Care Home: Langdon Foundation

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What the care home does well The admission practices and ways of introducing students to the houses are very good. Students spoken with had found they had been able to make a positive decision about moving to Langdon College, and appreciated the opportunity to become familiar with Tewkesbury Drive in helping them to decide. The information about how the college and accommodation operates is easy to understand. The students spoken with and who completed surveys felt they had enough information about the service to help them make an informed decision. One student commented: `I was asked if I wanted to move in as I`m independent and it is an independent house.` Another student commented: `I was nervous about the `assessment` but when I arrived everyone was so friendly, I wanted to stay.` The support plans in place are good and the students are active in contributing to these and directing the support they need. Students are supported to achieve personal goals and ambitions. The students benefit from a positive approach to managing behaviour, and develop ways in which to understand and cope with situations that they may find difficult. There are many opportunities for students to take part in activities. The college provides support and promotes the Jewish lifestyle. The ways in which students practice and observe their Jewish faith are respected. Staff benefit from Jewish Awareness training and one member of staff spoken with made the point that the students teach the staff many things. There is an atmosphere of respect and openness at the service, and this helps provide the support that students want in ways which respect their cultural needs and religious beliefs. Staff are considered to be responsive and there are regular opportunities for discussion between staff and students about how the service is running. Staff benefit from regular training. Comments from staff included: `Training both mandatory and other relevant courses are offered on a regular basis also training weeks throughout the year are set aside.` `My line manager is very supportive and always available for assistance and guidance if required.` `I feel the service works well and is always looking for ways to improve and develop.` What has improved since the last inspection? There have been improvements to the information gathered before a student comes to live at Tewkesbury Drive. The information collected is thorough and includes contributions from the student and their parents. There are regular opportunities for students to discuss their progress and raise anyconcerns. These opportunities allow for group discussion and for individual discussion with a designated key worker. In this way students are encouraged to make their views know and are actively involved in shaping the service and support they receive. The process for completing travel risk assessments has been improved. These are now completed in a shorter timescale and can be prioritised. This means that students are able to be as independent as possible and consideration is given to personal safety. Medication practices at the service have been improved. There is a policy in place regarding risk assessment of the use of medications. There is also the opportunity for students to complete work books which help them understand safety and medicines. There have been improvements to the decor and furnishing at the service. This includes the replacement of the kitchens in both properties and the redecoration of communal areas and bedrooms. Staff have undertaken mandatory health and safety training. There is continued progress towards achieving the recommended ratio of staff with a National Vocational Qualification, which is the recommended qualification for people working in social care. The required maintainence and servicing of equipment in the houses have been carried out. The central heating boiler has been replaced in one of the houses. A thorough assessment of the services electrical fittings and fitments has been completed to ensure these meet the required safety standard. What the care home could do better: Further refinements to the process for auditing medication could be made by ensuring that when medication is re ordered existing stocks are taken into account. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Langdon Foundation Langdon College 24/26 Tewkesbury Drive Prestwich Manchester M25 0HG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Felicity Lacey     Date: 1 5 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Langdon Foundation 24/26 Tewkesbury Drive Langdon College Prestwich Manchester M25 0HG 01617405900 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) : admin@langdoncourse.ac.uk Langdon College care home 8 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 8 The service should employ a suitably qualified and experienced Manager, who is registered with the Commission for Social Care Inspection. Within the maximum registered number (8) there can be up to 8 Adults with Learning Disabilities (LD). Term time only. Date of last inspection Brief description of the care home The Langdon Foundation is a Jewish organisation, which is split into two areas, Langdon Community and Langdon College. 24/26 Tewkesbury Drive provides term time residential care for up to eight young Jewish adults with learning disabilities. Langdon College is the only Jewish specialist residential college for students with learning disabilities in the country. The age range of people using the college is 16-25 years old. Some students are below the age of nineteen and in fulltime education and are therefore legally defined as children under the Childrens Act. The accommodation comprises two semi-detached houses, which are not inter-linked. Access between the houses is via the rear doors. Communal areas within the houses are shared and all bedrooms are single. The houses are situated close to a variety of community facilities, which are within easy walking distance. As the Prestwich area houses a large Jewish Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home community, there is easy access to a synagogue, Kosher food shops and community resources. Public transport is available via a short walk to the main road. Placements at the college are funded through the Learning and Skills Council. A copy of the most recent inspection report is made available to prospective students and their parents in the introductory pack provided by the Langdon Foundation. Care Homes for Adults (18-65 years) Page 5 of 28 