Care Home: The Sheiling School

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What the care home does well The young people benefit from an extensive range of outstanding facilities in a beautiful countryside setting. A range of activities provides for a meaningful and supportive daily structure.The school`s ethos is to nurture and develop the person as a whole. This includes ensuring there is a balance between providing education, social development and meeting the person`s spiritual needs, all in a homely and safe environment. Carers and children live together and take part in all daily activities together. It was evident that this forms the ethos of the school. Care staff echoed these sentiments and were observed supporting the children in a caring and supportive way. What has improved since the last inspection? Due to the timescale between this visit and the last visit it is difficult to determine what has improved. However, there was a strong commitment to ensuring the home continues to meet with the National Minimum Standards and the Care Home Regulations. The School has recently reviewed the management of the school with a new manager recently taking up post. CARE HOME ADULTS 18-65 The Sheiling School Thornbury Park Park Road Thornbury South Gloucestershire BS35 1HP Lead Inspector Paula Cordell Unannounced Inspection 10 March 2008 10:00 th The Sheiling School DS0000003388.V350575.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 The Sheiling School DS0000003388.V350575.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. The Sheiling School DS0000003388.V350575.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Sheiling School Address Thornbury Park Park Road Thornbury South Gloucestershire BS35 1HP 01454 412194 01454 411860 mail@sheilingschool.org.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Sheiling Curative School To be appointed Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Sheiling School DS0000003388.V350575.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 3 persons with learning difficulties aged 19-23 years Requiring personal care only 4th October 2002 Date of last inspection Brief Description of the Service: The Sheiling School, founded in 1952 is an independent residential school for children and young people aged 7-19 years with special needs. The school is situated on an estate of 50 acres of parkland and farmland on the edge of the small town of Thornbury. The school is a Camphill Community, an international Movement founded in 1940. There are over 90 communities in some 20 countries in the world. 47 Communities are in the United Kingdom and the Republic of Ireland. The Camphill movement works to create a therapeutic environment, in which vulnerable children in this particular Community can live, learn and work with others based on mutual care and respect. The school offers an all-round approach to education, including artistic and practical training along with classroom education, following a curriculum adapted from the Waldorf Curriculum developed by Rudolf Steiner. The original main house provides offices, library and meeting room, and boarding house accommodation for some pupils. The boarding accommodation is provided in five separate houses. Children, young people and staff live together as an extended family with a number of weekly boarders and day pupils. At the time of the Inspection there were 17 children being supported. The staffing ratio in the houses is on a one to one basis with each pupil having a named co-worker, who assists and educates the pupil with personal care and daily living skills as well as accompanying them to school. The service has its own school buildings and community hall, gymnasium, craft centre, swimming pool and Biodynamic farm, which are all located on site. The Commission for Social Care Inspection (CSCI) has registered three beds for young adults who are aged 19 years and over. Generally children will move once they turn nineteen, but for some young people it was felt that the school could continue to support to further prepare them for adult life. This service has not been offered to any of the children in the past 3 years and has been classed as a ‘dormant’ service by CSCI. The Sheiling School DS0000003388.V350575.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 stars. This means the people who use this service experience good quality outcomes. This has been a ‘dormant’ service in relation to the three beds being occupied by a young person aged over 19 years who is not in receipt of full time education. The home has continued to be inspected by OFSTED (the regulator for children’s services) and a full detailed report can be obtained from their Web site in relation to the children presently accommodated and educated in the school. The purpose of this visit was to revisit the National Minimum Standards and the Care Homes Regulations and to discuss with the provider their intentions in respect of continuing this service. The visit was conducted over a period of five hours. An annual quality assurance assessment was requested but this was not completed prior to this inspection process. Two members of the school’s management group, a house manager and coworkers were spoken to during the visit, including informal discussions with the children who returned to one of the houses during the lunch time period. An opportunity was taken to tour the particular house where the younger adults would be accommodated should they be aged over 19 years of age and not in receipt of full time education. Presently the children attending the school occupy the bedrooms. Records relating to the care and management of the home were also inspected during this visit. Many of the judgements that have been made throughout this report are hypothetical as this service remains dormant, are based on the service that was in place three years ago and how the home supports the present young people accommodated in the home. What the service does well: The young people benefit from an extensive range of outstanding facilities in a beautiful countryside setting. A range of activities provides for a meaningful and supportive daily structure. The Sheiling School DS0000003388.V350575.R01.S.doc Version 5.2 Page 6 The school’s ethos is to nurture and develop the person as a whole. This includes ensuring there is a balance between providing education, social development and meeting the person’s spiritual needs, all in a homely and safe environment. Carers and children live together and take part in all daily activities together. It was evident that this forms the ethos of the school. Care staff echoed these sentiments and were observed supporting the children in a caring and supportive way. What has improved since the last inspection? 