Care Home: Dilston College Of Further Education

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What the care home does well The comments we received from students and their relatives indicated a very high degree of satisfaction with the service as a whole. All of the students reported that there was a very good variety of learning sessions which they seemed to enjoy very much. The students said the staff were welcoming and friendly. They describe their time at the college as enjoyable, fantastic, exciting and happy. One student said that the staff help to make young people into young adults. Staff told us that they thought students were offered good opportunities to participate in a wide range of activities. They thought the students had a good life at the college and that they supported them to make choices and attain independence. Relatives told us that Dilston College helped to equip young people with the life skills that enable them to live more independently and in some cases seek work. All of the relatives said that the college achieved its objectives for learning and care. Relatives said they were happy with the communication between themselves and the college and that they felt students` needs were a priority. Records showed that there are good assessment processes in place to ensure that students` needs, capabilities and aspirations are clearly defined. Records confirmed that staff teach students the skills needed to progress in life and learning. There was a good review system to ensure that the plan for each individual was working and remained appropriate. There were excellent systems in place to review students` needs and abilities in relation to health care issues such as medication, medical appointments and risk-taking. The management of medication in general was very good. Students` health needs were monitored and, again, students were supported to achieve independence in this area. Some of the areas of accommodation were very nice, areas such as the small kitchens and sitting rooms were attractively decorated. These provided students with an opportunity to mix socially or spend time in the privacy of their own rooms. Staff training is very good. There is an overall training plan that ensures that staff remain up-to-date with mandatory training. Staff also receive training in specific skills needed to care for the student group. Students are protected through good recruitment procedures. Staff are properly screened before employment, this includes a criminal records check. The college attempts to seek the views of the individuals using the service. This is in the form of regular quality questionnaires. The results of these are collated and any negative points addressed. The most recent results were very positive and showed that the college is achieving its aims. The service is well run and well-managed. Although it is already an excellent service the management team strive to make it better. Students` views and opinions are sought and the well-being of students is at the centre of everything that is planned. In questionnaires people told us that the management of the service was flexible, open and co-operative. Staff said they feel supported by the line management system and feel able to contribute to the running of the service. What has improved since the last inspection? There were no areas identified for improvement at the last inspection. What the care home could do better: In some areas the standard of the accommodation does not reflect the excellent work that goes on at the college. Students told us that sometimes the bathrooms were cold and we found this to be true. The bathrooms and toilets are in need of modernisation and redecoration. Some of the decor in the living areas is very bland and could be more attractive and better suited to the young student group. Some areas of the accommodation were not clean enough and better attention needs to be paid to cleanliness and tidiness to control the spread of any infections. Key inspection report Care homes for adults (18-65 years) Name: Address: Dilston College Of Further Education Dilston College Of Further Education Corbridge Hexham Northumberland NE45 5RJ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Janet Thompson     Date: 0 5 0 3 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Dilston College Of Further Education Dilston College Of Further Education Corbridge Hexham Northumberland NE45 5RJ 01434-632692 01434633721 marilyn.hunter@dilstoncollege.com www.mencap.org.uk Royal Mencap Society care home 52 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Dilston College of Further Education is part of the Mencap organisation, it provides residential education and training combined with care and support for students who have a learning disability. Some additional students attend the college from the local community and are not residential. The college has large grounds with lots of open space. It is close to the Northumbrian towns of Corbridge and Hexham, where there are good local shops and things to do in the community, such as pubs, cinemas, gyms and job experience opportunities. The nearest city is Newcastle and can be easily reached by train or bus. The college is divided in to several units within the main building and there are others dotted around the site. There is a very lively and positive atmosphere at Dilston College. The college is referred to as a care home for registration purposes only. 52 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This is an overview of what the inspector found during the inspection. The quality rating for this service is three stars. This means the people who use this service experience excellent quality outcomes. We have reviewed our practice when making requirements. Some requirements from previous inspection reports may have been deleted or carried forward to this report as recommendations. This will only happen when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Before the visit we looked at information we received since the last visit to the service. This includes how the service dealt with any complaints, changes to how it is run, the views of people who use the service and the managers views of how well they care for Care Homes for Adults (18-65 years) Page 5 of 26 people. We