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: two star good 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 inspection included a visit at short notice. Prior to the visit information was provided by the Responsible Individual, who is a person identified by the College who will liaise with the Commission for Social Care Inspection (CSCI) and who will ensure that the company mets its legal duties. This information is an assessment of how Tewkesbury Drive meets the recommended standards of care and the Care Homes Regulations, including the way in which the staff of Tewkesbury Drive meet the support needs of the students, the training and support that staff receive and data about health and safety at the houses. Surveys were received from five students and four staff members. During the visit to Tewkesbury Drive there was an opportunity to speak with the current seven students, who were all able to give their views on the support provided. Discussions were also held with the Responsible Individual, the manager and Care Homes for Adults (18-65 years) Page 6 of 28 the staff on duty. Case records and documents relating to the support provided and records of staff supervision and training were looked at. The two houses were viewed. The people who live at Tewkesbury Drive like to be refereed to as students and this is used through out this report. The last key inspection of Tewkesbury Drive took place on 23 January 2008. What the care home does well: What has improved since the last inspection? There have been improvements to the information gathered before a student comes to live at Tewkesbury Drive. The information collected is thorough and includes contributions from the student and their parents. There are regular opportunities for students to discuss their progress and raise any Care Homes for Adults (18-65 years) Page 8 of 28 concerns. These opportunities allow for group discussion and for individual discussion with a designated key worker. In this way students are encouraged to make their views know and are actively involved in shaping the service and support they receive. The process for completing travel risk assessments has been improved. These are now completed in a shorter timescale and can be prioritised. This means that students are able to be as independent as possible and consideration is given to personal safety. Medication practices at the service have been improved. There is a policy in place regarding risk assessment of the use of medications. There is also the opportunity for students to complete work books which help them understand safety and medicines. There have been improvements to the decor and furnishing at the service. This includes the replacement of the kitchens in both properties and the redecoration of communal areas and bedrooms. Staff have undertaken mandatory health and safety training. There is continued progress towards achieving the recommended ratio of staff with a National Vocational Qualification, which is the recommended qualification for people working in social care. The required maintainence and servicing of equipment in the houses have been carried out. The central heating boiler has been replaced in one of the houses. A thorough assessment of the services electrical fittings and fitments has been completed to ensure these meet the required safety standard. 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 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 10 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People had sufficient information to make a decision about coming to live at Tewkesbury Drive and so were confident that the staff could meet their needs and aspirations. Evidence: All students who come to live at Tewkesbury Drive have the opportunity to have a two day visit including an overnight stay to gain an insight into life at the house, during this time they also visit the college. This is a period of assessment for both the prospective student and the staff of the house. The people spoken with during the visit had found that this arrangement was very useful. One person who lives at Tewkesbury Drive shared her experience, she had found the chance to visit before moving helped her make an informed choice and reduced her anxiety about moving away from home. The staff spoken with also found the opportunity to meet prospective students helped a successful transition to life away from home. Each student has a plan which sets out the support and assistance they require. A new Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: admission assessment has been introduced and this is comprehensive covering all important areas. The people at Tewkesbury Drive are able to direct their own support and contribute to this assessment. The examples of completed assessment seen were thorough and provided a sound basis for supporting people in a way in which respects their personal preferences and lifestyle. As a Jewish college the staff positively promote Jewish lifestyle and opportunities to be part of the wider community. The people who live at Tewkesbury Drive are supported to follow their faith in line with their own choices and experience. Care Homes for Adults (18-65 years) Page 12 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The students are supported to take control of their own lives and identify personal goals, they are able to do this in a way which respects and promotes their Jewish heritage; in this way their individual needs are met and their choices are respected. Evidence: Three support plans were looked at during the visit to Tewkesbury Drive. The plans were very detailed and written in a positive and person centred way. For example the plans identify the preferred routines followed by the person, and highlight areas where additional support may be needed. The plans detail relevant areas, for example cultural and religious needs. The plans are an active record that are developed in consultation with the student and their parents, and are presented in a format which can be understood by the student. There is a written form completed by parents which gives the opportunity for them to share their insight and views into the support needs of their child. The age range of the students Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: is 16-25 years and so the level of parental involvement can differ. The plans set out the goals and aspirations of the students. For example goals identified included gaining a qualification, to live independently and to travel alone. The student and keyworker develop an action plan which sets out times scales and who will help the student achieve