Inspection on 24/01/07 for Treloar College

This inspection was carried out on 24th January 2007.

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

Treloar College 30/01/06

Treloar College 14/06/05

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 Holybourne Alton Hampshire GU34 4EN Lead Inspector Tracey Box Unannounced Inspection 24 January 2007 09:30 th Treloar College DS0000011990.V320510.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 Treloar College DS0000011990.V320510.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. Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Treloar College Address Holybourne Alton Hampshire GU34 4EN 01420 547400 01420 542708 principal@treloar.org.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Treloar Trust Mrs Sarah Elizabeth Austin Mr Peter Hughes Ms Helen Goodenough Mr Stephen John Gercke Care Home 164 Type of registration No. of places registered (if applicable) Category(ies) of Learning disability (164), Physical disability registration, with number (164) of places Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All students accommodated must be aged between 16-25 years of age Date of last inspection 30th January 2006 Brief Description of the Service: Treloar College which is owned and managed by the Treloar Trust provides boarding accommodation for up to 167 disabled young people aged 16 to 25 years with a learning or physical disability. The college is 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. Accommodation comprises 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 DS0000011990.V320510.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit was carried out over one day by two inspectors. The people living in the boarding houses prefer to be referred to as students, therefore the rest of this report will reflect this. The opportunity was taken to look around the houses, view records, procedures and talk with students and staff. The inspector received a pre inspection questionnaire from the responsible individual prior to this visit, which provided further evidence of how the service is meeting the Key National Minimum Standards. The inspectors had the opportunity to observe the interaction between students and staff. All of the students spoken with were extremely complimentary about the care, encouragement and support they receive. The staff on duty during this visit felt they were very well supported to do their job. At that time no concerns were noted and no requirements made. The manager confirmed the fees for students living in the homes are paid by the Learning and Skills Councils (LSC’s) for England. What the service does well: The homes assess the needs of students before they are admitted, and maintain good records of these assessments. There is an excellent attitude towards student personal development, expressing their own opinions and participating in activities as well as accessing the local community. Students were found to be aware of their rights and responsibilities, and feel staff members treat them as individual adults. The homes use photographs and pictures to ensure individuals have the information they need to enable them to choose what activities they wish to participate in, colour schemes for re decoration, what they prefer to eat each day. Notice boards display photographs, and names of the members of staff who will be on duty during the day and night. The staff are caring, respectful and are mindful of peoples need for privacy and dignity. They encourage individuality and independence within the limits dictated by the student’s needs. The staff support individuals to make decisions about their lives and students are fully involved in planning what happens in their lives. Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 6 The homes were very clean and had a relaxed, homely atmosphere and students spoken with all said that this is very typical. Students are offered a variety of foods, fresh fruit and vegetables and lots of choice to enable a balanced, varied and healthy diet. All of the meals are freshly prepared. Food is served in the college refectory, apart from those more independent students who may choose to eat in their flats. The homes advertise various activities, and students are encouraged to participate in the local community as they wish. The home has an open and good process in place for dealing with complaints, concerns and compliments. The staff team at the home are skilled and receive regular training to be able to care for students. The home has a logical and detailed process for recruiting new staff. Staff said that they were supported and encouraged to obtain qualifications and 67 of staff have an National Vocational Qualifications (NVQ) level 2 or above award, with 34.7 working towards NVQ level 2 or above. There are good systems in place for making sure that the service is run in a safe manor for the people who live and work at the home. All students spoken with said they feel safe and comfortable at the homes and their opinions are sought. The registered manager’s have a good rapport with students and run the home’s in the best interests of students. What has improved since the last inspection? What they could do better: Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 7 No requirements were raised resulting from this visit, however the manager is aware of the areas in which improvements could be made and is keen to improve the standards within the service further. The management team had identified prior to this inspection, that further work is needed to ensure the outcomes for students is fully recorded when their care plan is reviewed. The bathrooms and shower rooms in Gloucester house smelt damp, and were in need of decorative attention. The paintwork in Evans house would benefit from being re decorated. 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. Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 8 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 Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 9 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): 1 & 2. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Students receive comprehensive information about the homes, which enabled them to make an informed choice prior to attending the college. New students are admitted only on the basis of a full assessment undertaken by people competent to do so, involving the prospective student, their families or representatives, using an appropriate communication method. EVIDENCE: The pre inspection questionnaire which was sent to the inspector prior to this visit included an up to date statement of purpose (which included the recent increase in registration numbers), a student guide which provides ‘welcome to Treloar’ information to students of what to expect from attending the college and living at one of the boarding houses. Students confirmed they were sent information about Treloar before they decided to live here, and that it gave them the information they needed to decide if they wanted to go and have a look around. One student said ‘they posted lots of information to me’. Students remembered visiting Treloar during an open day, they filled in an application form and were invited to the college to have a more in depth look around, this gave the opportunity to meet other students, staff and spend the night in one of the houses, they said this was Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 10 part of the assessment with the manager of the house, and other healthcare professionals as necessary, to gather as much information as possible to assure the home is able to meet the individual’s needs. The assessments seen included information about general health, diagnosis, mobility, equipment needed, personal care, skin/pressure area care, elimination, sensory aids nutrition, past medical history, sleep, current medication, allergies, orientation, ability to make decisions, temperament, social care support and spiritual/cultural needs. Following the assessment process, the manager confirms in writing to prospective students if the houses can meet their needs. Once a prospective student has decided to live at Treloar, the manager sends out a ‘welcome to Treloar’ student handbook, further information about what the student can expect from the college and houses. The manager also sends written confirmation that the home will keep the room vacant until the student can move in. Students confirmed that their assessments of need and risk are subject to regular reviews to ensure their changing needs are being met, however records of these reviews were not available, the managers said this would be rectified. Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 11 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. Students are aware that their assessed and changing needs are being met. Students feel fully supported to make decisions in all areas of their lives. Risk assessments are in place to ensure a consistent approach, which enables students to take risks as part of an independent lifestyle. EVIDENCE: Care plans seen included pen pictures that included personal history, religious beliefs, family relationships, details of friends and important people in students lives, students said their care plans are reviewed with them, however records did not show that the individual or their representative was involved in the reviewing, as referred to earlier in this report, the managers are working to improving this. The home operate a key worker system, which means each student has a named staff member they work with to arrange reviews, revise care plans, ensure student’s needs are being met. Staff said spend one to one time with the person they are key worker with, this gives the opportunity to build a working relationship, encourage discussion, plan things to achieve and work Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 12 towards, and the key worker will sometimes act as a students advocate in certain situations, although students spoken with were very aware of their right to an independent advocate if they wished. Staff said this system helps relatives too, as they know who to contact. Students spoken with said the manager listens to their opinions if they want to change key worker, and a mutual agreement is met. Students have an ‘individual learning plan’ (ILP) which is devised with the student, tutors and key worker to work towards achievable goals for students as part of an independent lifestyle, one student said she is learning to drive, another student said they are learning how to budget. The home use photographs and pictures to ensure students have the information they need to enable them to make choices. Staff members spoken with were able to demonstrate an understanding of the need to support students to make their own decisions. This is also covered during new staff induction. Students confirmed they are encouraged to make decisions for themselves. The Statement of Purpose and Student Guide were clear about the rules in the home and each student had a copy. These also contained information on who students could talk to if they were unhappy about any aspect of the home. Both documents were produced in an easily accessible format for students who had some difficulty reading. All of the students spoken with were well aware of who they would talk to, and who to contact if they did not receive a satisfactory response. Students said they were aware of the need for risks to be assessed to enable them to be safe whilst being as independent as possible. The inspector looked at risk assessments that had been completed with the student, health centre staff and the manager. Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 13 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. The service is very good at providing support for individuals to take part in age appropriate, peer and cultural activities with the home and access to the local community. They encourage appropriate personal, family and other relationships whilst respecting and empowering individuals rights and dignity. Students are offered plenty of fresh food with lots of choices to enable a balanced and healthy diet. EVIDENCE: Individual’s preferences regarding activities and cultural beliefs are recorded in their care plans, records of daily activities are recorded in a diary, these ranged from attending horticulture club, photography club, college band, boccia, computer club, multi-media, art club, swimming, dance club, wheelchair basketball& hockey, polygym, drama, film club, karaoke, discos, live bands, internet access, theatre productions, arts week, social club, nail bar, PHAB club, creative arts. The following activities can be accessed in the Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 14 wider community: Mayflower theatre Southampton, Guildford & Basingstoke leisure centres, Cinemas in Alton & Basingstoke, Alton sports centre, indoor bowls centre in Alton, sports hall at Eggar’s school, local pubs & restaurants, Holybourne theatre. Students said the majority of their weekdays are dictated by the college course they are attending, the rest of the time is theirs to spend as they wish. Students said they have regular contact with families and friends as they wish, some students said they like their families to be involved in their annual review of care. Students living in the homes are of similar age, and have similar interests. Students spoken with said they always have something to do, be it visiting a friend in another home, attending the student common room to chat or listen to music, to spending time perusing own interests such as using the internet. Activities were displayed on notice boards in formats that students could identify with. The houses clearly displayed photographs of students participating in various activities, one student said ‘ I like it when staff ask if they can put a picture of what I have achieved in my home, it makes me feel proud, other people ask me to tell them about what I am doing, so I make new friends, I used to be shy, now I am confident.’ All young people had access to in house public telephones and e-mail services. Many young people owned a mobile phone. All students spoken with said they felt like they were treated as adults, and were aware of their own rights and responsibilities, and consequences of actions if the house rules were broken. A four week menu was included with the pre inspection questionnaire, which showed a wide selection of choices and varieties, eg, breakfast: cereals, fresh fruit, toast, croissants, yoghurts, grilled sausages, beans, hash browns, eggs and fruit juices. Lunch, three courses (soup to start during winter months), choice of 4 hot meals (1 of which is vegetarian), as well as a variety of salads and jacket potatoes and fillings, choice of desserts: 1 hot, fresh fruit, fresh fruit salad or yoghurts. Afternoon tea with cake. Supper choice of 4 hot meals (1 is vegetarian) selection of hot vegetables and desserts, as with lunch choices. Various hot drinks, including decaf tea & coffee, herbal teas, and cold drinks of fruit juices, squash and water. The menu includes details of the meal type, eg ‘healthy, vegetarian or soft’. The inspector spent time with students whilst they ate their lunch in Gloucester house, all students spoken with were very complimentary of the variety of, and standard of food. Staff were observed asking students what they would like from the vast choice of hot & cold foods, drinks and deserts. Some students had specialist equipment to support them to eat and drink independently of staff, some students needed help to eat, staff did this in a respectful manner, Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 15 whilst ensuring they were meeting the students needs by communicating with them as they prefer. Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 16 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 excellent. This judgement has been made using available evidence including a visit to this service. Students receive support in a way that they prefer, care plans are reviewed to ensure this information is current. Staff follow the home’s procedures to ensure student’s physical and emotional health needs are met. Students would be fully protected if staff received appropriate training for the safe administration of medication. EVIDENCE: Since the last inspection staff working at the home have identified care plans need to include evidence of the individual, or their representative involvement in devising and reviewing the care plans, this was discussed with the managers who agreed this work would be done. Students spoken with said they received care and support as they wanted, and would not have any hesitation to tell someone if this was not the case. Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 17 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. The healthcare centre staff and the Chaplain are available for students who wish to talk to someone in private, one student said they spoke with the Chaplin and staff who were very helpful. Posters on the walls in communal areas of the homes display contact details for help lines such as ‘child line’ and anti bullying help lines. Students said they often use the internet to access support, or to research, they find this a very private way of accessing support by them selves. Records seen and comments from students and staff confirmed that 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 drugs procedure covering the storage, administration and recording of drugs / medicines administered and disposal of was seen. All drugs are securely stored, and 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 DS0000011990.V320510.R01.S.doc Version 5.2 Page 18 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 excellent. This judgement has been made using available evidence including a visit to this service. Students and staff are confident that their complaints will be listened to, taken seriously and acted upon. Staff have a good understanding of Adult Protection issues that protects students from potential abuse. EVIDENCE: Students spoken with said that they were very aware of the complaints procedure, even though they have not had to use it, they said they would go straight to the manager if they had a concern or complaint and were confident that the manager would take their concerns seriously. Students confirmed that the staff are very good and listen to them, no one has felt the need to complain, only compliment. Staff spoken with were aware of the home’s complaint procedure which includes the address for the CSCI and states that all complaints will be dealt within 28 days. A copy of the home’s complaint procedure is included in each students guide and welcome letter for new students. The complaint log was available which included sufficient detail to monitor complaints successfully, the manager confirmed one complaint had been received since the date of the last inspection, records showed it had been dealt with appropriately and that the complainant was satisfied with the outcome. Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 19 Two students said that they see the provider on a regular basis when they carry out a monthly unannounced visit to the home, understood they monitor the home and ensure the well being of the students. Two staff members spoken with said that they are aware of the correct procedures to follow if a disclosure of abuse was reported to them, and they had received formal training in abuse awareness, certificates confirmed this. The home has procedures for staff to follow should abuse be suspected, including Hampshire County Council’s Protection of Vulnerable Adults, the Department Of Health’s ‘No Secrets’ guidelines and Whistle Blowing. The manager confirmed that policies and procedures are reviewed and available for staff to access regarding complaints and protection, staff confirmed this. The manager is proactive in following the correct procedures and confirmed she referred one incident to social services to investigate under the Protection Of Vulnerable Adults procedures. Records showed the home acted promptly and appropriately to minimise further incidents, drawing a close to the investigation. A 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. 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 were able to demonstrate their awareness of the procedure to follow should they witness or suspect the abuse of a student. Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 20 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. A comfortable and safe standard of accommodation is provided for the student, which meets their needs, however decoration of certain areas would improve the environment for students. EVIDENCE: The home is well maintained with ample communal space, the secure garden appeared well maintained and is accessible to students. The inspector saw communal areas were clean, bright and warm, furnished to the individuals taste and personalised with photographs of individuals and staff participating in various activities. The bathrooms and shower rooms in Gloucester house smelt damp, and were in need of decorative attention. The paintwork in Evans house would benefit from being re decorated. Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 21 The deputy manager explained students are encouraged choose the colour scheme for their bedrooms and furnish the room with personal belongings, furniture and pictures to make it feel like home. Staff said they have completed infection control training, and were aware of the home’s policies and procedures of hygiene issues. The inspector saw records of staff training and the member of staff who was cooking confirmed they were up to date with food hygiene training. The home’s radiators and pipe work are safe ensuring that all potential hot surfaces are kept to low temperature. Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 22 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. Students individual and joint needs are met by skilled, trained staff in sufficient numbers. Students are protected by the homes recruitment and selection practices. Staff receive mandatory and specialist training and are supported to obtain NVQ level 2 or above. EVIDENCE: Staff told the inspector they feel they have adequate training to enable them to do their job properly. Records of staff training reflect this and show staff have received training in adult protection, health and safety, manual handling, first aid, food hygiene, epilepsy, infection control, person centred planning, autism, fire awareness. Staff members interviewed confirmed they received a good quality of training and personal development that was relevant to meeting the needs of students. The pre inspection questionnaire stated that 67 of staff have an NVQ level 2 or above award, with 34.7 working towards NVQ level 2 or above. Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 23 It was evident from practices and interactions observed that staff had developed good relationship between themselves and students. Comments from students included that staff were very kind and always helpful and that they were a “good team”. Students also stated that where agency staff are used this is monitored and their views are sought in such areas as quality of service, and action taken if there are any shortfalls. One recently appointed member of staff said she has completed the home’s induction programme, which has been assessed against the Skills for Care Council induction standards, and that she has enjoyed working towards her Learning Disability Award Framework (LDAF) award, she said it is helping her to do her job. Staff said they have received the following training specific to enable them to meet the needs of students living in the home, epilepsy, autism, mental health needs, behaviour awareness, Non Violent Crisis Intervention (NVCI), key working & care planning, philosophy of care and Person Centred Planning (PCP). The home has recruited one manager and several support workers. Staff recruitment and other confidential staff files are maintained at the Trust’s human resources department. This documentation has been inspected during the last inspection visit and was maintained to the standards in line with best practice. In addition the college receives regular inspections from OFSTED who also check these arrangements. From telephone interviews the inspector was advised that there had been no changes to selection and recruitment procedures at the college, and it was confirmed that these processes support and promote the protection of both younger and more senior students attending the college. Staff interviewed confirmed that all checks had been carried out in regard to CRB, POCA and POVA, and that two references had been provided and followed up by the college. A manager who is directly involved in these processes was also able to confirm best practice, and clear policies and procedures were found to be in place to guide staff. On the day of the inspection there were sufficient staff members on duty to meet individual’s and group needs. Staff members provide waking cover during each night shift. The staff team undertake the cleaning of the houses during weekends, with the students assisting where possible. Students explained that they could “always do with” more staff to help them, but they are never left in situations were they feel unsafe or at risk. Given the complex needs of many of the students obtaining the levels of staff to meet the expectations of all students at all time is likely to remain illusive. Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 24 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 good. This judgement has been made using available evidence including a visit to this service. The managers are experienced and competent to run the homes. Management and administration of each of the four houses is based on openness and respect. Students benefit from living in a home where their views are sought frequently, and listened to. Students are protected by staff being well trained and showing a sound knowledge within the areas of health and safety. EVIDENCE: In December 2006 a new manager was appointed for one of the homes, she is applying to the CSCI as registered manager. Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 25 The house managers arrange monthly staff meetings. One staff member said the majority of staff attend. The RI confirmed that there is a refurbishment plan for the homes, which includes re-decoration and minor refurbishment work. Records show the views of students are sought. Students confirmed they felt staff at the college listen to them. The manager said students are involved in the recruitment of staff by showing prospective staff around the college facilities and the houses, and they ask the person questions and the manager asks for their opinion. The responsible individual completes monthly unannounced audits to comply with regulation 26 of the care homes regulations 2001, a copy of these reports were available in the houses, and would be sent to the Commission on request. These documents report on the conduct of the residential services provided. The staff are continuing to improve ways in which they can ensure students’ views are obtained, they have introduced a wide range of pictures to encourage students to communicate, and each student has at least one key worker, this was apparent by the interaction, students appeared very relaxed and seemed to enjoy staff company. The staff team complete regular weekly health and safety checks to ensure the safety of the building. Certificates were seen to show regular servicing of the boiler, electrical items, fire safety equipment and liability insurance. All Control Of Substances Hazardous to Health (COSHH) sheet corresponded with the cleaning chemicals used in the home. Records of staff attending fire training and practices were complete, and staff confirmed they had been on duty when the fire alarm had been activated and were confident of the home’s evacuation procedure. Students interviewed confirmed that there are regular fire checks and drills at the college. There is a strong ethos of being open and transparent in all areas of running of the houses. Discussions with staff and observations showed there are clear lines of accountability across the services. Also the management approach of the homes creates an open, positive and inclusive atmosphere. Students said that they felt able to give their views, which they feel are valued, on the quality of care provided at the home to the manager and feel involved in issues affecting the home. Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 26 Students spoken with commented that management and staff are very approachable, always make themselves available and readily help with any problems. They also had nothing but positive comments to say about staff members which included – “They really care”, “They don’t rush you” and “Staff like a laugh”. A quality assurance and monitoring system based on seeking the views of students, relatives and professional is in place and was circulated in December ‘06. As well as completing questionnaires, students told the inspector that management are always asking how things are and if they would like anything different. The manager said some students prefer the homes to safeguard small amounts of money for them, the inspector saw the money and records for a sample of students, and these were found to be correct. Each student has lockable storage in their bedrooms to safeguard their valuables. All the students spoken with stated that they felt safe in their home. The manager explained the recording system for fires safety maintenance, training, evacuation and visual checks. The visual checks of all fire safety equipment has been recorded and undertaken at appropriate intervals to ensure the safety of the students. The home has a satisfactory reference file for the Control of Substances Hazardous to Health (COSHH) information leaflets for each chemical being used within the homes. The homes have a policy and procedure informing staff members on health and safety. A sample of policies and procedures was seen and it showed that these are reviewed regularly. There is a system in place that ensures that all appliances are serviced, records and certificates seen indicated that the systems such as the electrics and specialist equipment including bath aides and hoists received regular servicing and maintenance. The employer’s insurance liability certificate was displayed and current. Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 27 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 4 2 4 3 X 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 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 3 4 X 4 x LIFESTYLES Standard No Score 11 4 12 4 13 X 14 x 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 4 x 3 x 3 X X 3 x Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 28 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. Refer to Standard Good Practice Recommendations Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Treloar College DS0000011990.V320510.R01.S.doc Version 5.2 Page 30 - 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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