sent questionnaires to people who use the service and some of the staff at the service. Seven staff, 10 student and four relatives completed questionnaires were returned to us. An unannounced visit was made on 5 March 2010. During the visit we talked with people who use the service, some staff and the manager. We looked at information about people who use the service and other records which must be kept. We checked that staff had the knowledge, skills and training to meet the needs of the people they care for and we looked around the building to make sure it was clean, safe and comfortable. Following the inspection feedback was given to the manager and College Principal. Care Homes for Adults (18-65 years) Page 6 of 26 What the care home does well: The comments we received from students and their relatives indicated a very high degree of satisfaction with the service as a whole. All of the students reported that there was a very good variety of learning sessions which they seemed to enjoy very much. The students said the staff were welcoming and friendly. They describe their time at the college as enjoyable, fantastic, exciting and happy. One student said that the staff help to make young people into young adults. Staff told us that they thought students were offered good opportunities to participate in a wide range of activities. They thought the students had a good life at the college and that they supported them to make choices and attain independence. Relatives told us that Dilston College helped to equip young people with the life skills that enable them to live more independently and in some cases seek work. All of the relatives said that the college achieved its objectives for learning and care. Relatives said they were happy with the communication between themselves and the college and that they felt students needs were a priority. Records showed that there are good assessment processes in place to ensure that students needs, capabilities and aspirations are clearly defined. Records confirmed that staff teach students the skills needed to progress in life and learning. There was a good review system to ensure that the plan for each individual was working and remained appropriate. There were excellent systems in place to review students needs and abilities in relation to health care issues such as medication, medical appointments and risk-taking. The management of medication in general was very good. Students health needs were monitored and, again, students were supported to achieve independence in this area. Some of the areas of accommodation were very nice, areas such as the small kitchens and sitting rooms were attractively decorated. These provided students with an opportunity to mix socially or spend time in the privacy of their own rooms. Staff training is very good. There is an overall training plan that ensures that staff remain up-to-date with mandatory training. Staff also receive training in specific skills needed to care for the student group. Students are protected through good recruitment procedures. Staff are properly screened before employment, this includes a criminal records check. The college attempts to seek the views of the individuals using the service. This is in the form of regular quality questionnaires. The results of these are collated and any negative points addressed. The most recent results were very positive and showed that the college is achieving its aims. The service is well run and well-managed. Although it is already an excellent service the management team strive to make it better. Students views and opinions are sought and the well-being of students is at the centre of everything that is planned. In questionnaires people told us that the management of the service was flexible, open Care Homes for Adults (18-65 years) Page 7 of 26 and co-operative. Staff said they feel supported by the line management system and feel able to contribute to the running of the service. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective students individual needs and aspirations are assessed so that they are supported to get the best out of college life. Evidence: A full assessment of student needs is undertaken before the students are admitted to the college. The assessment details the care and support they will require in order to lead a healthy and fulfilling life during their time there. The assessment includes information about health care needs as well as specific details of individual support required. The assessment is used as the basis of the ongoing care and development plans. Any potential risks or restrictions on choice and freedom are identified and agreed at this point. In questionnaires students and relatives told us that they had given information to the college before they were accepted there, this meant they were confident that the college could meet their needs. Care Homes for Adults (18-65 years) Page 10 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Students personal needs and goals are reflected in an individual plan of care which identifies how they will take risks to achieve an independent lifestyle. Evidence: Each student as an individual care and development plan. The plan includes details of any treatment, rehabilitation and support they require. We looked at plans for three students, they were all clear, comprehensive and up-to-date. The plans identified the level of care needed by each individual to support them to achieve their goals. Students are encouraged to be as independent as possible and progress at an individual rate. Pictorial aides are used to record the likes and dislikes of individuals. This includes whether they enjoyed their lessons, get on with other people in their accommodation and what they enjoy in their leisure time. The plans are reviewed regularly throughout the term and assessed at the end of term, new objectives are then set for the next term. A written communication sheet is used to keep relatives up-to-date with the achievements of students. Care Homes for Adults (18-65 years) Page 11 of 26 Evidence: There was evidence that staff regularly consult students and give them opportunities to make decisions about their lives. Limitations to independence are clearly documented and reviewed. Students are encouraged to be as