their goals. The plan includes behaviour management protocols which are discussed and agreed with the student, this promotes understanding and consistency. The behaviour management approach gives the opportunity for the student to develop an insight into their behaviour and how this may effect those around them. The emphasis of the protocols seen was to highlight positives and to put in place strategies which were responsive to individual levels of understanding. The support plans and risk assessments are signed and agreed. They are reviewed regularly. The lead keyworker oversees the implementation and progress of the plan. The students are encouraged to make their own decisions. The staff are keen to promote independence and support people in ways which respects and promote a Jewish lifestyle. If advice is needed guidance is sought through considering the Langdon Foundation policy and consulting with the Rabbi. The people spoken with during the visit felt that they were in control of their own lives and were involved in planning their future. The people spoken with were well integrated into the Jewish community and attended the Synagogue and Shul. There are regular opportunities to meet with people who have attended the college and who continue to be part of the community. Care Homes for Adults (18-65 years) Page 14 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Students have the opportunity to lead active social lives in a setting which respects and promotes their religious beliefs and customs, in this way they are supported to lead fulfilling lives in and out side of the home. Evidence: The students follow the course of study of their choice. All attend Langdon College and some also attend other local colleges for further their education. People are supported to move into independent living, and staff assist with helping students develop the skills needed. At the previous inspection there had been an issue regarding the length of time taken to complete Travel Assessments, for the students living at Tewkesbury Drive, these are now led by support staff and this has speeded up the process. The registered person also explained that requests are prioritised and every effort is made to complete these assessments in a timely and safe way. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: There is a range of activities on offer during the week. In response to student requests a number of clubs have been set up, including swimming, sports and jewellery. On a Wednesday night there is a regular meeting with people from the wider community. Students attend Shul and Synagogue. Staff who support the students complete Jewish Awareness training, the staff spoken with had found this very useful and also find that they are able to learn a lot from the people who they support. The students spoken with considered the staff to be responsive and respectful of the customs and traditions of the Jewish way of life. Students spoken with also had links with the wider community, making good use of local facilities. On the night of the visit the female students where enjoying a Girls Night, where they had a take away and were doing each others nails, they were also discussing what activities they would like to do during the term. There have been efforts by staff to provide more structure to Shabbat with planned meals. The observance of Shabbat is an individual choice, some students are orthodox in their observance and others are more liberal. The importance of respecting the individual choice and the overall ethos of the college is emphasised, and students are expected to respect Shabbat in all shared areas of the house, in their own bedrooms their personal privacy and choices are respected. The meals at the house have been improved by the provision of more fruit and vegetables as requested by the students. The students have many meals away from the house, but those that are prepared at home are done so in a way which respects Jewish custom. The male students prepare their own food with support from staff. The students are assisted to develop budgeting skills in preparation for independent living. Care Homes for Adults (18-65 years) Page 16 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good systems in place to ensure that people are consulted and encouraged to independently manage their own health care needs, personal support is offered in a consistent way and in this way wellbeing is promoted. Evidence: The surveys received and the people spoken with indicated that independence in health and personal care is respected and promoted. The current students do not require assistance with personal care but may need oversight and guidance. The support plans in place record the preferences and routines of the students. The college is able to access specialist services, such as counselling and physiotherapy. The key worker system in place ensures that each student has a designated person who oversees their support plan and liaises with family and other professionals as required. Each student meets with their keyworker on a weekly basis and the outcomes of these meetings are recorded. The health care needs of each student are documented. An initial health assessment is completed and this is up dated every three months. There were some helpful formats Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: in use to help people understand any medication they may have and work books that could be used to promote informed choices and safe administration of medication. Students are registered with local G.P services during term time. Students spoken with were confident that staff would respond appropriately to any issue regarding their health and well being. At the last inspection a number of issues were raised regarding the safety of the medication systems at the home. These have been responded to by the Responsible Individual, there is a policy in place which ensures any required risk assessment is completed when a student opts to administer their own medication. Staff have completed training in the safe administration of medication. Written transcripts are countersigned by a second member of staff. The medication stocks seen were in date and stored properly. The Medication Administration Sheets were completed. The system for reordering medication should be improved to ensure that stocks are returned and an accurate record is readily available which shows quantities of medication at the home. Care Homes for Adults (18-65 years) Page 18 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The policies of the home are understood by staff and students are