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Inspection on 13/09/06 for Toynton College (Cluster One)

Also see our care home review for Toynton College (Cluster One) for more information

This inspection was carried out on 13th 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Most of the students had only just started at the college, but they had settled in quickly, and said that they had visited last year to help them decide if they wanted to attend the college. Staff have gathered a wide range of information about students, so that they 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 can try a range of courses, which help them gain independence and confidence. There are plenty of leisure activities and outings for them to enjoy. Students feel safe living at the home, and know how to complain if they are unhappy. Staff have good training, and new staff receive good support. The Main Hall and The Bungalow 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 emergency situations.

What has improved since the last inspection?

Staff now have better training about keeping adults and children safe, and protecting them from abuse. They have also had training about how to communicate with students who use signing. Both the Main Hall and The Bungalow have been decorated, and now give students a better place to stay. Policies have been improved so that staff have better guidelines to work to. The bath that could have burnt students because the water was too hot, has been replaced with a shower.

What the care home could do better:

Some important information about new staff had not been received before they had started working with students. This means that the person in charge did not have all the information to decide if they were the right person to do the job, and this could put service users at risk.

CARE HOME ADULTS 18-65 Toynton College (Cluster One) Toynton College and the Bungalow Toynton Campus Toynton Hall Toynton All Saints Spilsby PE23 5AE Lead Inspector Mick Walklin Key Unannounced Inspection 13 September 2006 11:00 th Toynton College (Cluster One) DS0000060992.V305302.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 One) DS0000060992.V305302.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 One) DS0000060992.V305302.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Toynton College (Cluster One) Address 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) Toynton College and the Bungalow Toynton Campus Toynton Hall Toynton All Saints Spilsby PE23 5AE 01790 752499 01790 754058 Linkage Community Trust Hazel Tuplin Care Home 29 Category(ies) of Learning disability (29) registration, with number of places Toynton College (Cluster One) DS0000060992.V305302.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) (29) The number of service users aged 15 and those aged 16 and 17 years, does not exceed a total of 11 at Toynton College (Cluster One) and this is 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 15 and over. The maximum number of service users to be accommodated is 29. College students who are under 18 years of age and who are currently being supported by staff who are under 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. A maximum of two service users aged 15 may be accommodated at Toynton Hall College only, for a period of up to five days in total, for assessment purposes only. These service users to be accommodated in room numbers six and eight only. 26th September 2005 3. 4. 5. 6. Date of last inspection Brief Description of the Service: The Main Hall and The Bungalow (known as Toynton College Cluster One for registration purposes) are registered to provide accommodation for up to 29 young people aged 16 - 25, including one assessment bed. The Main Hall is a detached property sited on the main campus, set in substantial grounds. Accommodation is provided in six single bedrooms and nine shared rooms. On the ground floor there are a number of recreational rooms including a kitchen, dining room, TV lounge, IT Suite, offices, a medication room, rest room, laundry & WC. The Bungalow is a detached single storey property sited on the main campus and set in its own grounds. Accommodation is provided in two single bedrooms and two shared bedrooms. Communal space consists of a lounge/dining area and a fully equipped kitchen. The homes are situated on the outskirts of the village of Toynton All Saints, which provides some services and amenities. There is a local bus service and transport is also provided by the home for the students. Learners only reside in college accommodation during term time. Toynton College (Cluster One) DS0000060992.V305302.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 1, 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 the Main Hall and The Bungalow was undertaken with the manager. Documents connected with the running of the home were also inspected. Twelve comment cards were received from residents, 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. What the service does well: What has improved since the last inspection? Staff now have better training about keeping adults and children safe, and protecting them from abuse. They have also had training about how to communicate with students who use signing. Both the Main Hall and The Bungalow have been decorated, and now give students a better place to stay. Policies have been improved so that staff have better guidelines to work to. The bath that could have burnt students because the water was too hot, has been replaced with a shower. Toynton College (Cluster One) DS0000060992.V305302.R01.S.doc Version 5.2 Page 6 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 One) DS0000060992.V305302.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 One) DS0000060992.V305302.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. There are good procedures for introducing new students to the college, and a thorough assessment is conducted to ensure that student’s support needs can be met. EVIDENCE: The college had recently reopened following the summer break, and many of the students in the Main Hall and The Bungalow were new to the college. They talked about their initial assessment visits to the college, which helped them decide whether they wanted to pursue a college course. There is one assessment bed, used to assess prospective new students. Toynton Hall operates a programme which is designed students to develop their independent living skills, split into three levels, or ‘programmes’. The Main Hall and the Bungalow cater for students on programmes 2 and 3. The manager explained the admission process for students who had expressed an interest in the college. This involves collating reports and assessments from the student’s school, Social Worker, and any other professional involved, and information from parents, before inviting the student for a residential assessment. The Linkage Transition Team will then make a decision as to whether the students needs can be met. Following this, an application to the Learning and Skills Council is made for funding. Student’s files contained a wide range of information about their support needs. Toynton College (Cluster One) DS0000060992.V305302.R01.S.doc Version 5.2 Page 9 Staff demonstrated a good knowledge of the new students, and confirmed that they had access to assessment information before the students were admitted. Toynton College (Cluster One) DS0000060992.V305302.