Inspection on 13/12/06 for Toynton College (Cluster Two)

This inspection was carried out on 13th December 2006.

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

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

Other inspections for this house

Toynton College (Cluster Two) 26/09/05

Toynton College (Cluster Two) 03/05/05

Similar services:

Hillside

Applegarth

122 Scorer Street

St Marys Nursing Home

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 Toynton College (Cluster Two) Spencers Lodge, Yew Tree and Keal View Toynton Campus Toynton Hall Toynton All Saints Lincolnshire PE23 5AE Lead Inspector Mick Walklin Key Unannounced Inspection 13th December 2006 11:00 Toynton College (Cluster Two) DS0000061027.V322217.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 Two) DS0000061027.V322217.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 Two) DS0000061027.V322217.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Toynton College (Cluster Two) 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) Spencers Lodge, Yew Tree and Keal View Toynton Campus Toynton Hall Toynton All Saints Lincolnshire PE23 5AE 01790 754926 01790 754058 Linkage Community Trust Helen Whittleton Care Home 31 Category(ies) of Learning disability (31), Physical disability (1) registration, with number of places Toynton College (Cluster Two) DS0000061027.V322217.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) (31) Linkage Cluster 2 may accommodate a maximum of 12 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 31. 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. Bedroom number 1 in Keal View be registered for one student with a physical disability. 26th September 2005 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Spencers Lodge, Yew Tree and Keal View (known as Toynton College Cluster Two for registration purposes) are community based domestic houses, which form part of the Linkage College, Toynton Campus residential provision. Yew Tree is currently being registered as part of another cluster, and was not inspected on this occasion. The houses are staffed whenever students are in residence. Spencers Lodge is a detached property sited on the main campus, consisting of six single and two double bedrooms. The ground floor has two lounges, a utility room, and kitchen/dining room. Keal View is a detached property sited on the main campus, consisting of five single and three double bedrooms. A ground floor bedroom is available for students who may have physical disabilities or problems with their mobility. On the ground floor is a lounge, a utility room, and kitchen/dining room. There is also a spacious conservatory. 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. Students only reside in college accommodation during term time. Toynton College (Cluster Two) DS0000061027.V322217.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 2, and through undertaking a visit to the home. The fieldwork visit took place over 6 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 Spencers Lodge and Keal View was undertaken with the manager. Documents connected with the running of the home were also inspected. Fourteen comment cards were received from students, but these had been completed last term, and the students have all moved on. 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. CSCI are trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social care services. We are currently testing a method of working where ‘experts by experience’ are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term ‘experts by experience’ or ‘expert’ used in this report describes people whose knowledge about social care services comes directly from using them. What the service does well: The expert by experience said, “This is a very very excellent home overall. I would like to live in a place like this. Overall I thought it was excellent. It was nice and clean. There were plenty of games”. Students said that they like living at the homes. When asked why, they said: “Because I like it” “It’s a good place to live” “Yeah, dream, yeah” “Yes, cos my brothers here, make new friends” The students have just moved into both homes this term. There is a lot of information about students, so that staff know what support they need. The staff help and encourage students to gain skills whilst, at the same time, making sure that they are safe. Students are fully involved in making decisions that affect their lives, and staff listen to and respect those decisions. Students attend courses at college, which help them gain independence and confidence, and prepare them for getting a job. There are plenty of activities and outings for them to enjoy. Students said that they feel safe living at the home, and know how to complain if they are unhappy. Staff have good training, and receive good support. Both homes are well managed and Toynton College (Cluster Two) DS0000061027.V322217.R01.S.doc Version 5.2 Page 6 organised. Linkage Trust has good systems for getting the views of students, and they have a voice through the college Learners Council. New students receive training about health and safety, so that they are aware of what to do in emergencies. 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. The summary of this inspection report can be made available in other formats on request. Toynton College (Cluster Two) DS0000061027.V322217.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 Two) DS0000061027.V322217.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. 