Inspection on 27/09/05 for Toynton College (Cluster Three)

This inspection was carried out on 27th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Toynton College (Cluster Three) 11/10/06

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 Four) 87 St Andrews Drive & Rosslyn, 41 Algitha Road Skegness Lincs PE23 5AE Lead Inspector Mick Walklin Unannounced 3 October 2005 10:00 rd 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 Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Toynton College (Cluster Four) Address Rosslyn 41 Algitha Road Skegness Lincs PE23 5AE 01754 898858 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Linkage Community Trust Lynsey Gowshall Care home only 17 Category(ies) of LD Learning disability (17) registration, with number of places Toynton College (Cluster Four) C53-C04 S61179 ToyntonCollege4 V247296 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) (17) 2) Linkage cluster 4 may accommodate a maximum of 7 service users aged 16-17 years of age, conditional on there being no service users over the age of 25 years of age at the home. 3) The category LD applies to service users aged 16 and over. 4) The maximum number of service users to be accommodated is 17. 5) 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. Date of last inspection 03 May 2005 Brief Description of the Service: Rosslyn and 87, St Andrews Drive are houses situated in a residential area of Skegness, which form part of the Linkage College, Toynton Campus residential provision. Rosslyn is a semi-detached property sited centrally, and is within easy walking distance of the town centre where a range of shops are available and a wide variety of recreational facilities. The home consists of a seven person residential unit and a self contained flat for two people. The central part of the house has three shared bedrooms, and a single bedroom. On the ground floor there is also a dining room, games/music room, lounge and kitchen with laundry facilities. The flat is situated on the third floor of the building and has a shared bedroom, and spacious lounge/kitchen/dining area. St Andrews Drive is a detached property, and is within reasonable walking distance of the town centre and its amenities. The property consists of a central five person residential unit and a further self contained flat for three students. The central unit has one single bedroom and two shared bedrooms. On the ground floor there are also a number of recreational rooms including: dining room, games room, lounge, kitchen and utility rooms. The flat has one single and a shared room, with ground floor accommodation consisting of a lounge and kitchen. Toynton College (Cluster Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a five-hour period. 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 and 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 Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 6 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 Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 7 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) 1 & 4. There is sufficient information provided for students and parents, and trial visits are arranged to enable students to make a decision about where to live. EVIDENCE: Rosslyn and St Andrews Drive have a Statement of Purpose and Service User Guide for individual accommodation provided. They gave clear information about the aims, philosophies and values of the college for students and their families. Both documents are available in written text, and alternative formats such as makaton symbols and audio cassette if required. 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. Rosslyn and St Andrews Drive cater for students on programme 3, who have been admitted from other houses within the college. Therefore, all admissions are planned, with pre-admission information and assessments available from within the organisation. Two students confirmed that they had visited prior to moving in, to enable them to make a decision about where they would like to live. One student talked about her achievements in getting to programme 3, and her aspirations to move into independent accommodation. Toynton College (Cluster Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 8 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, 8 & 9. 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: Care plans are extremely comprehensive, and contain detailed information about daily living needs, ongoing support and assessments. One student explained her plan of care, and demonstrated a thorough knowledge and ownership of its contents. She confirmed that she had been fully involved in its formulation and review, and that it had been fully explained to her at each review. Care plans are linked to individual learning plans, which are reviewed every 6 weeks, and contain goals and targets that the students are working towards. There are excellent daily records linked to goals, and detailed biographical information, outlining lifestyle choices and preferences. Students chose their keyworkers, and demonstrated an awareness of their role. Weekly meetings are held to discuss menus, activities and household issues, and students confirmed that they felt fully involved in the running of the homes. One student from each home is elected to the Learners Council, and Toynton College (Cluster Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 9 the representative for St Andrews Drive outlined his role, and the support he could give other students if they had a problem. A representative from advocacy services is also involved in the Learners Council. Students on programme 3 are developing skills to live independently, and the home has excellent procedures for ensuring that this is done within a risk assessment framework, ensuring that risks are minimised. A wide range of risk assessments are included in students care plans. Students gave examples of ‘ground rules’ that they follow if they are accessing community facilities independently, and confirmed that they understood the reason for these, and had agreed them. Examples were also given of road safety and public transport assessments conducted by personal tutors and home staff to assess competence and progress. Toynton College (Cluster Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 10 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, 16 & 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 outlined their college timetables, which were varied and reflected their individual interests and ambitions. One student described his work experience placement in a home for older people, and another said that she was studying towards NVQ level 1 in retail. Other students said that they are taking driving lessons and theory tests. Students also have the option of