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. The Sheiling School DS0000003388.V350575.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 The Sheiling School DS0000003388.V350575.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): 1,2,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear information is available for young people to make a decision on whether to continue to live within The Sheiling School. Good assessment processes are in place. EVIDENCE: There is a statement of purpose, which details the service that could be provided to young adults aged over 19 years of age. This meets with the National Minimum Standards and the Care Homes Regulations. A senior manager stated that this is in the process of being reviewed and expanded to ensure that it includes the ethos of Camphill. The home is not supporting any young adults aged over nineteen who are not in receipt of full time education. However from reading one young person’s care file and reading the assessment policy the process of assessment was explored. A young person would only continue to live at The Sheiling School if it was assessed that is in their best interest. Other people would be involved in this decision process including professionals, the placing authority, the young person and their relatives. Given that the service is for existing students of the school it is unlikely that this service would be offered to external candidates. The Sheiling School DS0000003388.V350575.R01.S.doc Version 5.2 Page 9 The school staff prior to a placement being offered assesses all children. A member of the management team has been allocated this responsibility to deal with all new prospective students. Comprehensive notes were seen demonstrating that a thorough and comprehensive assessment would be undertaken prior to a student being offered an educational placement. Individual files contained professional statements, placement reviews and relative questionnaires. There was evidence that the child was encouraged to visit the school prior to a placement being offered and a member of the staff would visit them in their previous educational placement and/or at home was in place. A care manager described the referral process and detailed the criteria that is in place to determine whether to offer a placement at The Sheiling School. It was clear that the school was not able to support children with severe physical impairments or certain challenging behaviour. From talking with the management it was evident that recent government trends, has had an effect on the admission rate to the school. In that children with special needs are now being encouraged to be included in mainstream education closer to their parents. The Sheiling School DS0000003388.V350575.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): 6,7,8,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service and is based on using the evidence that is in place for the young people that are presently accommodated, as this service is not fully up and running. Good information is available demonstrating that the school is supporting the needs of the young people. These are kept under review. The young people are the focus of the planning of the provision. Systems are in place to ensure the safety of the young people. EVIDENCE: Young people placed at the school have comprehensive records containing information about their educational needs, support they need within the home, medical and other pertinent information. The Sheiling School DS0000003388.V350575.R01.S.doc Version 5.2 Page 11 Files that were relevant to the young person were kept in a central office and the house where they were living. Annual reviews were completed with families, placing authorities, care and educational staff, relevant professionals and where relevant the young person. In addition to the annual review the school conducts intermediate reviews called clinics where all aspects of the welfare of the person are discussed. From talking with staff it was evident where needs were more complex, these meetings were more frequent. It was evident that the younger person was the focus. Good communication was in place between house staff, teachers and other people involved in the young person’s life. Staff described high levels of support. Regular meetings were taking place. A senior manager stated that where a person reaches nineteen and is no longer in full time education then they would have more involvement in the development of their life plan which would be ‘person-centred’. Presently the care staff do not complete a daily dairy for individuals detailing what has happened during the day including activities and emotional wellbeing. However, significant events or incidents are recorded. This would be good practice in respect of the Care Homes National Minimum Standards when this service is fully activated and enhance the communication in the home. Apparently this is not an expectation for services that fall in the remit of OFSTED. The young people participate in the daily chores of the house. Young people were actively involved in the cleaning of the dining room and kitchen after lunch. The atmosphere was relaxed and inclusive with the young people being supported by the house parents and co-workers. From talking with care staff it was evident that they make every effort to fully involve the young people. Some young people have communication difficulties and communication aids are used to ensure that they are also fully involved. The school has access to ‘Connections’, an agency that supports young peoples’ move to adulthood with advice on employment, further education and housing needs. In addition the young people have access to an independent advocate who visits the school on a regular basis. Young people can request to see this person to discuss all aspects of their life. Risk assessments were seen for one young person, this covered all aspects of daily living and detailed how the care staff ensures the safety of the individual. It was evident that this was work in progress as the home has recently conducted individual risk assessments in respect of fire. The Sheiling School DS0000003388.V350575.