Inspection on 27/09/06 for Toynton College (Cluster Four)

This inspection was carried out on 27th September 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

Toynton College (Cluster Four) 03/10/05

Toynton College (Cluster Four) 03/05/05

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Toynton College (Cluster Four) Rosslyn 41 Algitha Road Skegness Lincs PE23 5AE Lead Inspector Mick Walklin Unannounced Inspection 27th September 2006 10:30 Toynton College (Cluster Four) DS0000061179.V311769.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 Four) DS0000061179.V311769.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 Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Toynton College (Cluster Four) Address Rosslyn 41 Algitha Road Skegness Lincs PE23 5AE 01754 898858 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 Lynsey Gowshall Care Home 17 Category(ies) of Learning disability (17) registration, with number of places Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 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) (17) Linkage cluster 4 may accommodate a maximum of 7 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. The category LD applies to service users aged 16 and over. The maximum number of service users to be accommodated is 17. College students who are under 18 years of age and who are currently being supported by staff who are under the age of 21 years, on a 1:1 basis, will continue to be so until such times that the student no longer requires this, or the staff member reaches 21 years of age. All new staff working unsupervised with students will be over 21 years old. 3rd October 2005 3. 4. 5. Date of last inspection Brief Description of the Service: Rosslyn and 87 St Andrews Drive (known as Toynton College Cluster Four for registration purposes) are houses situated in residential areas of Skegness, which form part of the Linkage College, Toynton Campus residential provision. Rosslyn is a semi-detached property sited centrally, and is within easy walking distance of the town centre where a range of shops are available and a wide variety of recreational facilities. The home consists of a seven person residential unit and a self-contained flat for two people. The central part of the house has three shared bedrooms, and a single bedroom. On the ground floor there is also a dining room, games/music room, lounge and kitchen with laundry facilities. The flat is situated on the third floor of the building and has a shared bedroom, and spacious lounge/kitchen/dining area. St Andrews Drive is a detached property, and is within reasonable walking distance of the town centre and its amenities. The property consists of a central five person residential unit and a further self-contained flat for three students. The central unit has one single bedroom and two shared bedrooms. The ground floor communal space comprises of a kitchen/dining room, large games room, lounge, and utility room. The flat has one single and a shared room, with ground floor accommodation consisting of a lounge and kitchen. Toynton College (Cluster Four) DS0000061179.V311769.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 Toynton College Cluster 4, and through undertaking a visit to the home. The fieldwork visit took place over 7 hours. The main method of inspection used was called case tracking which involved selecting three students and tracking the support they receive through the checking of their records, discussion with them, the care staff and observation of care practices. A tour of both houses was undertaken with the manager. Documents connected with the running of the home were also inspected. Fifteen comment cards were received from students who had been staying at the houses last term, and all contained positive feedback. The manager had also completed a Pre-Inspection Questionnaire. This provided information that the Learning and Skills Council individually assess the range of fees charged. No students were at either home during the visit, as they were attending Toynton College during the day, and staying there for evening classes. The inspector travelled to Toyton College to meet three students from St Andrews Drive, and talk to them about their experiences. What the service does well: The students have just moved into both homes this term. They had visited last term to help them make up their minds whether they wanted to live there or not. There is a lot of information about students, so that staff know what support they need. The staff help and encourage students to gain skills whilst, at the same time, making sure that they are safe. Students are fully involved in making decisions that affect their lives, and staff listen to and respect those decisions. Students attend courses at college, which help them gain independence and confidence, and prepare them for getting a job. There are plenty of activities and outings for them to enjoy. Students said that they feel safe living at the home, and know how to complain if they are unhappy. Staff have good training, and receive good support. Both homes are well managed and organised. Linkage Trust has good systems for getting the views of students, and they have a voice through the college Learners Council. New students receive training about health and safety, so that they are aware of what to do in emergencies. Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 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. Toynton College (Cluster Four) DS0000061179.V311769.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 Four) DS0000061179.V311769.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. Students are fully involved in deciding where they live, and staff have excellent information about the support needs of students. EVIDENCE: Both houses have a new intake of students, who had move in three weeks previously. Toynton College operates a programme, which is designed to help students to develop their independent living skills. This is split into 3 levels, with students new to the college starting on programme 1. Rosslyn and St Andrews Drive cater for students mainly on programme 3, who have worked through programmes 1 and 2, and have moved from other houses within the college. Therefore, all admissions are planned, with pre-admission information and assessments available from within the organisation. Staff demonstrated a thorough knowledge of the support needs of the new students. A student who had lived at the home last year said, “Yes – it was the right place for me to move into St Andrews because it has a flat”. New students said that they had wanted to move to Skegness, and had been fully involved in making decisions about their future. They had discussed their wishes at their reviews. The manager said that she and the college programme co-ordinators will meet to discuss the suitability of students who wish to move to either house. Visits will be arranged to help the student reach a decision. One student Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 9 said, “I never thought I would get to Skegness – I’m proud of it. It is more work - we do a lot for ourselves”. Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care plans accurately describe student’s support needs. Students make decisions and choices about their lifestyle, and develop independent living skills, whilst risks are minimised. EVIDENCE: Students have detailed care plans, which they have strong ownership of. One said, “I can see it when I want – it’s all about me”. Students said that they are fully involved and consulted about their care plans. Each student has written their own personal profile, which gives information about what they like and dislike. A ‘focus page’ gives staff clear and concise information about student’s support needs, and there is excellent cross-referencing with the more detailed care plans and assessments. All care plans inspected had been reviewed at the end of last term, and transferred with the students. One student had not signed her care plan, but this had been an oversight at her previous home. Care plans are reviewed with students every six weeks, in line with requirements from the Learning and Skills Council, who fund each placement. This involves a self-evaluation of progress by students. Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 11 All students have access to the ‘CALL’ advocacy service if required. A photograph and contact details of the advocate are displayed in the houses, and details are also included in student’s care plans. The college has a Learners Council, where student representatives can raise issues and concerns. Students are currently electing their representatives. Weekly house meetings are held to enable students to discuss household arrangements. Students interviewed said that staff listen to them, and respect their decisions. One said, “Staff treat us with respect, but we (students) don’t always respect each other or the staff”. One of the students had attended her review today. She said, “We talked about my future, and I felt involved and listened to at the meeting”. During the visit, a student approached the manager about changing his timetable, as he would rather do fitness training rather than gardening. The manager agreed to discuss this with the student’s programme co-ordinator. Staff demonstrate an excellent awareness of their responsibilities to allow students to develop independent living skills, whist at the same time making sure that they are safe. Risk assessments are of a good quality, and cover the household and community dangers that students who have a high level of independence will face. Not all students are assessed as road safe if out on their own, and staff described how they provide discrete support, whilst encouraging students to use their judgement in road safety situations. Any restrictions for health and safety reasons, such as having to go out with a staff escort, are discussed and agreed with students. Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 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 promote independent living skills, confidence and self-esteem for students. Contact with families and friends is good, and students like the food available. EVIDENCE: The college has a philosophy of a 24-hour curriculum, where skills gained in the college setting are transferred to the home setting. The educational staff and care staff work closely together. Students described their timetables, which they said they enjoy. One student said that she is doing two vocational courses. One is in childcare, which includes a work placement, and the other is food service where she serves students and staff in the main college canteen. Another student said that she was doing a vocational course in catering, and has work experience at a local farm park. Students decide their leisure activities at their weekly house meeting. They have the opportunity of joining college evening classes during the week. They Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 13 are encouraged to walk or use public transport as much as possible. There is only one people carrier shared between several of the houses in Skegness, and students said that this can limit their opportunities. All students interviewed said that there were a good range of activities. A member of staff said, “We encourage the students to explore leisure opportunities themselves, rather than them coming to us saying that they are bored, and us saying right – we’ll do such and such then. Students are learning to compromise with each other, if there are different ideas about activities”. Students said that they have as much contact with their families as they want. One said that she was looking forward to her mother’s forthcoming wedding, where she is going to be a bridesmaid. They stay in contact with their friends through college, and visitors are welcome to the houses. Students outlined some of the house rules that they have agreed. Each has been given a Code of Conduct, which outlines college expectations about their behaviour. They also have a copy of the Student Charter, which sets out their rights. Household tasks are discussed at the weekly meetings. A student said, “We do most things for ourselves – we do a list so that we all know what jobs we have to do”. A member of staff said, “We let them sort it out themselves. They talked about doing tasks for a week, but then realised that cleaning the bath every day for a week is not much fun, so they decided on daily tasks”. All students interviewed said that the quality of the food is good. They are responsible for menu planning and shopping. One said, “It’s nice in the flat. I like cooking my own meals, and it makes me more independent. Staff only help us if we need it”. Another said, “The food is good. We can make something else if we don’t like it”. Care plans contain excellent information about likes, dislikes, special requirements and allergies. A student confirmed that she was on a weight reduction diet, and the reasons for this had been discussed and agreed with her. She said that she gets good support from staff to help her stick to her diet when she finds it difficult. Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 14 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 support according to their individual needs. There are good arrangements to ensure that their health needs are met. Medication storage and administration ensures safe practices. EVIDENCE: Staff said that they work with students intensively, but they offer discrete support, so that the student may not realise that they are being observed or supported. A member of staff said, “We tend to stand back – we monitor and observe, and only offer help if needed”. A student said, “The staff do treat me well all the time”. Another said, “They help us if we’ve got a problem, but the manager should nag us more”! Another said, “The college has helped me be much more independent”. All students are registered with a local GP surgery. The college employs a nurse, who was registering new students with local doctors at the time of the inspection. 