CARE HOME ADULTS 18-65
Treloar College Holybourne Alton Hampshire GU34 4EN Lead Inspector
Peter J McNeillie Unannounced Inspection 30th January 2006 09:00 Treloar College DS0000011990.V281100.R01.S.doc Version 5.1 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.V281100.R01.S.doc Version 5.1 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.V281100.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Treloar College Address Holybourne Alton Hampshire GU34 4EN 01420 547400 01420 542708 sarah.austin@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 1. 2. 3. 4. Mrs Sarah Elizabeth Austin Mr Peter Hughes Mrs Herlen Goodenough Mr Stephen John Gercke Type of registration No. of places registered (if applicable) Care Home 164 Category(ies) of Learning disability (167), Physical disability registration, with number (167) of places Treloar College DS0000011990.V281100.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. All service users accomodated must be aged between 16-25 years of age Date of last inspection Brief Description of the Service: Treloar College which 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 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.V281100.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the second of two unannounced inspections for 2005/2006 which was undertaken by a team of three inspectors. During the inspection, which took place between 9am and 2:30pm, the inspectors who were assisted by the Principal, registered managers or their deputies and staff spoke with thirty plus students all of whom expressed total satisfaction about living at the college. Evidence was also gathered from a tour of the building, reading records, previous inspection reports and observations and a pre inspection questionnaire. During the previous inspection in June 2005 the majority of the core standards were inspected. At that time no concerns were noted and no requirements made, a situation that mirrored itself during this visit. During this inspection only those core standards not previously inspected and standards /areas commented by residents and staff were looked at. Comments regarding all other core standards can be found in the previous report dated 14th June 2005. What the service does well: What has improved since the last inspection?
Since the last inspection a full colour, dual formatted (written and pictorial) extensive menu which signposts “Healthy eating and soft options” has been developed which greatly assists students make food choices. Treloar College DS0000011990.V281100.R01.S.doc Version 5.1 Page 6 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. Treloar College DS0000011990.V281100.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Treloar College DS0000011990.V281100.R01.S.doc Version 5.1 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 the following standard(s): These standards were not inspected during this inspection. There were no concerns when last inspected. EVIDENCE: Please refer to previous inspection report dated 14/06/05. Treloar College DS0000011990.V281100.R01.S.doc Version 5.1 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 the following standard(s): These standards were not inspected during this inspection. There were no concerns when last inspected. EVIDENCE: Please refer to previous inspection report dated 14/06/05. Treloar College DS0000011990.V281100.R01.S.doc Version 5.1 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 the following standard(s): 17 Service users are offered a wide selection of well prepared food that includes special diets and healthy options. EVIDENCE: All students spoken with expressed in glowing terms total satisfaction regarding the quality, quantity, choice and presentation of food served. Since the last inspection a full colour, dual formatted (written and pictorial) extensive menu which signposts “Healthy eating and soft options” has been developed. Students stated this was very helpful in making food choices. The inspectors who joined the students for their midday meal would confirm the comments made. Treloar College DS0000011990.V281100.R01.S.doc Version 5.1 Page 11 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. Special diets medical and religious) can be catered for. At lunchtimes, trained staff were available to assist students in feeding. Since the last inspection the catering department have received two awards from East Hants District Council 1) A gold hygiene award and 2)A healthy eating award. Those responsible are to be commended. Treloar College DS0000011990.V281100.R01.S.doc Version 5.1 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 the following standard(s): These standards were not inspected during this inspection. There were no concerns when last inspected. EVIDENCE: Please refer to previous inspection report dated 14/06/05. Treloar College DS0000011990.V281100.R01.S.doc Version 5.1 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 the following standard(s): 23 The college has clear policies and procedures in place which ensures students are protected from abuse . EVIDENCE: 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 demonstrated they were aware of the procedure to follow should they witness or suspect the abuse of a student. Treloar College DS0000011990.V281100.R01.S.doc Version 5.1 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 the following standard(s): These standards were not inspected during this inspection. There were no concerns when last inspected. EVIDENCE: Please refer to previous inspection report dated 14/06/05. Treloar College DS0000011990.V281100.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Students needs are met by staff who are recruited and selected using a procedure designed to protect all service users. EVIDENCE: Records were available to confirm all staff were recruited in accordance with the trusts recruitment and selection policy and procedure which includes, the completion of an application form, the signing of a rehabilitation of offenders declaration, satisfactory reference (2) CRB and POVA checks. All staff records are held on site and are available for inspection at all times. Treloar College DS0000011990.V281100.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 Students benefit from a well run home managed by competent qualified managers. EVIDENCE: The managers are all qualified to at least N.V.Q. level four demonstrated during the formal registration process and subsequent inspections they were competent and able to manage the home within current legislation to provide a good quality of care to all students and ensure the stated aims and objectives of the home were carried out. Treloar College DS0000011990.V281100.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 X 2 X 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 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X X X X X X x
Treloar College DS0000011990.V281100.R01.S.doc Version 5.1 Page 18 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.V281100.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Hampshire Office 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 DS0000011990.V281100.R01.S.doc Version 5.1 Page 20 - 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!