Inspection on 26/09/05 for Toynton College (Cluster One)

This inspection was carried out on 26th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Toynton College (Cluster One) 13/09/06

Toynton College (Cluster One) 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 One) Toynton College and the Bungalow Toynton Campus, Toynton Hall Toynton All Saints, Spilsby PE23 5AE Lead Inspector Mick Walklin Unannounced 26/27 September 2005 09:30 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 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 Stationary 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) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Toynton College (Cluster One) Address Telephone number Fax number Email 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 college@linkage.org.uk Linkage Community Trust Hazel Tuplin Care home only 29 Category(ies) of LD Learning disability (29) registration, with number of places Toynton College (Cluster One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 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) (29) 2) 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. 3) The category LD applies to service users aged 15 and over. 4) The maximum number of service users to be accommodated is 29. 5) 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. 6) A maximum of two service users aged 15 may be accomodated 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. Date of last inspection 03 May 2005 Toynton College (Cluster One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 Page 5 Brief Description of the Service: The Main Hall and The Bungalow are registered to provide accommodation for up to 29 younger people, including one assessment bed. Toynton 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) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection, which also included other registered areas of the college, took place over 2 days. The main method of inspection used was called case tracking which involved selecting two 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 took place records were also examined. What the service does well: 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 One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Toynton College (Cluster One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 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 standard(s) 3 & 4. There are excellent procedures for assessing students prior to admission, which includes trial visits to enable students to make an informed choice about whether to live there or not. EVIDENCE: Many of the students were new to the college, having started only two weeks ago. Toynton Hall operates a programme which is designed students to develop their independent living skills. This is split into 3 levels, with students new to the college starting on programme 1. The Main Hall and the Bungalow cater for students on programmes 1 and 2. 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 at the college, usually lasting 5 days. 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, containing a copy of the assessment report, and the rationale to support the application. One student said that she had looked at other homes, but had visited the college and decided that she liked it the best, so made a decision to move. Toynton College (Cluster One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 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 standard(s) 6, 7 & 8. Care plans are of a high standard, and students are fully involved in their preparation and review, ensuring that their needs are fully supported. There are excellent systems in place for consulting students about how the home is run. EVIDENCE: As previously mentioned, many students were new to the college, so care plans had not been reviewed as yet, and staff were still working through the plans with the students to explain them. Care plans are reviewed every 6 weeks in conjunction with the Individual Learning Plan, and amendments made to reflect progress in achieving goals. Care plans are extremely comprehensive, and contain detailed information about daily living needs, ongoing support and assessments. There are good daily records, including thorough handover reports. The college operates a key worker system, with students choosing which key worker they want. Weekly meetings are held to discuss menus, activities and household issues, and students confirmed that they had been consulted about the running of the homes, and their choices and preferences. The college has a Learners Council, where student representatives can raise issues and concerns. A representative Toynton College (Cluster One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 Page 10 from advocacy services is also involved in the Learners Council. A student said that she enjoys the weekly meetings, which give her the opportunity to talk about what food she wants, what activities and outings to plan, and what household jobs students want to do. Toynton College (Cluster One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 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 standard(s) 12, 14 & 17. 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. 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. They also have the option of enrolling in evening classes at the college if they wish. Students outlined a wide range of hobbies and leisure activities that they pursue outside college hours. Activities are planned at weekly meetings, and 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. One student said “There are lots of things to do in the evening, which is really good”. She said that she had “made lots of new friends”, and “done lots of new things” whilst at the college. Toynton College (Cluster One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 Page 12 The Main Hall has a training kitchen, which is used by up to 3 students on a rota basis to prepare their own meals. Other students eat in the main canteen, and made positive comments about the standard of food available there. The Bungalow has a domestic kitchen, and students are responsible for cooking on a rota basis. Menu planning is done every week, when students are invited to make suggestions for the forthcoming weeks menu, and there are discussions about healthy options and balanced diets. Toynton College (Cluster One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 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 standard(s) 19 & 20. There are satisfactory arrangements to ensure that the health needs of students are catered for, and there are robust procedures to encourage students to manage their own medication if they are able to. EVIDENCE: All students are registered with a local GP surgery, and the college employs a nurse and assistant 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 with a GP on commencing college. Care plans expected contain Medical Consultation records, which record all medical interventions. The nurse is responsible for ordering all medication from the GP. The college has a 5-stage programme for self-medication, where students are assessed for competence. Medication storage and administration records were inspected in The Bungalow, and found to be satisfactory. Toynton College (Cluster One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 Page 14 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 standard(s) 22 & 23. Staff ensure that students have a thorough knowledge of the complaints procedure, and there are