Learning disability (39) registration, with number of places The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is thirty nine (39). Service users must be aged between sixteen (16) and nineteen (19) on admission. Some of the service users may also have associated mental health problems 28th February 2007 Date of last inspection Brief Description of the Service: The Mount Camphill Community is an independent specialist college that provides further education and training for residential and day students aged 16 to 25. The Community is a registered educational charity providing up to 39 residential places for young people with moderate learning disabilities, and therefore is also inspected by Ofsted. The Camphill Movement, founded in 1940, works to create communities in which vulnerable children and adults can learn and work with respect. Camphill is inspired by Christian ideals as articulated by Rudolph Steiner and is based on the acceptance of spiritual uniqueness of each human being, regardless of religious or racial background. The Mounts training programme extends over 4 years. An educational year is approximately 38 weeks divided into 4 terms, with students returning home or to other placements during the holidays. There are 4 community houses on-site, each with its own character. There are craft workshops for pottery, bakery, weaving, woodwork and catering. In the main house, which is a renovated monastery, are classrooms, a library and a community hall. There is a large vegetable garden and orchard, which provides the venue for a horticultural course and extensive grounds and woods where the estate and rural skills course are taught. There is also a gymnasium on the site. The Mount is staffed by residential co-workers and day staff. The senior coworkers live permanently in The Mount. Most staff take on the role of house coordinators, team leaders and some are also College tutors. The trainee coworkers are volunteers from a wide range of countries and usually work at The Mount for up to one year. The current fees range from £35,000 to £49,000 per year. There are additional charges for pocket money, and certain educational trips. A copy of the latest inspection report can be viewed at the college or down The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 5 loaded from www.csci.org.uk. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was carried out over a period of time and concluded with an unannounced visit to the college on 26th February between 09.38am and 5.50pm. Staff assisted throughout the day. Students that live at The Mount, a relative and staff were spoken to. Observations included interactions between students and staff. Thirty-three people were resident at the college at the time of the visit. The manager advised that this is the usually number of students accommodated. The college has advised on previous visits that the Commissions surveys are not really relevant and therefore none were sent out. The care of three students was tracked to help gain evidence as to what its like to live at college. Various records were viewed during the inspection and parts of the college were viewed. The college returned the annual quality assurance assessment (AQAA) when we asked. This contained most of the information asked for and has been used to inform this report. Shortfalls in the AQAA were discussed during the visit. The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. What the service does well: The college has a thorough assessment and admission process. Students and parents are able to visit the college to look round, get a taste of the life and meet people. This is in addition to a three-day assessment where prospective students stay at the college following an individual timetable. Staff ensure that the settling in period runs smoothly which is aided by good communication links between staff. Students have an individual timetable for college workshops but outside of this there is a wide variety of leisure activities both inside the college and also the wider community. Links to families and friends are good with home visits on weekends and term holidays. In addition the college organise special parents days. The quality of food is high and nutrition plays a big part in the lifestyle for students. The college grows lots of its own vegetables and fruit in its large organic garden and greenhouse. Other produce is organic and brought locally. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 7 The college is set in extensive grounds, which are well maintained and provide students with safe outdoor space. Students are able to enjoy other facilities at the college such as a sports hall, snooker room and library. Students are given opportunities to voice their views on the college and participate in day-to-day life and what goes on. Students benefit from staff members that have been involved in the college for some considerable time. Staff and student interactions are good. Staff ensure that the college aims are followed through into day to day life. 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. The summary of this inspection report can be made available in other formats on request. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 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 The Mount DS0000021251.V357928.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 4 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service and their representatives have the information needed in order to make a decision as to whether this service is right for them and can meet their needs. EVIDENCE: A relative confirmed that they had sufficient information needed in order to make a decision that this college was right and would meet the student’s needs. There have been ten admissions in last twelve months. People’s needs are thoroughly assessed prior moving into the college. Referrals usually come via word of mouth or recommendation or the college website. The college obtains assessments by other professionals that may already be involved in the students care. These are considered and an initial judgement made as to whether to proceed based on whether the students needs could be met. The student and parents are then invited to visit for an interview, have a look round and meet people. They are given a brochure and a parent pack. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 10 Students then attend an assessment visit, which is over three days. A profile is drawn up of the student and given to all staff involved in assessment visit. During this time a timetable is made up and a numeracy and literacy assessment undertaken. The student joins workshops and is observed in the house where they are staying. At end of assessment period staff give feedback. A decision is taken whether to offer a place on a three-month trail period. A further assessment is undertaken when the student starts. After three months another assessment and review is undertaken. Students are given a handbook plus other paperwork is completed. Weekly house meetings and managers meetings are all used to gain feedback about new students during the trial period. Terms and conditions are agreed and held on student’s files. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives and play an active role in planning the care and support their receive. EVIDENCE: Students can be confident that their personal goals and assessed needs are reflected in their individual learning plans. The profiles and individual learning plans for three students were examined. Staff use assessments and profiles to develop individual learning plans. These detail skills, aims and goals and strategies to enable students to develop. The students record their own evaluations, which are used to inform their plan. Reviews are held once a year with students and their families. Staff advised that at the time of transition from the college reviews with social workers are now brought forward to improve planning. A relative felt reviews are informative, feedback is given on the progress and development and the future discussed. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 12 Staff demonstrated a good understanding and knowledge of individual students needs and skills. Students confirmed they are involved in decisions about their lives. Students have opportunities to feedback and contribute to life at the college at weekly house meetings, the student forum and also meetings with their personal mentor. Students are encouraged to take responsible risks as part of an independent lifestyle. Risks are assessed prior to starting at the college. Risk assessments are recorded and include steps in place to minimise risk. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the services are able to make choices about their life and are supported to develop their skills. Social, educational, cultural and recreational activities meet individuals’ expectations. EVIDENCE: All students attend college workshops five days per week, which can include work experience. The college is currently trying to increase work experience opportunities. Ofsted inspects this side of the college. This is a large part of life at the college and workshops are integral to college life. All the college bread is made and baked in workshops. Most of the vegetables are produced in the very large vegetable garden and large greenhouse. Fruit is also harvested and used at the college. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 14 Students are able to access the local community. Several said they go into the village or take the train to Tunbridge Wells. The college also has transport, which can be used to access the community. Students confirmed that leisure activities include walks, craft, fish and chips, local pub, snooker, regular trips to Tunbridge Wells, Wadhurst and Hastings, cinema and Bewl Reservoir. Organised leisure activities held within the college include musical recitals, story telling and drama performances, men’s group, IT, dance club or video, bible reading and service. Students of other religions can be taken to worship. One student does celebrate alternative festivals and goes home for some religious celebrations. Students spoke happily about their families, visits home and also the pending parents day. Some missed their relatives but said they had made good friends within the college. Students have free time where they are able to spend time as they choose. The college also has a library. Students confirmed they are involved in household chores such as cleaning, laundry and laying and clearing tables at mealtimes. It is apparent that staff encourages independence and development of life skills. The gardens are organic and for produce the college is self-sufficient. The college uses only quality food usually organic and all meals are cooked from scratch. The college puts a high importance on healthy diets and things such as convenience foods and fizzy drinks are not encouraged/available. Meat and fish are sourced from a local organic farm. Vegetables that cannot be produced are purchased locally regularly as is organic milk eggs and cream. Breakfast is cereals and toast. Lunch is the main meal. Supper is bread and spreads plus a light meal. On the day of the visit main meals around the college included sausage, mash and beans, chicken and leek pie with jacket potatoes and pasta bake. The inspector had lunch at one of the houses and all enjoyed the meal. It was hot, wholesome and very tasty. Each house has a cook for main meals who plans the menus with the house coordinator. Students can voice views at the weekly house meeting. There is a rota for household duties, which include clearing away after meals and laying tables. Some students are involved in cooking their meals. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The health and care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Students receive minimal support with personal hygiene. Staff advised that students are independent or may only need prompting. Students were all dressed individually and appropriately. Each house has a balanced and stable staff team. Staff were observed to interact well with students and had a good knowledge of their routines. They were also observed to knock on bedroom doors before entering and treat students with respect. Student’s health care needs are met. All students are registered with a local doctor for term time. Records confirmed that when there are concerns appropriate action is taken. Staff advised that the college doctor also assesses students with parental consent during their first term. They will then advise on The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 16 nutrition and supplements. Other health care professionals are usually accessed during the holidays. Students are protected by the colleges safe medication systems. Medication is kept individually in each house. Safe storage is in place. Records are in place for all administration. It is recommended that medication for home leave be recorded including amounts to provide a clear audit trail. Staff that administer medication have received training. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns and have access to a robust complaints procedure and are protected from abuse. EVIDENCE: Students felt confident in speaking to staff about any concerns they may have and felt sure these would be addressed. Students are allocated mentors and also have other regular opportunities to voice any concerns. The complaints procedure is included in the student handbook. This has recently been updated to include the new address of the Commission. Neither the Commission nor the college has received any complaints. Students are happy living at the college and feel safe. Polices and procedures are in place to ensure people are protected from abuse. All staff has undertaken abuse training as part of their induction. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 & 30 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Students benefit from accommodation that is safe, homely and well maintained and they have access to extensive well kept, safe outdoors space. EVIDENCE: Students benefit from a college, which is set in extensive very well maintained grounds down a driveway, situated on a quiet country lane. The main building (with bedrooms on two floors) is a grand old monastery with a separate house attached. In the grounds there are two further houses. All student accommodation is shared with staff. There is also a sports hall and two further buildings used for workshops within the grounds. Various parts of the home were toured. The college provides students with individual accommodation, which is homely and very well maintained. There is a maximum of seven students per floor or The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 19 house. Seven bedrooms are singles the rest are doubles. Five rooms have wash hand basins. Male and female bedrooms are separated. Bedrooms had been personalised with individual belongings. Students confirmed that they were happy with their rooms. All floors/houses have two shower/bathrooms with two having an additional shower room. Staff also advised that further bathrooms have been refurbished, which the inspector can confirm, is to a good standard. All houses have a kitchen, dining area/room and lounge. The main building also has a snooker area, conservatory and library. Staff confirmed that any maintenance issues are dealt with and redecoration is completed during college holidays. A new outdoor sports area has been built since the last visit. The college was exceptionally clean throughout. In the interests of hygiene it is recommended the college consider supplying liquid soap and paper towels in all communal hand washing areas. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 & 36 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff are trained, skilled and in sufficient numbers to support the people who use the service in line with their terms and conditions and to support the smooth running of the service. Recruitment practices need to be improved to fully protect students. EVIDENCE: Students benefit from most staff having been involved with the college for a considerable period of time. Staff and their families live as well as work at the college. Each house/floor has a dedicated team, which includes two house coordinators, a cook and one to three trainee co-workers depending on the number of students. House coordinators are part of the management team. The trainee co-workers are usually people from overseas (although not always) and they stay for one year. They are volunteers who in return receive pocket money, English lessons, board and lodging and nationally accredited training. Staff can also have responsibility for teaching or running workshops. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 21 Staff spoken to is very clear about their roles. They are very aware of the aims of the college. These aims are embedded into day-to-day practice with enthusiasm. Staff recruitment files were examined. The application form does not ask for a full work history and must. All checks are in place for staff employed. However two staff that was known to the college did start work with students prior to the Criminal Records Bureau (CRB) being in place. Staff must not work with students until the college has obtained CRB checks. The college undertakes a police check for volunteer from foreign countries and no CRB check. However a CRB is required for all volunteers prior to working with students. An immediate requirement was made to take advice from CRB and action guidance within timescales. All staff undertake an induction which includes prevention of abuse and mandatory training such as fire, health and safety, food hygiene and first aid. Induction lasts six to eight weeks. After induction staff are enrolled on Open College Network (ONC) level 2, which takes approximately one year to complete. Currently 13 staff is undertaking OCN. Three staff that have already achieved OCN level 2 are participating in a pilot training course social therapy and curative education, which is OCN, level 3. Staff have attended equality and diversity training, epilepsy, mentoring and cleaning training. All staff has mentoring arrangements in place and attend regularly house and/or management meetings. Minutes are maintained of these meetings. A daily meeting takes place each morning to aid communication and give staff a handover. Staff spoken to confirmed they felt well supported. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect has effective quality assurance systems developed by a well-motivated organisation, which has a motivated, and enthusiastic staff team. EVIDENCE: The Registered Manager has extensive experience at the college. She is currently undertaking her Registered Managers Award (RMA) at National Vocational Qualification (NVQ) level 4 in care. She mentors all new house coordinators and is part of the management group. She also attends home faculty meetings. It is apparent she supports the aims of the college 100 and is very motivated. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 23 Staff were at ease in the managers company. The college does not have any hierarchy and has an open and inclusive atmosphere. All staff work as a team and do not see themselves as any more important than others. The college has a high regard for training and developing staff to fulfil their roles. The college completes an annual self-assessment, which examines all areas of the service. Students and relatives give feedback and their views are included in the self-assessment. A quality improvement plan is then produced. The improvement plan is monitored at management meetings regularly. Any requirements from Ofsted or CSCI are included in the plan. Students have other opportunities to feedback at regular meetings, reviews and evaluations as do staff. Action has been taken to address the requirements made at the last inspection. Recruitment procedures must be strengthened. Records showed that health and safety checks are in place. Staff receive training in mandatory subjects such as food hygiene, fire, first aid and health and safety which includes infection control. All accidents and significant incidents are recorded appropriately. The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 24 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 4 3 4 4 4 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 4 25 3 26 3 27 3 28 4 29 X 30 2 STAFFING Standard No Score 31 4 32 3 33 3 34 1 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 3 X X 3 X The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 YA30 Regulation 16(2) j Requirement Review arrangements to ensure satisfactory standards of hygiene. In particular Consider supplying liquid soap and individual hand drying facilities such as paper towels 2 YA34 19 The college must operate a robust recruitment process. In particular A full employment history must be obtained All staff must have a CRB check in place prior to working with students Contact CRB for guidance in relation to CRB for overseas volunteers Immediate requirement Volunteers must be employed inline with DOH guidance Immediate requirement 08/04/08 Timescale for action 08/04/08 The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA20 Good Practice Recommendations All medication issued for or received from home leave is recorded including amounts to provide a clear audit trail The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Mount DS0000021251.V357928.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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