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: New students are currently choosing which key worker they wish to have. They have completed their own personal profile, which outlines what they like, and what they want to do. Care plans contain a focus page and pen picture, which provides detailed, but concise information about the student. Care plans are still being discussed with the new students, so they have not signed then yet. However, students will be asked to complete a six-weekly self-evaluation, describing their progress, as part of their care plan review. Students are encouraged to take responsibility for making decisions about their lives. Students meetings are held every Sunday, where decisions about meals and activities are made. Staff said that students have Thursday afternoons timetabled for Independent Studies. A meeting had been held to discuss activities for these sessions, but as most of the students are new, they were Toynton College (Cluster One) DS0000060992.V305302.R01.S.doc Version 5.2 Page 11 not aware of local facilities, and found it difficult to choose. Staff have now provided suggestions, and offered the opportunity for students to sample new activities. New students are currently sampling the courses available at the college, so that they can choose which they want to pursue in future. The college has a Learners Council, where student representatives can raise issues and concerns. A representative from advocacy services is also involved in the Learners Council, and contact details are contained in student’s care plans. There are a good range of risk assessments in student’s care plans. Staff are clear on their responsibilities to help students develop independent living skills, whilst at the same time making sure that they are safe as far as possible. There was an issue identified with one student, who could present a behaviour which could potentially be a risk to staff and other students. Whilst this was mentioned in the care plan, there was no risk assessment to outline what staff should do if this behaviour occurred. The manager agreed to look into this. Toynton College (Cluster One) DS0000060992.V305302.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. 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. Timetables are varied, and one student said, “I like all my lessons – I’m having a great time”. Students said that they had gained skills whilst at the college. One said, “The best thing about living here is that I’ve got my independence. I’ve learnt a lot – I didn’t even know how to wash a car before”. Another said, “I have gained a lot of confidence in myself. Today, I was supporting new students in a lesson. It was great – I never thought I could do something like that”. Students outlined a wide range of hobbies and leisure activities that they pursue outside college hours. Activities are planned at weekly meetings, and Toynton College (Cluster One) DS0000060992.V305302.R01.S.doc Version 5.2 Page 13 the homes on the college site have access to a pool of vehicles including minibusses, people carriers and cars, as well as dial-a-ride and public transport. Students have the opportunity of joining evening classes during the week. A student said, “There’s loads going on – I’ve been really busy”. Students are encouraged to settle into college life before they resume regular contact with their families. One said, “I’ve made lots of new friends – I can have them round to visit at anytime”. Students outlined some of the house rules that they have agreed. Each has been given a Code of Conduct and a copy of the Student Charter. Any restrictions for safety reasons are discussed and agreed with students. Staff gave the example of a student who smokes, but is not considered safe with a lighter, so he has agreed for staff to look after the lighter. At the time of the last inspection, students ate in the main canteen. Both the Main Hall and The Bungalow have domestic kitchens, and students now cook their own evening meals. All students interviewed said that the food is good, and that their preferences are catered for. Each care plan contains detailed information about likes, dislikes and any special diets. Students in The Bungalow were preparing Shepherds Pie. One student, who said that he could not peel potatoes, was encouraged by staff to have a go, and successfully peeled all the potatoes for the topping. Staff gave examples of how healthy options are encouraged, whilst at the same time respecting student’s choices. Toynton College (Cluster One) DS0000060992.V305302.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. Residents receive support according to their individual needs. There are good arrangements to ensure that their health needs are met. EVIDENCE: Students said that they receive good support from staff. Two students in The Bungalow said that they preferred living there to the Main Hall, because there was “more privacy”, and “less people around”. Staff respect student’s personal space, and students said that they choose personal routines, such as when to get up and go to bed, but have to fit in with the college day. One student said, “I love it here – it’s wicked. They (the staff) don’t treat you like kids at school – they treat you with respect”. 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 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 with a GP on commencing college. Toynton College (Cluster One) DS0000060992.V305302.R01.S.doc Version 5.2 Page 15 There have been two medication errors over the past year. Both have been fully investigated by senior staff, and action taken. One related to incorrect information, following transfer of records between doctors. The other was due to wrongly identifying a new student. Photographs have now been placed on student’s administration records. The nurse is responsible for ordering all medication and monitoring stock levels. The college has a graduated programme for self-medication, where students are assessed in stages for competence. Medication storage is satisfactory, including medication requiring special storage. There was a query over one student’s ‘as required’ medication, following information given by parents. It appeared that this information was incorrect, so staff had been directed not to give the medication until further clarification was received from a doctor. Toynton College (Cluster One) DS0000060992.V305302.