Inspection on 11/10/06 for Toynton College (Cluster Three)

This inspection was carried out on 11th October 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.

Other inspections for this house

Toynton College (Cluster Three) 27/09/05

Toynton College (Cluster Three) 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 Three) Donnas Cottage Toynton College Toynton All Saints Spilsby Lincs PE23 5AE Lead Inspector Mick Walklin Unannounced Inspection 11th October 2006 11:00 Toynton College (Cluster Three) DS0000061175.V314831.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 Three) DS0000061175.V314831.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 Three) DS0000061175.V314831.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Toynton College (Cluster Three) 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) Donnas Cottage Toynton College Toynton All Saints Spilsby Lincs PE23 5AE 01790 754053 Linkage Community Trust Mykey Rockall Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Toynton College (Cluster Three) DS0000061175.V314831.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) (16) Linkage Cluster 3 may accommodate a maximum of 6 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 16. 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. 27th September 2005 3. 4. 5. Date of last inspection Brief Description of the Service: Donnas Cottage and Dunsford (known as Toynton College Cluster Three for registration purposes) are community based, domestic houses, which form part of the Linkage College, Toynton Campus residential provision. Donnas Cottage is a detached property set over the road from the grounds of the main hall campus, and students have just a short walk to access activities within the main hall. The property consists of three double and two single bedrooms. On the ground floor there is a lounge, a utility room, kitchen and dining room. Dunsford is a detached property sited approximately two miles from the main campus and within easy walking distance of the town centre and local amenities of Spilsby. The students also have access to a good local transport system. The property consists of two double and four single bedrooms. On the ground floor there is also a lounge, dining room, kitchen and utility provided. Toynton College (Cluster Three) DS0000061175.V314831.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 3, and through undertaking a visit to the home. The fieldwork visit took place over 6 hours. The manager is currently on maternity leave, and an acting manager is currently in post. 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 acting manager. Documents connected with the running of the home were also inspected. Sixteen comment cards were received from students who had been staying at the houses last term, and all contained positive feedback. The acting manager had completed a PreInspection 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? Toynton College (Cluster Three) DS0000061175.V314831.R01.S.doc Version 5.2 Page 6 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. The damp patch on one of the bedroom ceilings in Dunsford has been decorated. There is better information for staff, called policies and procedures, so that staff are clearer about what they are expected to do. 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 Three) DS0000061175.V314831.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 Three) DS0000061175.V314831.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: Both houses have a new intake of students, most of whom had move in at the start of this term. 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. Donnas Cottage and Dunsford cater for students on programme 2, who have worked through programme 1, 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. However, two of the students at Donnas Cottage were new to the college, and they described their experiences. Both had visited the college during ‘schools week’. This week, held during half term when other students are away, enables prospective students to sample college life. If they wish to pursue this further, they are invited back for a residential assessment. A wide range of preadmission assessment information is available to staff, who demonstrated a thorough knowledge of the support needs of the new students. Toynton College (Cluster Three) DS0000061175.V314831.R01.S.doc Version 5.2 Page 9 Toynton College (Cluster Three) DS0000061175.V314831.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 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 crossreferencing with the more detailed care plans and assessments. Care plans had been reviewed at the end of last term, and transferred with the students. The new students had care plans based on the pre-admission information, and these are due to be reviewed after half term. 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 Three) DS0000061175.V314831.R01.S.doc Version 5.2 Page 11 Each student has a decision making record in their care plan, which evidence discussions with key workers. Recent discussions with the students have been around their choice of key workers, and who was sharing bedrooms. Students said that they are encouraged to make their own decisions, but staff will help them if they have difficulties. One said, “We have a meeting every Sunday, and we choose meals and activities – It’s up to us what we do”. Another student said, “Staff listen to us and respect what we want to do”. 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. No 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. A student said, “Staff talk to us about the rules to make sure that we agree them”. A member of staff said, “We do a lot of work on road safety and stranger danger – If we are out, I will ask the students when they think it is safe to cross the road. We also get then to practice phoning the home when they are out, even if it is only from the main building, just to get them used to it”. Toynton College (Cluster Three) DS0000061175.V314831.