independent as possible within a risk assessed framework. Tasks undertaken that have a degree of risk are well-managed, students learn how to manage the risk with varying degrees of support from staff. In questionnaires students and relatives told us that they feel well supported by staff to learn the skills required for everyday living. Relatives said that communication between themselves and the college was good. There was evidence that staff support relatives to maintain the independence of students during holiday times and periods away from the college. Care Homes for Adults (18-65 years) Page 12 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Students have excellent opportunities for personal development through a good range of educational and leisure activities. Evidence: Records showed that staff support students to develop good social, emotional and communication skills. There were examples where staff had encouraged students to voice their concerns and address personal issues with their peers. In questionnaires relatives and students told us that this area of personal development was important to them and this appears to be one of the strengths of the staff team. Students are offered excellent opportunities to take part in educational and social activities. Students are supported by teaching staff in educational areas and by learning support staff on a day-to-day basis. We observed that some students involved in a catering course were encouraged to learn about money and costs when Care Homes for Adults (18-65 years) Page 13 of 26 Evidence: buying and selling food. The college has developed very good links with the community. Students are encouraged to take their skills out into the community when they have reached that level of ability. This could include selling some produce in local markets and taking part in work related roles. Relatives told us that family links and friendships are maintained whilst students are in college. Students said that they make good friends at the college and the records showed that staff supported them to do this. The routine of the college is based on a mix of learning timetables, physical activities and relaxation time. The accommodation is in small groups and provides students with an opportunity to mix with others or stay in the privacy of their rooms. We noted that staff respected students right to privacy by knocking on doors and, where needed, asking permission to enter the rooms. Students told us that they like the food at the college. A main meal at lunchtime is usually taken in the main dining room. The evening meals are taking in the individual accommodation units and are prepared and cooked by students with support from staff. There are individual pictorial timetables that show which student is responsible for the household chores on each day. The students said that the staff were good cooks and that they could choose the type of food they ate. Records showed that students were encouraged to eat healthy options and that their weights are regularly monitored. Care Homes for Adults (18-65 years) Page 14 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Students receive health and personal care in a way they prefer and require. Evidence: Students receive personal support that is appropriate to their individual needs. Individual plans of care identify the health and personal care required by students. Students are supported to be as independent as possible when managing their own personal care and health care, this includes how they dress and their own style of hair and make-up. Records showed that staff ensure that health care or personal care is given to students in private. Students have access to a wide range of NHS facilities. Most of the students are registered with local GP practices however, they can retain other GPs if they wish. Records showed that staff were alert to changes in individual behaviour, health and well-being and staff sought medical attention or advice when needed. Medication is managed by the daycare team. They are responsible for ordering the medicines on a weekly basis. Students are encouraged to manage their own medication and this is recorded on a different colour Administration sheet. When Care Homes for Adults (18-65 years) Page 15 of 26 Evidence: students are self-medicating staff countersign the Administration sheet, however this is being reviewed to move to a system where some students are fully independent when managing their medicines. All staff involved in the administration of medication have received very good training which includes tests to check their knowledge. The systems for ordering, storing, administration and disposal of medication were very good. Care Homes for Adults (18-65 years) Page 16 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Procedures are in place to ensure that students views are listened to and that they are protected from abuse and harm. Evidence: The college has a complaints procedure that takes account of students views and issues. All complaints are recorded, the record includes details of any investigation and the outcomes to each complaint. The complaints record showed that the college received seven complaints in 2009, three of these were students complaining about other students. All of the complaints were properly investigated and resolved to the satisfaction of the complainants. This showed that complaints are taken seriously and students are listened to. Staff have received training in the recognition, prevention and management of abuse. Staff are properly screened before they are employed to help protect students from possible abuse. Records showed that staff are also carry out risk assessments for those students who may be vulnerable to self harm or abuse from their peers. Care Homes for Adults (18-65 years) Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Students live in a homely, safe environment that requires some redecoration. Evidence: The colleges residential accommodation is divided between units in the main building and smaller cottages within the grounds. Each unit is furnished in a domestic style and each building is individual with different size and shape rooms. Some areas were bright and attractive and suited to the young student population. Student bedrooms contained a