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 four complaints over the past year. Two related to the quality of food, and two were students complaining about the conduct of other students. Students have been given a copy of the complaints procedure, which is available in symbols format, for those students with reading difficulties. All students interviewed had a good knowledge of the procedure. One said, “I complained about something yesterday – I got really upset by another student, so I talked to a member of staff, who took it seriously”. The previous inspection highlighted that staff required training relating to dealing with alleged child and adult abuse, and this has now taken place. Staff demonstrated an excellent knowledge of the procedures, and who to contact. All students interviewed said that they felt safe at the college. Physical interventions are not used, and there are now systems in place for recording any sanctions against students. Toynton College (Cluster One) DS0000060992.V305302.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 major improvements to the physical environment, and both buildings now provide a comfortable well-decorated and maintained environment for residents to enjoy. EVIDENCE: The previous inspection identified that there had been delays in dealing with some maintenance issues. The maintenance team was short staffed at the time, and damp patches in three of the bedrooms in the Main Hall, and damp in a bedroom and hallway of The Bungalow had been discovered. This has now been rectified. There have been major improvements to both buildings, with many areas having been redecorated and refitted. Bathrooms have been upgraded in the main hall, and students now have use of domestic laundry facilities to promote independence. Extra plug sockets have been fitted to cope with the amount of electrical equipment brought in by students. The Bungalow has been redecorated and re-carpeted, with some new glazing installed, and a new central heating system. Toynton College (Cluster One) DS0000060992.V305302.R01.S.doc Version 5.2 Page 18 The previous inspection also identified that the communal space for students in the Main Hall is not consolidated into one area or self-contained, and is interspersed with offices, which detract from a homely feel. The main reception for the college is also based in the Main Hall, making it a thoroughfare for both students and visitors at certain times of the day, but there are plans to move this to the other end of the building. The manager has taken steps to limit access to some areas outside of college hours. The lounge is now only used for the reviews of students living in the Main Hall, and two rooms used by all college students for evening classes, are now not used. Toynton College (Cluster One) DS0000060992.V305302.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 adequate. This judgement has been made using available evidence including a visit to this service. Staff are well trained, supported and motivated. Recruitment and selection procedures are not robust enough to protect students. EVIDENCE: Two campus co-ordinators are employed, who have a deputy manager role. They work alongside two independence tutors in the main hall, and an independence tutor in The Bungalow. 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 who provide additional support at key times. Students said that they get a good level of support, and praised the staff. Staff commented that the extended shifts can be tiring if they are disturbed whilst sleeping. However, one member of staff said that they had received excellent support from senior staff following a very difficult night. The files of two new staff were inspected. Recruitment and selection is centrally co-ordinated by the human resources department. However, both new staff had been employed before a second character reference had been received. Toynton College (Cluster One) DS0000060992.V305302.R01.S.doc Version 5.2 Page 20 One of the new staff said, “My induction has been helpful – training has been well delivered”. Another member of staff said that there are good training opportunities with the college. Previous inspections have identified that some training had not been carried out. Staff records showed that they had attended required mandatory training, plus more specialist training over the past year. Toynton College (Cluster One) DS0000060992.V305302.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. EVIDENCE: The manager is undertaking National Vocational Qualification (NVQ) training at level 4. She has completed the NVQ assessors award, which will allow her to support staff who are studying towards this. The home is very well organised and managed. Staff said that they receive good support from the manager, who is “very helpful and approachable”. The Trust has good systems in place to monitor quality within the organisation, and seek the views of students, but and the views of new students will be sought at a later date. Linkage Trust has a quality team, who are responsible for sending out questionnaires. Regular visits are conducted by the Responsible Individual, and the manager undertakes regular checks. The college has a Toynton College (Cluster One) DS0000060992.V305302.R01.S.doc Version 5.2 Page 22 number of ways of ensuring that student’s views are represented, and listened to, such as the Learners Council, personal tutorials and 1-1 key worker sessions. Policies and procedures have been updated to include policies in relation to caring for children. Health and safety documentation was up to date. New students have undertaken a ‘Safe Learner Induction Checklist’, which covers fire, accidents and staff support, so that they know the procedure to follow. One student said that they had already done a fire evacuation. He said he was afraid of fire alarms, but understood the importance of fire practices. The bath that could have posed a risk to students because of the hot water temperature has been replace with a shower. A bucket containing hazardous cleaning materials was left unattended for a short while, this was dealt with by the manager. Toynton College (Cluster One) DS0000060992.V305302.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 2 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 One) DS0000060992.V305302.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. 1. Standard YA34 Regulation 19 Schedule 2 Requirement The registered person must ensure that copies of the documents outlined in Schedule 2 are obtained prior to employment. Timescale for action 30/10/06 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 One) DS0000060992.V305302.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. Extracts may not be used or reproduced without the express permission of CSCI Toynton College (Cluster One) DS0000060992.V305302.R01.S.doc Version 5.2 Page 26 - 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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