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: All except one of the students living in Spencers Lodge and Keal View had started at the college in September. One student, who had attended a nearby school, said that she had visited the college for a few days during her last school year. This had allowed her to sample college life, and helped her decide whether she wanted to join the college. She said, “Its been great so far”. Toynton Hall operates a programme, which is designed to help students to develop their independent living skills. This is split into three levels, or ‘programmes’. Keal View caters for students on programmes 1 and 2, and Spencers Lodge caters for students on programmes 2 and 3. The expert thought that this helps students do things more independently, which he thought was a good idea. It boosts students confidence and independence, and one student said, “I like living independent” Toynton College (Cluster Two) DS0000061027.V322217.R01.S.doc Version 5.2 Page 9 The manager explained the admission process for students who were thinking about joining the college. This involves collecting reports and assessments from the student’s school, their Social Worker, their families, and any other professional involved. The student is then invited for a residential assessment at the college. Staff at the college will then make a decision as to whether the students support needs can be met. Student’s files contained a wide range of information about their support needs, and detailed information from schools and colleges that they attended before. There is one assessment bed in Keal View, used to assess prospective new students. Staff said that although the students were new to the college, they had received good information about them. One member of staff said, “We have two training weeks during the summer break, and this gave us preparation time to read assessments and care plans for the new students”. A student handbook has been introduced this term, which gives new students information about the college, including photographs of key staff, and information about the range of courses. Toynton College (Cluster Two) DS0000061027.V322217.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. 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 have chosen their key workers this term, and have been fully involved and consulted about their care plans. Care plans contain a ‘focus page’ which gives staff quick reference information about student’s support needs. The focus page refers to the more detailed care plans and assessments. 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 Two) DS0000061027.V322217.R01.S.doc Version 5.2 Page 11 Some students have a Person Centred Plan, and the expert spoke to a student who had one. Staff gave some examples of people’s plans being put into action. For example one student wanted to stay in touch with her family more, so she uses a computer to do this. However, the expert thought that all students should have a person centred plan. Each student has a decision making record in their care plan, which records discussions with key workers. Students said that they are encouraged to make their own decisions, but staff will help them if they have difficulties. Students meetings are held every Sunday, where decisions about meals and activities are made. During the inspection students were arranging to celebrate a birthday, and were ordering a take away meal. Staff offered discrete support, whilst encouraging the students to take responsibility for the ordering. The college has a Learners Council, where student representatives from each house 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, and displayed prominently on notice boards. There is a list of house rules in Keal View. When asked if they made the rules, two students said “yes” and told the expert some of the rules. However, students in Spencers Lodge told the expert that they had not been involved in making the house rules. Staff are excellent at helping 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. Toynton College (Cluster Two) DS0000061027.V322217.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. 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, with Learner Assistants from the college providing support in the homes. Students can chose from a range of educational and vocational courses, and new students are given the opportunity to sample a range of courses. The college also offers evening classes during the week. The expert liked the fact that there are plenty of things to do. Toynton College (Cluster Two) DS0000061027.V322217.R01.S.doc Version 5.2 Page 13 Students told the expert what they enjoyed doing. “My favourite hobby is horse riding. I go every Friday.” “Shopping - I like to go swimming” “I went to horticulture - I go bowling at night” “Bowling tonight”, Pub, have a pint on the weekend - a lot of evening classes, match training and cars, swimming and cinema” “I’ve been horse riding this afternoon, and tonight I’ve got athletics – I’m really busy”. Students discuss weekend activities at their weekly meeting. Four students from Spencers Lodge had complained that they had not been able to attend a local firework display. Because of the short notice, staff support had not been arranged. There was evidence that the issue had been discussed with them, and it had been proposed that they attend the following day. Staff from Keal View had also offered to take them to the cinema, and the students had been satisfied with this. The expert thought that sometimes it seemed that there were too many things to do, too many things to remember and who was doing what. One student said, -”Sometimes we can’t go out if there is not a vehicle” Staff help students maintain contact with families by telephone and visits. All students were preparing to go home for the Christmas break, and several said that they were excited about this. Students told the expert that they get to see their friends, or be on their own if they want to. However, one said that she would like to see her boyfriend more and sometimes alone. Other students said: “We like going to the cinema, we arrange for him (my boyfriend) to come to tea” “I can be on my own, here in the computer room” Menus are discussed at the weekly meetings, and students are invited to put forward their own ideas for meals. Menus were inspected, and they corresponded with the suggestions put forward. Staff said that they try to encourage variety and healthy options, without being too directional. The expert liked it that everyone took turns and made food for each other, and said that there is support to help students to cook their dinner. Menus are hand written. A student said, “It would help if it had a picture of it”. The expert recommend there should be easy words and pictures of the meals. Toynton College (Cluster Two) DS0000061027.V322217.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. 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. Medication storage and administration ensures safe practices. EVIDENCE: All students are registered with a local GP surgery. The college also employs a nurse. 