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

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 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 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 Two) 13/12/06

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 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 Two) C53-C04 S61027 ToyntonCollege2 V247281 260905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Toynton College (Cluster Two) 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) Spencers Lodge, Yew Tree and Keal View Toynton Campus Toynton Hall Toynton All Saints Lincolnshire PE23 5AE 01790 755029 01790 752499 Linkage Community Trust Helen Whittleton Care home only 31 Category(ies) of LD Learning disability (31) registration, with number PD Physical disability (1) of places Toynton College (Cluster Two) C53-C04 S61027 ToyntonCollege2 V247281 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) (31) 2) 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. 3) The category LD applies to service users aged 16 and over. 4) The maximum number of service users to be accommodated is 31. 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. 6) Bedroom number 1 in Keal View be registered for one student with a physical disability. Date of last inspection 03 May 2005 Brief Description of the Service: Spencers Lodge, Yew Tree and Keal View are community based domestic houses, which form part of the Linkage College, Toynton Campus residential provision. The houses are staffed whenever learners 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. Yew Tree is a detached property also sited on the main campus, consisting of six single and two double bedrooms. On the ground floor are 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 . Toynton College (Cluster Two) C53-C04 S61027 ToyntonCollege2 V247281 260905 Stage 4.doc Version 1.40 Page 5 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 Two) C53-C04 S61027 ToyntonCollege2 V247281 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 Two) C53-C04 S61027 ToyntonCollege2 V247281 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) 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: 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 three houses cater for students on programme 1. One student was attending the college for a residential assessment at the time of the inspection, and he told of his experiences. He said that he was trying out some courses to see what he liked, and so far he had enjoyed himself. There was clearly identified staff support for him during the assessment to help him familiarise himself with the college. The college admission process 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. Toynton College (Cluster Two) C53-C04 S61027 ToyntonCollege2 V247281 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: Most 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. Behaviour management plans are in place where appropriate. The college operates a key worker system, with students choosing which key worker they want. Students said that they have a meeting every week. One said, “We talk about what jobs, activities, and food people want, or if things are changing in the house, or if anybody has any problems”. They confirmed that they chose the food they eat, what time they get up and go to bed, but said “We must attend Toynton College (Cluster Two) C53-C04 S61027 ToyntonCollege2 V247281 260905 Stage 4.doc Version 1.40 Page 9 college!” It was noted that a group of students in one of the houses had done some recent work relating to house rules, and expected standards of behaviour. 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. Risk assessments are currently being devised for the newly admitted students, to ensure that they can develop independent living skills within a safe framework. Part of the initial assessment process is to identify skills that students already have, and which areas need development. Toynton College (Cluster Two) C53-C04 S61027 ToyntonCollege2 V247281 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, 15 & 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. Students interviewed said that they enjoy college life, especially the activities in the evening and at weekends. One stated, “Its good here – we go out places Toynton College (Cluster Two) C53-C04 S61027 ToyntonCollege2 V247281 260905 Stage 4.doc Version 1.40 Page 11 – its better than school. Its better because I can chose what I like, and what I want to do”. Contact with families is promoted. Parents are welcome to phone, and a pay phone is situated in the Main Hall. Many students have their own mobile phones, and e-mail addresses. Some students go home at weekends, but the college prefers students to stay for the first term to get used to college life. All houses have domestic kitchens, and students are responsible for their own catering in the evenings to develop skills in this area, with duties allocated on a rota basis. Students eat in the main canteen during the day, unless they are timetabled to be at home. 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. One said “The food is alright – my favourite is pasta, and we have that on the menu. We all have jobs to do to make us more independent”. Toynton College (Cluster Two) C53-C04 S61027 ToyntonCollege2 V247281 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) 18 & 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 college 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 two of the houses, and found to be satisfactory, with thorough arrangements for dispensing and checking medication that requires special storage. Toynton College (Cluster Two) C53-C04 S61027 ToyntonCollege2 V247281 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. 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: One student said “The staff are nice. If one of the other students upsets me, or make me cross, the staff will help me sort it out. I can go to them. The staff always listen”. Students have a copy of the complaints policy in their care plans for reference. There is also a book in each house for students to write concerns. There have been no issues raised since the last inspection in two of the houses, and the other had three concerns about domestic issues, which had been resolved. 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 Two) C53-C04 S61027 ToyntonCollege2 V247281 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 The three homes provide a comfortable domestic environment for students, but communal space in Spencers Lodge and Yew Tree is limited. EVIDENCE: The three houses are modern detached houses, providing a comfortable and domestic environment, although communal space is limited in Yew Tree and Spencers Lodge. Some maintenance issues were identified, which were attended to on the second day of the inspection, but there were concerns that some, such as a shower out of action, had been reported in May. The maintenance team is short staffed at present, and 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 maintenance issues. Students were happy with their bedrooms, and had personalised them to varying degrees. 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 Toynton College (Cluster Two) C53-C04 S61027 ToyntonCollege2 V247281 260905 Stage 4.doc Version 1.40 Page 15 interviewed during the inspection were unhappy about sharing a room. This requirement has therefore been removed. Toynton College (Cluster Two) C53-C04 S61027 ToyntonCollege2 V247281 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) 32, 35 & 36. Staff are well supported and motivated, and have a clear understanding of their role, and the support needs of students. EVIDENCE: One student said ”The staff are nice – they look after us properly”. Two Independence Tutors are employed at Spencers Lodge and Yew Tree, with four employed at Keal View. They work 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. One member of staff confirmed that he had received a wide range of training over the past year, including first aid, medication administration, epilepsy and diabetes. Another said that there is “quite a good training programme available”. External courses are available, and she said that Linkage invests in its staff. The college has employed an NVQ manager, and is recruiting an NVQ coordinator. All but one of the Independence Tutors are either working towards or have attained NVQ 2/3. Toynton College (Cluster Two) C53-C04 S61027 ToyntonCollege2 V247281 260905 Stage 4.doc Version 1.40 Page 17 Staff said that they are very well supported by the manager, and receive regular supervision, usually on a monthly basis. Toynton College (Cluster Two) C53-C04 S61027 ToyntonCollege2 V247281 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) 38, 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. EVIDENCE: Both staff and students praised the approach of the manager, who was described as approachable and supportive. One member of staff described her as “very good – kind, understanding and direct if you need to be told something”. 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. Oxygen is in use in Spencers Lodge, and this is appropriately signed, and identified on the fire plan. Other health and safety documentation was inspected during the previous inspection. Toynton College (Cluster Two) C53-C04 S61027 ToyntonCollege2 V247281 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 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 3 x 4 Standard No 31 32 33 34 35 36 Score x 3 x x 2 4 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Toynton College (Cluster Two) Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x 4 x 2 x 3 x C53-C04 S61027 ToyntonCollege2 V247281 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 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 Toynton College (Cluster Two) C53-C04 S61027 ToyntonCollege2 V247281 260905 Stage 4.doc Version 1.40 Page 21 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 Two) C53-C04 S61027 ToyntonCollege2 V247281 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. 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