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): 12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Young people benefit from a wide range of activities both in and outside the school. Individuals are supported to make choices about the activities that they undertake. Good contact is maintained with relatives. Meals are both varied, nutritious and a time to socialise with people living in the home. EVIDENCE: Each young person has a structured activity plan that details what lessons they will be attending during the day. These were available in an accessible format and clearly displayed in the home. House Parents and co-workers support the young people with activities in the evenings and the weekends. The Sheiling School DS0000003388.V350575.R01.S.doc Version 5.2 Page 13 From talking with the manager and a house parent it was evident that the young people were encouraged to be as independent as possible through the daily routines in the home and the school. Young people are assisted with the transition from child to adult in advance of leaving the school. Young people are supported by the agency ‘Connections’ in planning for their future. If a young person stays on at the school, their daily activities would be planned according to their needs but the emphasis would be more appropriate to adult life for example attending and working in the workshops rather than education based. It was evident that the young people were enabled to do activities both in the home and in the local community. Co-workers and a house parent described good networks with the local community of Thornbury. The young people are supported to use the local library, shops and leisure centre at the weekends. The young people are evidently involved in household tasks such as clearing away after meals and washing up along with cleaning. This was observed during the visit. From talking with a house parent it was evident that care workers will support the young people in their chosen interest. Interests include arts and crafts, gardening, baking, reading and numeracy, going for walks or going out into Thornbury or places of interest. The school is situated in extensive grounds, which are evidently used by the young people. There is an out door play area, a working farm where animals are kept, a gym and a swimming pool. These are used on schooldays and at weekends. Contact with family is maintained through telephone, emails or visits. Relatives are invited to annual reviews and their views are sought during the meeting and recorded. Meal times are seen as a pivotal part of the day. There is an expectation that all staff and the young people will eat together. The menu was varied, healthy and freshly prepared. Organic ingredients are used and either sourced from the farm, the vegetable garden or from local shops. The home has a full time cook to prepare the lunchtime meal. Lunch is the main meal of the day. A young person said the food was good and there was a choice of what to eat. The Sheiling School DS0000003388.V350575.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual’s personal and health care needs are being met in a holistic way. Good use of orthodox and natural remedies are in place complimenting the ethos of the school in ensuring that the person is seen and treated as a whole. Medication systems are robust and sound. The Sheiling School DS0000003388.V350575.R01.S.doc Version 5.2 Page 15 EVIDENCE: Each young person has a medical file which details they need for medical intervention and a file containing important information about how the person likes to be supported with their personal care. The school takes a holistic approach to the health care needs of the young people. Natural remedies and orthodox medicines can be used ensuring the health of the young person is maintained. There are policies detailing how these are in place within the school. The school employs a designated medical co-ordinator who oversees the health care provision at The Sheiling School. The school has also access to the Camphill doctor based in Ringwood who provides specialist holistic medical guidance. In addition the school has access to a local doctors surgery where the young people can temporarily register during term time. Whilst the medical centre was not inspected on this occasion previous visits have provided evidence that this is a well-organised centre. It would appear that there is good co-ordination between conventional and complimentary therapies. Individuals have access to speech and language therapists if required. Other therapies include eurythmy, which is a movement group and is part of the school curriculum. One young person said they were looking forward to going to eurhythmy after the lunchtime meal. There is rest period after lunch where the young people can relax within the home environment. An opportunity was taken to review medication systems and recording. Good records were maintained of medication entering and leaving the home and administration. Three people have been trained to administer the medication within Thornbury Park. Storage was appropriate and it was well organised. Medication records would be