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. Staff receive medication training from the college nurse. The college operates a 7-stage graduated programme for self-medication, where the nurse assesses the competence of students. There are clear guidelines for staff on what level Toynton College (Cluster Two) DS0000061027.V322217.R01.S.doc Version 5.2 Page 15 of supervision and checks that they should be carrying out. Students have lockable storage in their rooms for medication. However, no students currently self-administer, but some are working towards this. A disused oxygen cylinder was found in a cupboard, which did not have the proper warning signs. The manager arranged to have this removed immediately. Toynton College (Cluster Two) DS0000061027.V322217.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is good. 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: Copies of the complaints procedure are contained in residents care plans for their reference. There have been two complaints this term. One related to the firework display previously mentioned, and the other was about low water pressure in the shower, which is being attended to during the Christmas break. Students said that they would talk to staff if they had a complaint, and that they trusted staff to help them. However, the expert said that students need someone else like an independent advocate. He saw a poster about an advocate, but no students spoke about them. The expert would also like to see students joining in (or forming) self-advocacy groups. 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. All students have been given a copy of the National Society for the Prevention of Cruelty to Children (NSPCC) ‘Worried – need to talk’ booklet. Toynton College (Cluster Two) DS0000061027.V322217.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. 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 are comfortable and well decorated, providing a pleasant environment for students to enjoy. EVIDENCE: There have been improvements to both houses since the last inspection, with some rooms being redecorated and furnished. There is a range of communal space for students to enjoy, and all those interviewed said that the accommodation was nice. The expert said there was a relaxed atmosphere. All students have their own key to their rooms for privacy. The expert asked students if they are allowed to decorate their rooms, and students were not sure. The expert thought that students should be encouraged to do what they want. Toynton College (Cluster Two) DS0000061027.V322217.R01.S.doc Version 5.2 Page 18 The expert asked students if they chose who they share a room with. One student said he would choose to share with a different student. The expert thought that students should get to choose who they share a room with. However, another student said, “I share a room with my mate”. Students are responsible for their own cleaning and washing, and there are rotas agreed for communal household tasks, so that they are shared out fairly. A member of staff said, “Students can swap jobs by negotiating – for example, a student with mobility difficulties has swapped her jobs upstairs”. Because of a drainage problem, some laundry is done off site, but both homes are equipped with domestic washers and driers so that students to wash their own clothes on site. Toynton College (Cluster Two) DS0000061027.V322217.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained, supported and motivated. Staffing arrangements provide stability for students, ensuring that they are well supported. EVIDENCE: Each home has independence tutors who work opposite each other to provide cover. Two work in Spencers Lodge, and four work in Keal View. 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. Students said that there are enough staff to support them. Staff said that the training they receive as good. One said that she had completed a Linkage and college induction, and had been booked on training soon after starting. She had not worked with people with a learning disability before, and said that her induction had been useful. The expert thought that the staff seemed well trained. They helped to remind people what they should do without being nagged. He thought that the staff were easy to get on with. Toynton College (Cluster Two) DS0000061027.V322217.R01.S.doc Version 5.2 Page 20 One student told the expert that one of the staff had been ‘bossy’. This person does not work at the home now. However, the expert thought that it was good that the student could speak out and was not scared to say what she thought. The files of two new staff were inspected, and both contained evidence of a thorough recruitment and selection procedure, and contained the documents necessary for the protection of students. Toynton College (Cluster Two) DS0000061027.V322217.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. 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 homes are 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 has been on maternity leave, and returned at half term. The acting manager for this period said that he had enjoyed the experience. Staff described both homes as “well managed”, and said that they were consulted about issues, and felt valued for the work that they did. Toynton College (Cluster Two) DS0000061027.V322217.R01.S.doc Version 5.2 Page 22 Linkage has good systems in place to monitor quality within the college, and to seek the views of students. Linkage Trust has a quality team, who are responsible for sending out questionnaires to students, families and placing authorities. A senior manager conducts regular visits, and the manager undertakes regular checks. The college has a number of ways of ensuring that 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 now 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 Two) DS0000061027.V322217.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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 3 x LIFESTYLES Standard No Score 11 x 12 4 13 3 14 x 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 x 4 x x 3 x Toynton College (Cluster Two) DS0000061027.V322217.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA17 YA42 Good Practice Recommendations It is recommended that menus are available in pictures and easy read formats. It is recommended that the registered person seek the views of the environmental health officer regarding the use of hand towels in communal toilets. Toynton College (Cluster Two) DS0000061027.V322217.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: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Two) DS0000061027.V322217.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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