confident any concerns they have will be responded to, in this way the welfare of students is protected and promoted. Evidence: The students spoken with and who completed surveys knew who they would speak to if they were not happy, and were confident that any concerns would be listened to and acted upon. There have been no formal complaints since the last inspection, the regular opportunities for students and staff to discuss issues ensure that people are able to air their views on a weekly basis. The individual key worker meetings also allow for discussion on a one to one basis of any concerns. The complaints procedure is available in easy read and picture formats. All staff have completed Protection of Vulnerable Adults and Child Protection Training. There are policies in place which are understood by staff members. The staff spoken with confirmed that they had received training, and newly appointed staff complete a structured induction which includes awareness of adult and child protection policies. There have been no safeguarding referals made since the last key inspection. Care Homes for Adults (18-65 years) Page 19 of 28 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. The accommodation has been refurbished and redecorated which provides a pleasant place for students to live. Evidence: The accommodation comprises of two semi detached houses, which are not interlinked. There is easy access between the houses and communication between the two is frequent. One house is the base for staff and the other property provides greater independence. One house is exclusively for male students. One student commented the I like the house, it gives me independence and the rooms are cosy and comfortable. There has been considerable work carried out to refurbish and improve the accommodation. This has included the fitting of new kitchens which meet Kosher standards to both properties. The students who live at the properties are pleased with the standards of furnishings. Efforts have been made with redecoration to add character to the houses. All bedrooms are single and are respected as private space, the students personalise their rooms. The houses were clean and tidy. Students take responsibility for house hold chores and Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: this is part of the preparation for independent living. The houses share laundry facilities which can be accessed from both properties. Care Homes for Adults (18-65 years) Page 21 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff team are well trained and competent, there is an atmosphere of mutual respect at the home and this means students are supported by staff who respect and understand their individual needs and lifestyle choices. Evidence: The staff team has developed since the last inspection. There is a newly appointed manager. She is supported by full staff team. The staff team are now based at Tewkesbury Drive. There is a fixed rota in place which covers the whole term. The staff who completed surveys and who were spoken with during the visit confirmed that they felt supported in their roles. The students considered the staff to have many positive qualities, they felt that staff were responsive and reliable. There has been regular staff training including Equality and Diversity, Autism Spectrum Disorder and mandatory health and safety training. At the time of this inspection there were six members of staff who had completed the National Vocational Qualification at level 2 or above, this is the recommended qualification for people working in social care, all other staff are undertaking this qualification. Training records are maintained and this enables the Responsible Individual and manager to audit training undertaken and identify any further training needed. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: The recruitment process was discussed with the Responsible Individual. She confirmed that the required references and disclosures are obtained before a member of staff commences work. A newly appointed member of staff confirmed the process of recruitment. All staff complete an induction process and are supported through this by experienced staff members. There are supervisions and support systems in place. Staff receive regular formal supervisions and annual appraisals of performance. One staff member commented that she really enjoyed working at the house and as part of the staff team. Care Homes for Adults (18-65 years) Page 23 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Tewkesbury Drive is managed in an open and inclusive way and the students benefit from living in a well run home. Evidence: At present the home has an unregistered manager who is supported by the Responsible Individual. The manager is currently undertaking the registration process. The Responsible Individual and the manager are experienced and run the home in the best interests of the students who live there. The management team of the home are guided by the policies and procedures of the Langdon Foundation. There are close links between college and residential support staff. There are clear lines of accountability. The Responsible Individual has worked with the manager to establish good communications and introduced a Quality Assurance system which covers all aspects of practice. There have been improvements to the organisation of staff by the introduction of the lead key worker system and regular key worker meetings. The Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: opportunities for involvement by students in the development of the service is also encouraged through student forums, student and family feedback and through regular house meetings. Health and safety checks and routine servicing of equipment have been completed. The issues identified at the last inspection concerning the validity of the electrical certificate and the policy regarding PAT testing of personal appliances, have been addressed. The home has carried out the required work and has a valid electrical certificate, all items have been PAT tested. The central heating boiler that needed attention at the last inspection has now been replaced. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 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 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 1 20 The system for reordering medication should be improved to ensure that stocks are returned and an accurate record is readily available which shows quantities of medication at the home. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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