enhanced if there were a medication profile including the reason for the administration of medication and the possible side effects. There was no book that the home could use as an easy guide to the medication that was being administered for example a British National Formulary for Medications. The Sheiling School DS0000003388.V350575.R01.S.doc Version 5.2 Page 16 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): 2,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good measures were in place to ensure the protection of the young people living at Sheiling School. Individuals can be confident that complaints would be responded to appropriately and within a timely manner. The Sheiling School DS0000003388.V350575.R01.S.doc Version 5.2 Page 17 EVIDENCE: The School has a complaints procedure, which is in the process of being updated and reviewed in light of the recent inspection conducted by OFSTED. As part of this review the correct contact details of the Commission for Social Care Inspection must be made available. This would enable the young people or their families to make contact should they wish. Good records were maintained of concerns raised and how these are addressed. It is evident that concerns are taken seriously and there is open communication with the complainant. The school has a child protection officer who liaises with all professionals and co-ordinates any child protection issues. There is a clear protection policy, which is readily available to all members of staff in the policy file. The child protection officer stated that child protection training is given to all staff on an annual basis and covered with all staff through the induction process. There was awareness by the person that an adult protocol will need to be developed. The school has an anti-bullying policy. A young person stated that they liked living at the school and felt safe although some people could get on their nerves. The young person stated that when this happens they could go to the privacy of their bedroom or seek out a carer. Young people have behaviour management plans where required, offering staff guidelines to ensure a consistent approach. From conversations with people working in the home it was evident that this was not punitive but supportive. The school operates a no restraint policy. Policies were in place to guide staff on episodes of challenging behaviour and staff said they receive training on an annual basis (this will be covered in more depth under the standard relating to training). The Sheiling School DS0000003388.V350575.R01.S.doc Version 5.2 Page 18 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. Young people are supported in a homely, clean and safe environment that caters for their needs. EVIDENCE: Thornbury Park is registered with the Commission for Social Care Inspection to provide personal care to three young adults aged 19 years and over. Thornbury Park is a large Georgian Mansion set in the grounds of The Sheiling School. There are four other houses situated in the grounds of The Sheiling School and these are inspected by OFSTED. The main office is situated on the ground floor of Thornbury Park to the front of the building. In addition there are communal areas for the young people who live in Thornbury Park consisting of a large homely lounge, a smaller dining room and a large kitchen/diner. The Sheiling School DS0000003388.V350575.R01.S.doc Version 5.2 Page 19 On the second floor there are a number of bedrooms. Including three bedrooms with ensuite that have been registered with the Commission for Social Care Inspection. Furniture was basic and due to the expanse of the rooms looked bare. The newly appointed house parent stated that that they were looking at how the bedrooms could be made more homely. One smaller room in contrast was homely and inviting and had been personalised by the occupant. One young person said that they liked their bedroom and they had recently had it painted and they had chosen the colour. House Parents and co-workers live alongside the young people and have their own personal space. This enables both carers and the young people to live together in a family type set up. One of the ensuite has a bath but no toilet this can be found further down the hallway. But this was presently being used as a store cupboard and access to this area was poor. In addition there are communal toilets and bathrooms situated throughout the home. It was noted that in one of the bathrooms/shower room the ceiling paper was hanging down. A member of staff stated the in house maintenance person would address. In addition the young people have access to a large out door space with play equipment and buildings containing a gym, swimming pool, a worship hall and class and therapy rooms. This is all set in extensive grounds. In addition there is a farm and a garden area. All areas seen were clean and free from odour and accessible. The home has had an inspection by the Environmental Health Agency in October 2007 and has been awarded a four star rating. The Sheiling School DS0000003388.V350575.R01.S.doc Version 5.2 Page 20 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 adequate. This judgement has been made using available evidence including a visit to this service. Sufficient and competent staff support the young people. It is evident that the environment is both supportive of the staff and young people. Whilst from conversations with staff, it was evident there is a comprehensive training package in place this could be better evidenced if there was a central file for all staff employed. The young people must be assured protection through the school’s recruitment procedures. EVIDENCE: Each house has a house parent or house parents, an assistant house parent and co-workers. Co-workers are usually volunteers that come for a period of one year to gain experience and qualifications within the care sector and the Camphill philosophy. The Sheiling School DS0000003388.V350575.R01.S.doc Version 5.2 Page 21 The staff collectively are expected