Inspection on 29/06/06 for Toynton College (Cluster Five)

This inspection was carried out on 29th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 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

Similar services:

Hillside

Applegarth

122 Scorer Street

St Marys Nursing Home

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 Toynton College (Cluster 5) Toynton Hall Toynton All Saints Spilsby Lincs PE23 5AE Lead Inspector Mick Walklin Key Unannounced Inspection 29th June 2006 12:30 Toynton College (Cluster 5) DS0000066723.V299111.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 Toynton College (Cluster 5) DS0000066723.V299111.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. Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Toynton College (Cluster 5) Address Toynton Hall Toynton All Saints Spilsby Lincs PE23 5AE 01790 752499 01790 754058 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) Linkage Community Trust Sarah Scarbro Care Home 10 Category(ies) of Learning disability (10), Physical disability (2) registration, with number of places Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for service users of both sexes whose primary needs fall in the following categories: Learning Disabilities, not falling within any other category (LD) (10) Physical Disabilities (PD) (2) Total number of places registered - 10 Linkage Cluster 5 may accommodate a maximum of 3 service users aged 16-17 years of age, conditional on there being no service users over the age of 25 years of age at the home. All staff working unsupervised with students under the age of 18 will be over 21 years old. 2. 3. Date of last inspection First Inspection Brief Description of the Service: Vale View is a newly built two-storey house, situated on the site of Toynton College. There are 10 bedrooms, all en-suite. Ground floor accommodation comprises of two lounges, a kitchen with an attached conservatory, computer room, utility room, toilet, 5 bedrooms, staff sleep-in room and 2 storerooms. First floor accommodation comprises of a further 5 bedrooms, and 3 storerooms. Access to the first floor is via a lift or stairs. There is an enclosed garden, with parking to the front, and a patio area to the rear. All students attend Toynton College, and the home only provides accommodation for students during term times, and is shut during college holidays. There were six students staying at the home at the time of the inspection. Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was undertaken using a review of all the information available to the inspector regarding the service history of Vale View, and through undertaking a visit to the home. The fieldwork visit took place over 6 hours. The main method of inspection used was called case tracking which involved selecting three students and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. A tour of the premises was conducted with the manager and two of the students. Other documents connected with the running of the care home were also inspected. All six students competed feedback form, which provided positive comments about the home. What the service does well: What has improved since the last inspection? What they could do better: The home provides a very high standard of support to students, and there were no requirements from this inspection. Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 6 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. Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 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 Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 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): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. All students have a thorough assessment before being offered a place at the college, ensuring that their support needs can be met. EVIDENCE: The manager explained that five of the six students had started at the college in September 2005. Prior to admission, the college had consider reports and assessments from the student’s school, Social Worker, and any other professional involved, together with information from parents. The student will then be invited for a residential assessment at the college, usually lasting 5 days. The Linkage Transition Team assesses all the information available, and makes a decision as to whether the students needs can be met. An application to the Learning and Skills Council is made for funding. All students have detailed assessment information included in their care plans, which clearly identify their needs and goals. The college offers a 3-stage programme, and all students at Vale View are on programme 1. Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 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): 6, 7 & 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care plans are of a high standard, to ensure that students support needs are met. Students are fully involved and consulted about the running of the home, and their views are respected. EVIDENCE: One of the students volunteered to explain the contents of her care plan, and described how she has regular 1-1 meetings with her key worker to discuss any issues. She said that she is encouraged to sign the care plan after it has been explained to her, and said that she felt involved in all aspects of care planning, and demonstrated clear ownership of the plan. The care plans contain a detailed range of information, and the three inspected all accurately reflected any assessed needs of the students. Although care plans are securely stored to maintain confidentiality, students confirmed that they have access to them at any time. Care plans are reviewed every six weeks in line with educational requirements. Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 10 During the visit, staff were observed to respect and facilitate students choices and decisions. Weekly meetings are held for students to discuss household issues, and make decisions about menus and activities. One student said, “I feel fully in control of my life”. Where restrictions are placed on students lifestyles for safety reasons, these are discussed fully with the student. In discussions with two students, they explained why they could not go off the college site, because of safety issues, but fully accepted the restriction, and saw it as a goal to work towards as they became more independent. One member of staff concisely explained her role as “encouraging students independence, but also ensuring their safety”. She also said that the best thing about working at the home was “to see students progress, and overcome challenges”. Care plans contain a range of risk assessments to ensure that risks are minimised, whilst students gain independent living skills. The college has a Student Council, where student representatives from each house can raise issues and concerns. A representative from advocacy services is also involved in the Student Council. Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Educational and leisure opportunities are excellent within the college, and help promote independent living skills, confidence and self-esteem for students, whilst ensuring that they have a stimulating and enjoyable timetable. EVIDENCE: The college has a philosophy of a 24-hour curriculum, where skills gained in the college setting and the residential setting are interchangeable. There is close liaison between education and care staff in the delivery of the curriculum. Students have varied college timetables, which enable them to participate in a wide range of subjects. This gives students the opportunity to sample courses, and decide on which are of interest, or will best meet their needs. As previously mentioned, students progress through three ‘programmes’ as they gain independent living skills, and students were enthusiastic about their current courses. All students interviewed said that being at the college had helped them to become more independent. Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 12 Students have the option of attending a wide range of evening activity clubs, participating, for example, in various sports, arts and crafts and music. The students interviewed said that they have a busy social timetable, and enjoy the activities on offer. One said, “You couldn’t get bored here”. Another said, “we have a good time – but we could do with more outdoor play equipment”. Forthcoming activities are discussed at the weekly meeting, where students can put forward suggestions. Students said that they can have friends to visit them, but this is always discussed as a group. The homes on the college site have access to a pool of vehicles including mini-busses, people carriers and cars, as well as dial-a-ride and public transport, in order to access community facilities. Two students were looking forward to going to the coast for the weekend. Students are fully involved in meal preparation in the home, but some meals are taken in the college canteen. Students said that they prefer the food provided in the home, and the quality is good and their choices are catered for. Catering arrangements are of a domestic nature, and staff were observed encouraging students to help, and dealing sensitively with a student who was refusing to be involved. Care plans contain concise information about likes, dislikes and special dietary needs. It is recommended that the views of the Environmental Health Officer be obtained about the need for a paper towel dispenser in the kitchen. Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students receive good support from staff, and there are good arrangements for meeting health needs. The recording of medication administration when students are on leave should be reviewed. EVIDENCE: Students praised the level of support that they receive from staff. One said, “The staff are good – they help me when I need it”. Another praised the emotional support she had received when she had been upset. Students explained that household routines are flexible, and take into account their personal choices. All students are registered with a local GP surgery during term time, and the college employs a registered nurse to support students with their health care needs. Other services such as Psychology, Psychiatry and Speech and Language Therapy are available through the Linkage Clinical Services Team. Students maintain their existing dental and opticians arrangements from their areas of origin. A report is obtained from the student’s GP as part of the initial assessment process, and they have a health check when they are registered Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 14 with a GP on commencing college. The college was running a healthy lifestyles week at the time of the inspection, which students were participating in. Staff administering medication have undertaken an external training course. No students currently self medicate, but there is a 7-stage programme to assess students for competence. Medication storage is satisfactory, but some gaps had been found on administration records, and the manager had taken action on this. Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have confidence in the complaints procedure, and feel safe in the home. EVIDENCE: All students interviewed had a copy of the complaints procedure, both in written and makaton format, contained in their care plan. They said that staff had explained the procedure to them, and that they had signed to confirm this. Students are reminded of the complaints procedure during their 1-1 sessions with key workers, and during personal tutorials. One student said that she had made a complaint, and that staff had taken the matter seriously, and resolved the issue. Some concerns from students about the house being cold in winter had been recorded, and this was rectified. Staff interviewed were aware of their responsibilities in reporting concerns or allegations about child or adult abuse, and confirmed that they have received training. Students said that they feel safe in the home. Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable well-decorated and maintained environment for students to enjoy. EVIDENCE: The home is newly built, and no maintenance issues were identified. Students expressed satisfaction with their bedrooms and communal space. Students are responsible for cleaning their rooms on a daily basis, and share the cleaning of communal areas on a rota basis. The home was very clean on the day of the inspection. Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained to carry out their role, and staffing levels reflect the support needs of students. EVIDENCE: Two Independence Tutors are employed, who work extended shifts over 3 or 4 days to cover 24 hours per day, 7 days per week. They are supported by Learner Assistants who provide additional support at key times. Students live semi-independently, and confirmed that they receive a good level of support. Staff described training opportunities as “very good”. A training plan is prepared by the Trust’s staff development section, and appraisals are conducted to identify staff training needs. Access to courses is generally good, but staff said that there can be a delay in obtaining a place on the popular courses, such as makaton communication. Two staff files were inspected. Both contained the documentation necessary for the protection of students, although evidence of a Criminal Records Bureau disclosure was not present on one file, and was faxed to the Commission the following day. Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well organised and managed, with good quality monitoring systems in place within the Trust. EVIDENCE: The manager has recently attended a fit-person interview with the Commission, and has been registered as manager. Staff and students commented that the home is well managed, and the manager supportive. A member of staff said, “the home runs very smoothly with good communication within the house”. The Trust has good systems in place to monitor quality within the organisation, and seek the views of students, but Vale View has not been open long enough for an annual survey to have been completed. Regular visits are conducted by the Responsible Individual, and the manager undertakes regular checks. The college has a number of ways of ensuring that students views are represented, Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 19 and listened to, such as the Student Council, personal tutorials and 1-1 key worker sessions. The home is newly registered, so documentation in relation to health and safety was not inspected. No concerns were raised during a tour of the building. Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 20 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 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 4 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 4 x LIFESTYLES Standard No Score 11 x 12 4 13 3 14 4 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? N/A 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Toynton College (Cluster 5) DS0000066723.V299111.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. 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