Care Home: Ruskin Mill College

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What the care home does well The College completes detailed assessments on all students before they commence their placements. The College has a variety of accommodation available that they attempt to match to the needs of the individual student. Care staff are committed and motivated to delivering a high standard of care and support. Students receive good levels of guidance and support from house-parents. The College provides a high standard of input and service to the students in terms of education, advice and support in the area of personal relationships and sex education. The College provides a planned and structured programme for students to develop independence skills. The College and the individual houses provide a wide variety of activities and experiences for students in the community in the evenings and weekends. What has improved since the last inspection? There was evidence of more consistent recording across the various houses and of more systematic monitoring and checking by the Neighbourhood Heads. Improvements were also observed in the development and application ofindividual goals and targets for students within households, which were identified through the care planning process. What the care home could do better: The College could ensure that all new staff have sufficient time to undertake the training that is provided at the beginning of the Autumn term. The College could complete environmental audits of new properties against a standard format or checklist to ensure that there is more consistency in the overall quality of accommodation. CARE HOME ADULTS 18-65 Ruskin Mill College Old Bristol Road Nailsworth Glos GL6 0LA Lead Inspector Mr Simon Massey Unannounced Inspection 16 November 2008 10:00 th Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ruskin Mill College Address Old Bristol Road Nailsworth Glos GL6 0LA 01453 837527 01453 837506 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ruskin Mill Educational Trust Mr Julian Alexander Pyzer Care Home 90 Category(ies) of Learning disability (90), Mental disorder, registration, with number excluding learning disability or dementia (90) of places Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registration of Ruskin Mill College will only cover accommodation of service users in the houses listed in Appendix A. 18th July 2007 Date of last inspection Brief Description of the Service: Ruskin Mill Educational Trust (RMET) is a charitable trust founded in1987 which runs Ruskin Mill College. The College is a residential college for people with special needs and provides placements for the age range of 16 to 25 years. Following discussions between RMET and the National Care Standards Commission (NCSC) the College has been registered as a Care Home and was inspected with reference to the National Minimum Standards for Younger Adults, including the Supplementary Standards for care homes accommodating young people aged 16 and 17. The College provides accommodation for students in 42 different locations, which break down into three different types. Firstly there are staffed homes, which are either rented or owned by the College, secondly there are independent flats, which are supervised by care staff and finally there are home providers. This last group comprises people who are contracted by the college to provide care and support in their own homes. Students are provided with a full weekly timetable of activities at the College, which provides a diverse range of educational, vocational and therapeutic activities. The registered manager is based at the College and supervises four Neighbourhood Heads, who are in turn responsible for the supervision of a group of homes in one particular geographical area. The four areas can generally be described as Nailsworth, Stroud, Minchinhampton and Stonehouse. Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. This inspection took place over a period of a week and was undertaken by two inspectors. The Inspector met with the Registered Manager, care staff, students, the College nurses, the Neighbourhood Heads and the Personnel Manager for the College. The Inspectors visited a selection of the accommodation provided for students and also spoke with some staff and students at the central college premises. Records relating to assessments, care planning, medication, staff recruitment, training and health and safety were examined. What the service does well: What has improved since the last inspection? There was evidence of more consistent recording across the various houses and of more systematic monitoring and checking by the Neighbourhood Heads. Improvements were also observed in the development and application of Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 6 individual goals and targets for students within households, which were identified through the care planning process. 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. The summary of this inspection report can be made available in other formats on request. Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 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 Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose and Student Induction Handbook provide the required information for perspective users of the service. Comprehensive assessments and visits provide detailed information about the needs of students. EVIDENCE: A sample of assessments completed on new 1st year students were examined. All residential students have the opportunity to visit for a three-day residential assessment. The reports completed include input from the house-parents, where the student stays for the three days, and other professionals within the College. Information is compiled on speech and language, numeracy, memory, pre-cognitive skills and literacy skills. The reports also highlight positive and negative attitudes, potential activities, social skills, public safety skills and any personal care or support that is required. The reports seen were detailed and provided a professional basis for the further development of plans of care in the form of Individual Learning Plans, goals and targets and care plans within the households. The three-day assessment is structured to provide opportunities for students to be observed in different situations, and also to assess some basic domestic skills. Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 9 Students interviewed confirmed that they had been provided with all the necessary information regarding the College before deciding to accept a place. The College has reviewed and updated its prospectus, which is provided to all new students at the College. Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The development of individualised plans for students with their full involvement promotes choice and opportunities for learning of new skills. Risk management is well managed though some inconsistencies were identified between some households. EVIDENCE: All students have care plans in place that are part of their overall learning support plans that are developed to plan their activities, course content and objectives for development whilst at the College. Students spoken to demonstrated an understanding of this process and their involvement in reviewing and changing their plans. Evidence was seen of good recording being completed within the households. Whilst there was some inconsistency between households in relation to the frequency and content, it was observed that overall, improvements have been made in this area. Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 11 Students are supported to make decisions about their lives. Students are involved in planning their college activities and make choices about their social and vocational interests. Students gave various examples of issues and choices they had made in consultation and with support from house-parents. Risk assessments were seen in the households that provided guidance on independent travel and the degree of supervision required for students. There was some inconsistency in the understanding of this initial process of assessment, relating to the extent that students are to go out independently from the households from the time of their arrival in the home. When any restrictions on this are risk assessed as being needed, then this should be clearly recorded, with the reasons for the limitation and that the student is in agreement with this. There was evidence from visits to a number of households that structured and planned work is put into increasing independence skills and the confidence required to exercise the opportunities available. Some households have developed additional goals and objectives around independence skills Some were still in the process of being identified and planned, as it was still relatively early in the first term of the first year for some students. Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Students users appear confident about their right to make choices and decisions about their lives and have the opportunity to develop skills and confidence in the community. Students are encouraged to eat healthily but their right to choose their diet is respected. EVIDENCE: Various examples were given of activities undertaken in the community, both as part of the college timetable and also as part of activities organised in the evenings and at weekends. These included cinema trips, playing snooker and football, going bowling, shopping trips, visiting historical sites of interest, hiking and also meeting up with other households for meals or parties. Examples were seen of house-parents taking an active interest in the hobbies and interests of students to support and encourage the activity. Students are also supported to pursue their hobbies within the houses, both in their own rooms and communally. Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 13 Students confirmed they were supported to maintain their contacts with families, both by phone and email and visits home for weekends and college holidays. Students are provided with advice and support in the area of personal relationships. One student gave an example of how they were being supported to develop their personal relationship, which involved liaising between households and parents, arranging transport and receiving advice from support workers. The college also has the option of providing counselling from an outside professional. The Inspectors visited a number of households and joined six of these for an evening meal. There was evidence of variety and choice be catered for and students were involved as much as they wished with the planning of the menus. An organic and healthy diet is promoted and a lot of produce is purchased through the College store, which sells produce form the College farm and also accesses other products on a wholesale basis. All students were positive about the quality and quantity of food provided. Students were observed helping with food preparation and other domestic chores. Some homes have organised rotas for various chores whilst others have a less structured approach, but there was an expectation on all students that they participate in the domestic life of the household. All students spoken to were clear about the individual routines in place in their households. Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s personal and healthcare needs are met, promoting their dignity and wellbeing. EVIDENCE: The assessments contained in the Individual Learning Plans identify any health and emotional needs. Several staff demonstrated a good awareness of the various needs related to the students in their care. All medication facilities examined were satisfactory with a few minor exceptions. Some observations about the storage and administration of controlled drugs were made and the College nurses reviewed these procedures against the appropriate guidelines. All staff receive basic training in the administering of medication during their induction training from the College Nurses. Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students are provided with information and opportunities to express their concerns and views about their care, support and education. EVIDENCE: The College has employed a system for notifying the Commission of any significant events affecting the well being of a student, as required in the regulations. This involves notifying the Commission, via e-mail, that an incident has occurred, and then subsequently a detailed report of the circumstances and resultant action taken, if any is required. The College has been efficient and prompt with this information. Evidence from some of the notifications, followed up through the inspection, demonstrated good practice in the managing of various incidents including challenging behaviour and complaints from students. All students interviewed appeared clear about how they would raise a concern, and some were aware of the official procedure outlined in the College Student handbook. One student gave an example of how they had negotiated a change of accommodation after raising an issue. They said that they thought the matter had been dealt with fairly. Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 16 Care staff interviewed demonstrated a professional understanding of the issues around managing challenging behaviours, and all interviewed had undertaken some form of training in this area. Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The College has a variety of accommodation that it can use to meet students needs with the majority being of good to excellent quality. Better auditing of new accommodation would help avoid future maintenance problems. EVIDENCE: The college provides accommodation in a variety of settings, including rented house, their own properties, home-providers who use their own accommodation and also some self-contained flats. A sample of these were examined during this inspection and with one exception were found to be satisfactory. There is variety in the property in terms of age and style, and also the personal taste and lifestyle of the house-parents. The Commission has been involved in two issues relating to accommodation over the past two years and both these related to properties that were rented. Whilst these issues have now been resolved it is the case the problems resulted from difficulties over maintenance, when there were issues over ensuring the landlord completed and responded to maintenance requests in a Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 18 timely manner. Some house-parents in rented accommodation were unclear about how to progress repairs or general maintenance in terms of who was responsible for what, i.e. the College or the landlord of the property. It is recommended that greater clarity is provided to house-parents in rented accommodation about accessing and arranging maintenance and that the audits of new potential properties ascertain whether the maintenance arrangements are satisfactory and will ensure that the accommodation will continue to meet the required standards when and if repairs or alterations are required. One house that was visited was considered unsuitable and below the required standard. This was due to the size of the property, the layout and lack of space in the kitchen and ongoing problems with the plumbing. There was also a concern about the safety of the steep path approach to the property, which was badly damaged and poorly lit. A requirement has been made that this house is suitably renovated and repaired or that the College no longer uses this house. During this inspection two students queried the policy about not having locks on their bedroom doors. In some houses students have this facility but in most they do not. It is recommended that greater clarity is provided over this issue to students and house-parents. If student is not permitted this option then this should be clearly recorded, along with the reasons. The college have stated that as they promote a family setting for students to stay in, that generally the locking of bedroom doors is not something that supports this ethos. Students have previously been offered the option of a lockable cupboard or container for their room, but some students and new house-parents were not aware of this option. This needs to be clarified with the students and house-parents. A selection of bedrooms were seen and the majority of students expressed satisfaction with their accommodation, the functioning of equipment, the quality of furnishings and the privacy it afforded them. Students are also supported to personalise their rooms and use them to pursue their hobbies and interests. Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students needs are met by a motivated and well trained staff team who are committed to providing good quality care and support, though shortfalls in the recruitment process could compromise the quality of the staff team. EVIDENCE: New house-parents were positive about the quality and frequency of support and supervision and also the induction process through which the college had taken them. For some house-parents who had only recently arrived form abroad as well as settling into a new job, the induction and initial phase of employment was clearly quite demanding. There is a lot of training and new procedures to become familiar with in a short time and then they must work full-time with the students when they arrive at the beginning of term. These would generally be students they had not met before. The pressure of the time-scale had meant that not all the new house-parents had been able to attend all the training. Also some new house-parents limited English means that the training value could be compromised in certain aspects. It was not clear how the missed training would be completed, but at least one houseparent had attended from each household. It is recommended that this is more closely monitored and that some assessment or consideration to the Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 20 effectiveness of the training for those house-parents with limited English is made. The recording showed that the Neighbourhood heads had, in all but one