to work throughout the day and night to provide care to the individuals living in the home. Young people are allocated a key worker to support them, which ensures consistency. It is evident that a family environment is nurtured. Staff and the young people live in the same environment, which includes taking all meals together. The house parent is responsible for the management of the home. Co-workers described a comfortable and supportive environment. Recruitment records were viewed. Application forms and two references were in place. Criminal Record Bureau checks or the equivalent in the country of origin for overseas staff are completed. However, the latter does not fulfil the Regulations that all staff must undergo a check on whether they are suitable to work with children or adults. This can only be completed if staff complete a criminal record bureau check so that the appropriate register can be checked (POVA and POCA). All staff have completed an induction which includes keeping children safe, the Camphill ethos of provision and some training in supporting individuals with a learning disability. Co-workers confirmed that they had completed first aid prior to coming to the school and all permanent staff complete this with an external provider either over a one or four day period. More permanent staff undertake training annually or as required. This information was gained from talking to staff, however there was a lack of documentation to support this. Staff keep their own certificates of training attended. There are four staff presently with a National Vocational Qualification at level 4 in care and management within the school. From talking with a senior member of staff the Camphill Organisation have their own equivalent training package, which they are presently trying to get accredited. Confirmation that this has been completed must be in place for the next visit. There is an expectation that at least 50 of the workforce have a National Vocational Award in Care, which must include temporary staff. Staff described high job satisfaction where individual talents and expertise is recognised. Staff described a supportive environment where regular meetings are held to ensure a consistent approach. Formal records of supervision were not viewed on this occasion. The Sheiling School DS0000003388.V350575.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 Sheiling School is presently going through a reconfiguration of the management. It was difficult to determine how this would impact on the running of the school as it was in the early stages. Young people are assured that they are kept safe. However, this would be enhanced if the fire risk assessment was kept under review. The Sheiling School DS0000003388.V350575.R01.S.doc Version 5.2 Page 23 EVIDENCE: The Sheiling School has been through a management change. Mr Richard Lucking is now the manager. Both people that were registered with the Commission for Social Care Inspection have recently left. The School must submit an application for a registered manager and identify a person to be the responsible individual. It was evident from talking with the manager that a review is being undertaken on the future of the school. The school can potentially support 70 students, however, there are presently only seventeen young people in full time education. The care co-ordinator completes visits to all of the houses and completes a quality assessment on the provision of care. In addition the school has compiled an action plan for the forth-coming year. This included reviewing key policies, developing risk assessments for windows, revising the statement of purpose and to ensure that a person from the governing board visits the school every half term for monitoring purposes. The health and safety officer for the school has recently completed risk assessments in relation to the young people and the windows throughout the school, as seen on the file of one young person and from conversations with a member of staff. Fire records were viewed for Thornbury Park. Checks on fire equipment, staff training and participation in drills is being undertaken. A fire risk assessment was seen but this had not been reviewed since 2006. The manager stated that contact has made with the local fire service to visit the school and assist with the completion of the fire risk assessment. Health and safety was evidently paramount within the home, staff have completed food hygiene training, first aid and health and safety training (however, this would be better evidenced with a central file being maintained including copies of certificates). The Sheiling School DS0000003388.V350575.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 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 3 3 X X 3 X The Sheiling School DS0000003388.V350575.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 YA37 Regulation 8 Requirement An application must be submitted to the Commission for Social Care Inspection in respect of the registered manager and notification of the responsible individual. All staff must have a criminal record bureau check to ensure their suitability to work with children and young adults. This must include workers from overseas. The registered person must ensure that the requirements of the Regulatory Reform (fire Safety) Order are complied with. The fire risk assessment must be kept under review. Timescale for action 10/04/08 2. YA34 19 (7) Schedule 2 10/05/08 3. YA42 4 A (b) 10/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Sheiling School DS0000003388.V350575.R01.S.doc Version 5.2 Page 26 1. 2. YA20 YA35 For each young person to have a medication profile which details the reason for the medication and the possible side effects and how medication is administered. To maintain a central record of staff training The Sheiling School DS0000003388.V350575.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Regional Office 4th Floor, 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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