lot of personal items and were very individual. Some of the bedrooms were untidy which is expected from the lively student group and shows that staff respect individual wishes. In questionnaires some students told us that the bathrooms were cold at times. We walked around the premises and noted that one bathroom in particular was cold, this was only heated by a wall mounted fan heater. Staff told us in their questionnaires that some of the premises required updating. We noticed that the bathrooms in particular need redecoration and refurbishment. In some cases the grouting was black, walls were scuffed, tiles were cracked and the floors were beginning to recede at the edges. Some of the windows and wooden boarded areas were chipped and moulding. Care Homes for Adults (18-65 years) Page 18 of 26 Evidence: The decoration of bedrooms and living areas was generally bland and did not reflect the personality of the student group. We have recommended that more vibrant and youthful decor is used when these areas are redecorated. The individual kitchens in the units were very nice, they were modern, attractive and domestic in style. These areas appeared clean and comfortable. Not all areas of the college were clean enough. Some of the shower doors and curtains were not clean and appeared to have black mould on their edges. The waste bins in bathrooms were open topped and were not fitted with binliners, these contained gloves that had been used for personal care tasks, these should be disposed of properly to contain any potential infective material. Some of the stairs and corridors within the living accommodation were dusty, some of the window ledges and furniture surfaces were also dusty. Care Homes for Adults (18-65 years) Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Students are supported by competent, skilled and qualified staff. Evidence: When staff are employed they are given a very clear job description. Staff have a comprehensive induction training period in which they are instructed and tested about the aims and values of the college. Staff told us that they are supported to do their job by good training and clear policies and procedures. The policies, procedures and practices of the college are clearly committed to enabling staff to support and develop the skills of the student group. We examined staff files for four of the staff working that day. This included one file for a new applicant who was undergoing induction training. All of the files showed evidence that staff have been properly recruited, this includes details of past employment, provision of two references, an interview which is documented and evidence of identity and fitness to practice. Staff files also confirmed that staff have all received training in mandatory areas as well as training specific to the student group. Staff have received regular formal supervision. These were very well documented and contained good evidence that staff are supported to meet the objectives of the service and encouraged to contribute to its development. Care Homes for Adults (18-65 years) Page 20 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Students benefit from the leadership and management approach of the service which ensures that it is well run. Evidence: The manager has been at the college for a number of years. The manager is registered with CQC and has therefore been assessed as fit to run the service. The manager is supported by a varied management team with specific responsibilities for education, finance and facilities. Students, relatives and staff told us that the manager communicates a clear sense of direction which enables the aims of the service to be met. There is a clear commitment to seeking the views of the users of the service. Parent and carer surveys are sent out each term, the results of these are collated and used to review and improve specific areas within the service. We looked at the collated results from the latest surveys, they showed an 89 improvement in students skills and behaviour. Surveys are also sent to students every term, pictures and signs are used to ascertain their level of satisfaction with the college. Care Homes for Adults (18-65 years) Page 21 of 26 Evidence: There are policies and procedures in place to ensure that the health and safety of students and staff is protected. External health and safety checks were up to date for electrical systems, the passenger lift and fire safety systems. Internal checks are also made to identify any faults or hazards in the building. The temperature of hot water is checked every term, records show that some of the water thermostats are failing. Hot water temperatures were recorded as high as 61oC, they should not exceed 43oC. It was not clear from the records what action had been taken to address this as some recordings had remained the same over two terms. The records did not clarify whether the hot water outlets were wash hand basins or showers or baths. This is important when assessing the risk of students scalding themselves with hot water. Care Homes for Adults (18-65 years) Page 22 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 24 23 Replace bathroom floors. Replace cracked tiles in bathrooms. Repair and redecorate window frames and wooden surrounds in bathroooms. Regulation 23(2)(b) requires the premises to be kept in a good state of repair. 01/12/2010 2 30 13 Ensure all areas of the accommodation are kept clean. Ensure all toilet and bathroom areas have impermeable surfaces that are kept clean. Replace waste bins with foot operated ones. 01/05/2010 Care Homes for Adults (18-65 years) Page 24 of 26 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Regulation 13(3) requires arrangements to be made to prevent the spread of infection within the home. 3 42 13 In student washing areas hot water thermostats must be fitted to ensure that water is not delvered above 43oC Regulation 13(4)(c) requires unnecessary risks to health and safety to be identified and so far as possible eliminated. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 01/04/2010 1 24 Consider the use of more youthful, vibrant and individual colours when redecorating the living accommodation. Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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