enrolling in evening classes at the college if they wish. Many students access community facilities independently, and travel to college by public transport. They outlined how they are able to pursue their hobbies and interests, and said that there is plenty to do in the local area. Toynton College (Cluster Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 11 Both homes provide a transitional environment for students to work towards moving towards supported living in the community. Household routines promote independence and choice, and students take on household responsibilities on a weekly rota basis. Menus and leisure activities are discussed and agreed at weekly house meetings. Students are responsible for shopping and meal preparation, and said that the food was of a good standard. Healthy eating is promoted, and students were discussing the merits of convenience foods and fresh foods at the time of the inspection. Toynton College (Cluster Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 12 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 students are encouraged to manage their own medication where possible, within a safe framework. EVIDENCE: Students are registered with local GP’s, and care plans contain detailed records of GP visits and health care interventions. Other services such as Psychology, Psychiatry and Speech and Language Therapy are available through the Linkage Clinical Services Team. The college also employs a nurse who assists students with heath issues. Students maintain their existing dental arrangements from their areas of origin. There was evidence of regular medication reviews, and the college has a 5-stage programme for selfmedication, where students are assessed for competence. One student described how she has one day’s supply of medication at a time, which she stores in a lockable tin. Toynton College (Cluster Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 13 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. Students are confident that their concerns and complaints are listened to, and acted upon. There are robust procedures for the reporting of alleged 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 located in the hallway, where students can write concerns. There have been two issues raised since the last inspection, both of which have 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. Toynton College (Cluster Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 14 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. Both homes provide a comfortable domestic environment for students, but some areas of Rosslyn require redecoration. EVIDENCE: Both buildings present as domestic dwellings in residential streets. Since the last inspection, the hallway has been redecorated at St Andrews Drive, and thermostatic mixer valves have been fitted to regulate the hot water supply. The home is well maintained, except for an area of plasterwork in a bathroom, which is awaiting further investigations. Students said that they were happy with the standard of the accommodation. Some areas of Rosslyn require redecoration, and this has been scheduled for the October half term. Two of the bedrooms, including the double bedroom in the flat are well below the national minimum standard, but students said that this was not a problem, and the home only provides accommodation during term time. 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 Toynton College (Cluster Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 15 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, and one student who did not wish to share was occupying a double room on his own. This requirement has therefore been removed. Toynton College (Cluster Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 16 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) 31, 32, 35 & 36. Staff are well supported and motivated, and have a clear understanding of their role, and the support needs of students. EVIDENCE: Students praised the staff working at the home, saying that they are “nice” and “they help us a lot if we need it”. Two Independence Tutors are employed at each house, working extended shifts to cover 24hours per day, 7 days per week. They are supported by Learner Assistants who provide additional support at key times. There is also a robust on-call system. There is excellent liaison and communication between education and care staff. Staffing levels reflect the independence of the students, and students themselves confirmed that there are enough staff to support them. Requirements made at the last inspection are still within timescale. One member of staff outlined the training that she had undertaken, and commented, “I have done lots of training”. Staff are well supported, with monthly supervision sessions, and three monthly appraisals. Toynton College (Cluster Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 17 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) 38, 40 & 42. The home is very well managed and organised, with good documentation to promote a safe environment. EVIDENCE: Staff and students praised the style of the manager as easy going and approachable. Staff said that they feel valued, and communication is good with regular meetings. 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 November. There was also a requirement relating to actions taken from the fire risk assessment, and these have now been completed. Some hot water temperatures in both homes are not regulated, but warning notices and risk assessments are in place, and the risk is considered low because of the nature of the service, and the ability of the students. Toynton College (Cluster Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 18 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 4 x x 3 x Standard No 22 23 ENVIRONMENT Score 4 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 x 4 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 4 x 3 x 4 4 Standard No 31 32 33 34 35 36 Score 3 3 x x 2 4 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Toynton College (Cluster Four) Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x 4 x 2 x 3 x C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 19 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 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 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). 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). Timescale for action 30/11/05 2. 35 18 30/11/05 3. 40 24 31/3/06 4. Toynton College (Cluster Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 20 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 Four) C53-C04 S61179 ToyntonCollege4 V247296 260905 Stage 4.doc Version 1.40 Page 21 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. 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