good procedures in place to ensure that students are protected from abuse, but some staff require update training. EVIDENCE: Students have a copy of the complaints policy in their care plans for reference. There is also a book for students to write concerns. There have been no issues raised since the last inspection in the Main Hall, and one complaint about heating in The Bungalow has been resolved. Students said that they were clear of the procedure to follow if they wished to make a complaint, and said that they were confident that staff would take the complaint seriously. There are policies and procedures in place for the protection of vulnerable adults, child protection and whistle blowing. The previous inspection highlighted that staff required training relating to dealing with alleged abuse, and this has been arranged for the October half term. Staff interviewed were able to give accurate answers to scenarios relating to their reporting responsibilities. One student commented, “I can go to staff with anything – I feel safe here”. Toynton College (Cluster One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 Page 15 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 standard(s) 24 & 30. Some work needs to be done to ensure that the Main Hall is well maintained and homely. Some issues regarding dampness were identified in both buildings. EVIDENCE: 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 in 2006. The Bungalow provides accommodation in a domestic environment, which is homely and comfortable, but with limited communal space. The previous inspection required that Linkage Community Trust provide the Commission with a plan of how they aim to reduce the number of double bedrooms. Linkage Community Trust have responded by stating that they do wish to progress generally towards substantially single bedroom accommodation, but this is a longer-term aim. No students interviewed during the inspection were unhappy about sharing a room. This requirement has therefore been removed. Toynton College (Cluster One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 Page 16 There have been delays in dealing with some maintenance issues. The maintenance team is short staffed at present, but there was clear evidence that some requests had not been actioned since the last inspection. There are damp patches in three of the bedrooms in the main hall (Bedrooms 1, 3 & 7), and damp in the hallway and bedroom 4 of The Bungalow. There have also been problems with water temperatures in the Main Hall, which are covered in standard 42. The manager confirmed that a new system for reporting faults had been introduced, which would identify outstanding maintenance issues, and monthly meetings are held with the Assistant Business Services Manager to discuss issues. One new student said that she really likes her room, and had no complaints about it. Four cleaners are employed in the main building, but students are encouraged to take responsibility for their own areas. The laundry is equipped with semiindustrial washing machine and drier, and a domestic washing machine. There are plans to re-locate the laundry, and convert the room into a domestic utility room, more appropriate for the needs of the students. Toynton College (Cluster One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 & 35. Students value the support that staff give them, and there are sufficient staff available to provide support. Staff in education and care work well together in delivering the curriculum. EVIDENCE: A student said, “The best thing about the college is the staff – they are great”. Four Independence Tutors are employed in the Main Hall, working extended shifts to cover 24 hours per day, 7 days per week. The Bungalow has two Independence Tutors. They are supported by Learner Assistants who provide additional support at key times. There are also two Campus Co-ordinators, and a robust on-call system. There is excellent liaison and communication between education and care staff. The college has employed an NVQ manager, and is recruiting an NVQ coordinator. All Independence Tutors are either working towards, or awaiting a place on an NVQ course. Requirements made at the last inspection relating to training are still within timescale, and outstanding training has been identified, and will be completed by the end of October. Toynton College (Cluster One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 40 & 42. The home is very well managed and organised, but some policies require review so that staff have clear guidelines to keep students safe. Hot water temperatures must be regulated to ensure a safe environment. EVIDENCE: The previous inspection identified that some policies and procedures require review, but this is still within timescale. The timescale has been extended, but policies relating to bullying and child/adult protection should be reviewed by the end of October. There have been problems with water temperatures in the Main Hall, which were reported in May. In one bathroom the hot water temperature was 70°, and no thermostatic mixer valve was fitted. This bathroom was closed, pending remedial work to rectify the problem. Toynton College (Cluster One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x 4 3 x Standard No 22 23 ENVIRONMENT Score 4 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 4 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 4 x 4 x x 4 Standard No 31 32 33 34 35 36 Score x 3 x x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Toynton College (Cluster One) Score x 3 4 x Standard No 37 38 39 40 41 42 43 Score x x x 2 x 2 x C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 Page 20 yes 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 23 Regulation 13(6) Requirement The registered person must ensure that all staff have received training in the Protection of Vulnerable Adults/Children. (This requirement is carried forward from the previous inspection, and is still within timescale). The registered person must provide a maintenance plan for the refurbishment and redecoration of the Main Hall and the Bungalow. This should take into consideration how the Main Hall can be made more homely and self-contained for students living there. Timescales should be included in the plan. (This requirement is carried forward from the previous inspection, and the timescale has been extended). The registered person must ensure that all staff receive mandatory and specific training, such as Makaton, and that this is updated as required. (This requirement is carried forward from the previous inspection, and the timescale has been extended). Timescale for action 31/11/05 2. 24 23 31/3/06 3. 35 18 30/11/05 Toynton College (Cluster One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 Page 21 4. 40 24 5. 42 13(4) The registered person must ensure that policies and procedures are reviewed and amended in line with updated legislation and best practice guidance. (This requirement is carried forward from the previous inspection, and is still within timescale. However the timescale has been extended). The registered person must arrange for hot water temperatures to be regulated. 31/3/06 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Toynton College (Cluster One) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 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) C53-C04 S60992 ToyntonCollege1 V247278 260905 Stage 4.doc Version 1.40 Page 23 - 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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