instance, maintained weekly visits to new staff during the first half term and all staff were positive about this input. It was explained that additional support could be provided if needed, and some staff expressed the view that additional input around the more autistic behaviours, and also some complicated diagnosis, would be beneficial during the first weeks of a student’s placement. Students were positive about their carers and the Neighbourhood Heads and all questioned said they thought they were treated with respect by staff. The Inspectors were able to observe a number of positive interactions between students and staff in the homes. Staff demonstrated a positive and motivated approach to their work and several commented upon the high level of mutual support and teamwork between households. Some staff felt that this had improved and that there had been increased activities undertaken jointly. The College recruit staff from a variety of different backgrounds, which includes staff from abroad. Some of these staff may be familiar with the work of Rudolph Steiner having working in Steiner based organisations before. Many of the staff have professional and academic qualifications, if not always directly related to the caring profession. The staffing records and recruitment procedures were checked and a number of shortfalls were identified. A number of new staff had been started without the required checks being completed fully. It was explained to the Inspectors that changes in personnel and some confusion over advice about completing CRB checks on staff from abroad were the cause of the errors. Some people did not have two written references in place, some did not have a reference from their last employer in care and two staff had not had a POVA first check undertaken. The Inspectors met with the Registered Manager and also the head of the college HR department where a full explanation was provided and also assurances that an immediate audit of recently appointed staff would be completed and all shortfalls addressed. An issue had also arisen earlier in 2008 when the College identified a subcontracted worker who had not completed CRB check after working small but regular hours for nearly four years. Completion and examination of the check resulted in the ending of the contract. Previous inspections had reported improvements in the recruitment process and had shown various examples of good practice, including translations of police checks from abroad and the following up of references. The College employs approximately 80 houseparents and also several hundred more people on varying contracts and it is essential that robust systems for the completion of employment checks are in place and that there is a regular audit of these procedures. Subsequent to the inspection the Commission were informed of the steps taken to address the shortfalls and also how regular audits will now be completed. Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 21 Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management provide clear leadership and direction to the staff team and senior staff benefit from good levels of support. Good systems of communication between staff and management help to promote consistency in care practices. EVIDENCE: House-parents stated they felt able to express views, concerns and ideas and that these were listened to by the management. Staff said they felt the management was approachable and with the increased number of neighbourhood heads in post there had been improvements in the frequency and consistency of contact. There have been improvements in the frequency of supervision of houseparents and the checking of the households has become more systematic. Care Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 23 staff were positive about this aspect of supervision, with some commenting that they now enjoyed greater clarity over certain aspects of their role. This included medication administration, daily and weekly recording and also risk assessing of students. Students have the opportunity to feed information and criticism to the running of the College through the student council, which meets regularly, through the complaints log book in the student reception or through the full College complaints procedure. A sample of the fire safety checks, maintenance and training were seen and these were all to be up to date with all recording being completed. Staff also confirmed these records were now regularly checked by Neighbourhood heads. Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 24 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 3 2 4 3 X 4 4 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 3 4 X 3 x LIFESTYLES Standard No Score 11 3 12 4 13 4 14 3 15 3 16 3 17 32 33 34 35 36 3 X 2 3 x 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 39 40 41 42 43 4 x 3 X X 3 x Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 25 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA34 Regulation 19 Requirement The College must ensure that recruitment procedures and preemployment checks are completed on all staff before they commence employment. The College should repair and renovate the accommodation identified in the report or cease to use this property. Timescale for action 31/01/09 2. YA24 23 31/03/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard A28 Good Practice Recommendations The College should develop a format for auditing and risk assessing all new accommodation. The College should ensure that the process for risk assessing independent access to the community for the students is fully understood by all care staff and that any restrictions are correctly recorded along with the agreement o the student. 2. YA9 Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 26 3. YA24 The College should provide clarity to the students and house-parents about the locking of bedrooms and the provision of lockable containers or cupboards. Ruskin Mill College DS0000043202.V373583.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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