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. A member of staff said, “We have weekly programme meetings with education staff, but we also see them on a daily basis, and communication is good”. Students described their timetables, which they said they enjoy. One said, “There is lots to teach us how to be more independent”. Another student said, “I’ve got much better at cooking since I’ve been here”. As previously mentioned, students meet on a daily basis to plan activities and menus. They said, “We are always very busy – there is lots to do”. Students Toynton College (Cluster Three) DS0000061175.V314831.R01.S.doc Version 5.2 Page 13 have the opportunity of joining college evening classes during the week, or joining in house activities. On the day of the visit, a trip to the cinema in Skegness was planned for that evening. Students talked enthusiastically about recent themed activities, based on different countries. They have had a Greek night, Irish night and an American night, which they said that they had “really enjoyed”. Students said that they are able to invite friends to visit them. One student said, “I have made lots of new friends since being here”. A student, who lived at Donnas Cottage last year, was visiting for tea to see her friends and staff. Students were busy packing for the two week half term break when they will go home to their families. Students take it in turns to prepare meals. All said that the standard of food provided is good. Care plans contain excellent information about likes, dislikes, special requirements and allergies. Toynton College (Cluster Three) DS0000061175.V314831.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: Students said that they receive a good level of support from staff. A member of staff said, “We get a lot of job satisfaction – we work intensively with students, and you notice the little things that the students learn. Students said, “The staff are alright – they make us laugh”. 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 areas of origin. The Speech and Language Therapist has weekly input to help students who have communication difficulties. Toynton College (Cluster Three) DS0000061175.V314831.R01.S.doc Version 5.2 Page 15 Staff receive medication training from the college nurse. The college operates a 7-stage graduated programme for self-medication, where students are assessed in stages for competence by the nurse. 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. However, no students currently self-administer, but some are working towards this. Toynton College (Cluster Three) DS0000061175.V314831.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: Students said that they would know how to complain if they were unhappy, and trusted staff to take appropriate action. One said, “If I’ve got a complaint, I would tell staff and write it in the (complaints) book”. Copies of the complaints procedure are contained in residents care plans for their reference. There was one complaint last term, which did not relate to any students currently living in the homes. This had been dealt with appropriately by the manager. 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. Toynton College (Cluster Three) DS0000061175.V314831.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. Both houses provide a comfortable well-decorated and maintained environment for residents to enjoy, and there have been some improvements to Dunsford. EVIDENCE: The previous inspection identified that the were damp patches to a ceiling in one of the bedrooms in Dunsford, and this has now been redecorated. There is still staining to the ceiling of the upstairs bathroom. The five students interviewed at Donnas Cottage all like their bedrooms. Both houses provide accommodation of a good quality, and are comfortably furnished. Students are responsible for cleaning and household tasks, and both houses were clean on the day of the inspection. Toynton College (Cluster Three) DS0000061175.V314831.R01.S.doc Version 5.2 Page 18 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. Staffing arrangements provide stability for students, ensuring that they are well supported. Recruitment and selection procedures are not robust enough to protect students. 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. One member of staff at Donnas Cottage was relatively new. She outlined her induction programme, which she said had been helpful, and equipped her for her role. She said, “The training is good compared with other places that I’ve worked”. Her file provided evidence that training applications have been made for a wide range of courses. The new member of staff had originally been employed on the educational side of the college, which is not regulated by the commission. However, when she had transferred to the residential side, her recruitment documentation had not been checked. It was discovered that she had been employed prior to the Toynton College (Cluster Three) DS0000061175.V314831.R01.S.doc Version 5.2 Page 19 receipt of a Criminal Records Bureau Disclosure, and with only one reference. Attempts to obtain a second reference had not yet been successful. The senior management of the college have already taken action to ensure that recruitment and selection procedures are now more robust. Toynton College (Cluster Three) DS0000061175.V314831.R01.S.doc Version 5.2 Page 20 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 & 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 registered manager is currently on maternity leave, and an acting manager is in post. She is enjoying the challenge, and staff gave good feedback about the management and organisation. One said, “The home is well organised – I feel well supported. I can rely on her (the acting manager) if I get stuck”. 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 Toynton College (Cluster Three) DS0000061175.V314831.R01.S.doc Version 5.2 Page 21 authorities. A senior manager conducts regular visits, and the manager undertakes regular checks. The college has a 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. 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. Maintenance and health and safety records and checks are up to date. Toynton College (Cluster Three) DS0000061175.V314831.R01.S.doc Version 5.2 Page 22 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 x x 3 x Toynton College (Cluster Three) DS0000061175.V314831.R01.S.doc Version 5.2 Page 23 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 30/11/06 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 Three) DS0000061175.V314831.R01.S.doc Version 5.2 Page 24 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 Three) DS0000061175.V314831.R01.S.doc Version 5.2 Page 25 - 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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