Inspection on 14/06/05 for Treloar College

This inspection was carried out on 14th June 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

Treloar College 24/01/07

Treloar College 30/01/06

Treloar College 31/01/05

Treloar College 21/10/04

Treloar College 17/03/04

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Rush Court

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

CARE HOME ADULTS 18-65 Treloar College Upper Froyle Alton Hampshire GU34 4LA Lead Inspector Peter McNeillie Unannounced 14 June 2005 10:00 th 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. Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Treloar College Address Upper Froyle, Alton, Hampshire, GU34 4DS 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) 01420 547400 01420 5427087 principle@treloar.org.uk Treloar Trust Sarah Austin.Peter Hughes Steve Gerke.Helen Goodenough. Care Home 167 Category(ies) of LD - 167, PD - 164 registration, with number of places Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: All service users accommodated must be aged between 16-25 years of age Date of last inspection 31st January 2005 Brief Description of the Service: Treloar College is owned and managed by the Treloar Trust provides boarding accommodation for up to 164 disabled young people aged 16 to 25 years with a learning or physical disabilityis located in a village on the outskirts of the town of Alton, with access to shops, mainline rail, local bus connections and a range of public services which all students following a risk assessment are encouraged to use. The accommodation is comprised of four separate Boarding Houses, Gauvain House, Allan House, Gloucester House and Evans House. In addition there are seven purpose built bungalows (Campbell Court) used to support students preparing for independent living. The majority of students (who are admitted from throughout the United Kingdom and abroad) are financed through the Learning Skills Council; the remainder received some Local Authority funding. A number of the students also attend the local Alton College. Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first of two annual inspections for 2005/2006. This inspection which took place between 9am and 3pm was undertaken by four inspectors. The inspectors were assisted by the college’s four registered managers and the Principal spoke with fifty plus students (individually and in groups) care staff, support staff and the visiting parents of prospective students. Evidence was also gathered from a tour of the building, reading records (including care plans), the previous reports and observations. What the service does well: What has improved since the last inspection? What they could do better: Following this inspection the only areas that required attention were improving the manner in which supervision is recorded and the redecoration of some areas damaged by wheelchairs. Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 6 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. Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 The home has a well developed system of assessing and identifying residents needs which ensures residents safety and assessed needs can be met. EVIDENCE: Multi disciplinary agency assessments of needs and risk were undertaken on all students prior to their admission and for a further six weeks post admission to ensure the accuracy of the initial assessment. Students spoken to confirmed that they and their relatives / representatives were consulted and were involved in the assessment process. Evidence was also seen that all assessments of need and risk are subject to regular reviews to ensure changing needs continue to be met. During the course of the inspection the inspectors spoke to the parents of a number of prospective students of the college. All confirmed the above, they also commented on the quality of the pre admission information provided and the detailed manner in which the college selected students ensuring that all needs both social and educational could be met. Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 and 9 There is a clear and consistent care planning system in place which ensures residents needs are met within a risk management policy that involves residents in decisions that affect their day to day lives. EVIDENCE: Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 10 All of the students spoken with, expressed total satisfaction with the care they were receiving and the manner in which it was delivered. Comprehensive care plans based on detailed assessments of needs (including special needs) and risk were available for all students. Confirmation that the service user or their representative were involved in the production of, and were consulted about the plan was also seen as was evidence confirming consultation with external health care professionals eg doctors, district nurses, community phychiatric nurses. Other specialists would be consulted on a needs basis. Students rights to take risks is seen as fundamental, any restrictions placed on individuals due to their high needs or physical abilities are clearly recorded in the care plans and are only taken following a detailed risk assessment which are reviewed on a regular basis to ensure they are still applicable. Service users spoken to in confirming they were encouraged to make their own decisions, and take responsibility for their own lives acknowledged that all decisions should be made within a risk taking procedure and in consultation and if appropriate support from college staff. Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15,16 and 17. The social activities family contacts and the provision of varied and nutritious meals were well managed and reflected service users interests and choices. Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 12 EVIDENCE: Records viewed, comments from staff and notices seen during the inspection confirmed a full programme of activities and social opportunities both in house and community based were available. Examples of activities on offer included swimming, board games, archery, football, computers, radio club, DVD film night, music, art, boccia, bands and dancing. Students confirmed if a particular activity was not on offer, if possible it would be provided via an activities coordinator. Students confirmed they were encouraged and supported to participate and access the local community if they wished to do so. Areas /facilities visited included cinemas, pubs and occasional pop concerts as well as travelling to other areas for shopping. Transport is also available within the college both in the evenings and at weekends. Whilst support and assistance is available, students are encouraged to be proactive in seeking out local facilities as part of them leading independent lives based on individual preferences. Students are supported to maintain family contact, establish friendships and if they wished, develop safe sexual relationships. All staff receive training under the protection of vulnerable adults. Care staff spoken to confirmed the need to ensure that all sexual relationships are consensual when dealing with very vulnerable young people. A student support / pastoral service was available. Any restrictions concerning any limitations on choice were discussed with students and agreements reached based on the need for personal safety and respect for others. All young people had access to in house public telephones and E mail services. Many young people owned a mobile phone. Details of various helplines available were displayed around the college. The College had set meal times. Students who boarded at Gloucester House ate in an in-house dining area. Young people were able to order food to be delivered from external fast food outlets if they wished. A recent development has been the introduction of a breakfast club where not only are the students responsible for the preparation of meals but assume responsibility for the shopping and budgeting. Students choose their own bedtimes at weekends. Getting up time Monday to Friday are set and dependant on the college timetable and transport arrangements for students attending external courses. Students confirmed any personal examinations by a visiting health care professional would take place in private in the college health centre. All students bedrooms are fitted with a lock under the students control. Records seen confirmed where mobility/ personal aids are required following an assessment consultation with both on campus and external specialists to ensure appropriate aids are obtained was carried out. Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 13 All of the students spoken with expressed in glowing terms total satisfaction regarding the quality, quantity, choice and presentation of food served. An extensive menu which included a “Healthy eating options” was displayed. The inspectors who joined the students for their midday meal would confirm the comments made. Special diets can be catered for. All students are subject to a full detailed nutritional assessment which includes any eating aids etc required by on campus nutritionists. Details of all students special food related requirements and aids are maintained in the dining area and are available to all staff. At lunchtime care staff who had received training were available to feed students who required help. Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 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 standard(s) 18,19.and 20. Satisfactory arrangements are in place, ensuring the personal emotional, health care and medication needs of residents are met. Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 15 EVIDENCE: A separate health centre staffed by qualified personnel is available to all students. Records seen indicated that a multidisciplinary assessment of needs and risk are carried out on all service users by on campus health care professionals to ensure that all needs including the provision of both personal and shared aids are met. Repairs and servicing of all personal aids including wheelchairs can take place on site. Students confirmed they are free to choose the gender of staff or doctor providing their personal care or examination/consultation which is carried out in private. Medical centre staff informed the inspector, clinics by a local GPs practice take place up to 3 times a week in the health centre and on occasions specialist consultants also hold clinics at the health centre. Records seen and comments by students and staff confirmed following risk assessments, students are encouraged to assume responsibility for their own medication. Where students are responsible for their own drugs etc secure lockable storage facilities have been provided. An in-house/corporate drugs procedure covering the storage administrations and recording of drugs / medicines administered and disposal of was seen. All drugs which are securely stored, are administered via a monitored dosage system dispensed by a pharmacist. Records seen confirmed all staff responsible for administering drugs and medicines have received training. Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 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 standard(s) 22 and 23 The college has clear policies and procedures in place which ensures students are protected from abuse .The complaints procedure was satisfactory with evidence that residents feel their views will be acted upon. EVIDENCE: A written complaints procedure and record of complaints was available. Students spoken with confirmed they were aware of how to complain. The view was also expressed by students that they felt totally confident in approaching any member of staff including the college principal with any concerns and that their complaint would be acted upon. Since the last inspection, The Commission for Social Care Inspection (CSCI) telephone number and a list of other help lines eg local social services ,child line have been displayed adjacent to phone booths used by service users in the majority of houses. The designated member of staff has a lead responsibility within the college for child and adult protection issues including training which is part of the induction procedure for all staff. This position which has remained unchanged was reported at the last inspection and confirmed by managers during this visit. A Whistle blowing and Adult Protection Policy and Procedure has been implemented to work in tandem with the procedure produced by Hampshire County Council. All staff spoken to demonstrated they were aware of the procedure to follow should they witness or suspect the abuse of a student. Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 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 standard(s) 24 and 30 A safe, well maintained, clean and suitably furnished home is provided for service users which meets their needs. EVIDENCE: A tour of the building indicated the building was fit for its stated purpose, accessible, safe, generally well maintained meeting students individual and collective needs. Furniture was comfortable and homely and in keeping with the décor. Students commented how satisfied they were with the accommodation. All of the rooms were fully furnished. Aids to assist students include, handrails, ramps and wide doors. The inspectors did however highlight that some areas in individual living areas were showing wear principle having been caused by the use of wheelchairs. The manager and principal assured the inspectors these areas were due to be attended to during the Summer holidays. Progress will be evaluated during the next visit to the college. The fully decorated building was clean and free from adverse odours. An Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 18 infection control policy and procedure was in place. A washing machine fitted with a high temperature programme and a sluicing mode was available in each house as were hand towels and soap by all wash hand basins. Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35and 36 Students needs are met by well trained and supported staff. EVIDENCE: All staff are subject to a detailed induction and foundation training that included: catering, health care, introduction to information technology, health and safety, manual handling, therapy services, disability, wheelchair safety, child and adult protection .Following initial training all staff are expected to follow a National Vocational Qualification training programme (NVQ). All NVQ training is the responsibility of a in house college coordinator. From comments made by staff, management and detailed records it was clear that staff training is given a very high priority in the college. Apart from a core training programme that all staff undertake other individual training needs identified through supervision or dictated by the assessed need of students are arranged. Progress towards the meeting of the expectations of the standards that 50 of all staff will be trained to NVQ level 2 by the year 2005 was not evaluated on this occasion however, when last checked in January 2005 it was anticipated the target would be met. This matter will be reviewed at the next inspection. Records seen confirmed that all staff receive regular supervision. Following previous inspections the inspectors commented that the same format for Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 20 keeping records of supervision be adopted in all of the houses No progress has been made to date. The inspectors would again underline the need for a consistant approach be taken in the keeping of supervision records. Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 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 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) 39and 42 The management of the college seeks the views and opinions of students and safeguards the health and safety of staff and students through the implementation of safe working practices. EVIDENCE: Students confirmed their views on the college were sought on a regular basis via a questionnaire. Students felt they were listened to and that their views were valued. The inspectors were informed by students they now participate in the appointment / interviewing process for new staff. A health and safety policy, control of substances hazardous to health (COSHH) assessments, equipment servicing and accident records were available .A programme and records to confirm and ensure all staff receive training in the techniques of moving and handling, first aid, health and safety and the procedures to follow in the event of fire (including evacuation) were available. Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 22 All of the hot water supplies to baths were fitted with thermostatic controls set at 43 degrees centigrade and all radiators and hot pipes covered. Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 4 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Treloar College Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 24 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 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. Refer to Standard Good Practice Recommendations Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 Page 25 Commission for Social Care Inspection 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Treloar College H54 S11990 Treloar College V231918 140605.doc Version 1.30 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!