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 Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 15 areas of origin. The Speech and Language Therapist has weekly input to help students who have communication difficulties. Staff receive medication training from the college nurse. Some students participate in a 7-stage graduated programme for self-medication, where they are assessed in stages for competence. There are clear guidelines for staff on what level of supervision and checks that they should be carrying out, and students have lockable storage in their rooms for medication. One student said, “I get one days tablets at a time, and staff check to make sure that I’ve taken them”. Storage facilities are satisfactory, and there are good stocktaking arrangements. The home uses two records for the administration of medication. One records the current stock balance, and the other records the administration. These sheets are identical apart from the headings, and it was noted that on two occasions staff had swapped the sheets over, and were recording on the wrong sheet. Although this did not pose a risk to students, the college nurse agreed to make the records more distinct from each other. Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Students have confidence that staff will take complaints and concerns seriously, and feel safe living at the home. EVIDENCE: There have been two complaints since the last inspection. One related to the food served in the main college canteen, and the other was about the lack of net curtains in the front of the house. Students discussed this as a group, and decided not to have them fitted. Students can record concerns or complaints in a book in the entrance hallway, and each student has a copy of the complaints procedure in their care plan. A student said, “Yes – I do know who to speak to when I am not happy, and I would make a complaint if something goes wrong”. Another said, “I can speak to my independence tutor, personal tutor or the house manager (if I am not happy). I would put it in the comment book to let them know”. All students interviewed said that they would trust staff to take their concerns seriously. The two staff interviewed demonstrated a thorough knowledge of the child and adult protection procedures, and what steps to take if they received an allegation. Students said that they felt safe living in the homes. Details of one allegation was reported to the commission last term, but this related to an incident during the college holidays, whilst a student was visiting relatives. The college took appropriate action and alerted social services. Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There have been improvements to the environment, and both houses now provide a comfortable well-decorated and maintained environment for residents to enjoy. EVIDENCE: Both houses provide domestic accommodation of a good standard. The previous inspection identified that some areas of Rosslyn required redecoration, and significant improvements have now been made. A downstairs shower room has been refitted, two bedrooms have been decorated with new carpets, and the annex has had new carpets fitted. The hallway is in the process of being decorated. The outside rear wall of St Andrews Drive has been re-painted, and the manager has plans to develop this area into a barbecue/patio area. Students said that they are happy with the standard of accommodation provided. Students are responsible for cleaning and household tasks. Both houses were clean on the day of the inspection. However, a student who lived at St Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 18 Andrews Drive last term said, “I would like the home to be fresh and clean all the time”. Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 19 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, supported and motivated. Staffing arrangements provide stability for students, ensuring that they are well supported. EVIDENCE: Each home has two independence tutors who work opposite each other to provide cover. They work extended shifts over 3 or 4 days to cover 24 hours per day, 7 days per week. They are supported by Learner Assistants from the college, who provide additional support at key times. A member of staff said, “The shift system is better for the students – it gives them better stability”. Students live semi-independently, and said that they receive the support that they need. Staff said, “We aim to make a difference, and help students live as independently as possible. It’s great watching them develop”. Staff praised the training that they receive. One said, “I can’t fault it – they go out of their way to get the training we need”. Another said, “Training is very good – very thorough”. One member of staff had transferred from another home, and although his training record was not fully up to date, there was evidence that the outstanding training has already been booked. Two new staff have started at the homes this term. They have been previously employed by Linkage, and transferred from other Linkage homes. Their Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 20 employment records have not yet been transferred, and were not available for inspection. Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 21 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): 37, 39, 40 & 42 Quality in this outcome area is excellent. 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. Policies and procedures have been updated. Health and safety procedures ensure that students are safe. EVIDENCE: The manager has completed the Registered Managers Award, and is currently working towards a National Vocational Qualification at level 4. Both the new staff said that they had received excellent support from the manager. Both students and staff said that the homes are well organised and managed. The Trust has good systems in place to monitor quality within the college, and to seek the views of students. Linkage Trust has a quality team, who are responsible for sending out questionnaires to students, families and placing authorities. A senior manager conducts regular visits, and the manager undertakes regular checks. The college has a number of ways of ensuring that Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 22 student’s views are represented, and listened to, such as the Learners Council, personal tutorials and 1-1 key worker sessions. Students have only moved in within the past three weeks, and the manager said that their views will be sought when then have settled in. Policies and procedures have been updated to include policies in relation to caring for children. Students have undertaken a ‘Safe Learner Induction Checklist’, which covers fire, accidents and staff support, so that they know the procedure to follow. Other maintenance records were up to date. Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 23 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 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 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 3 x LIFESTYLES Standard No Score 11 x 12 4 13 3 14 x 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 x 4 3 x 3 x Toynton College (Cluster Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 24 No 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. 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 Four) DS0000061179.V311769.R01.S.doc Version 5.2 Page 25 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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