Care Home: Toynton College (Cluster Five)

Similar services:

• Hillside
• Applegarth
• 122 Scorer Street
• St Marys Nursing Home
• Jubilee Villa Care Home
• Thornham Grove
• Beech Lodge
• 8 Thorndale Road (Homefield College)

What the care home does well Students and their relatives said that they are satisfied with the services they receive. Students said that staff treat them very well, and a parent said that `the service is fantastic`. Students can make their own choices and decisions, and they are encouraged to be as independent as they can be. They are able to say what they think about the service, and they are encouraged to take part in its development. They know how to make complaints, and feel comfortable to do so. Their care plans show what they want to achieve as well as how to meet their needs. Staff know what things they like and dislike, and what they prefer to do. They have the opportunity to join in with a wide range of leisure and social activities, and they have individual education based programmes, which help them to develop skills and confidence. What has improved since the last inspection? Since the last visit, Yew Tree has become part of Cluster 5, which means that more students can live there. There have also been improvements to the decoration, and the fixtures and fittings in both houses, such as new flooring in bathrooms, and a new garden shed at Vale View.Training courses about providing healthy diets, and how to report safeguarding issues to the Local Authority, have become available to staff. Students can now have support from a physiotherapist who visits the college every week, and the manager orders medication for students instead of the college nurse. These improvements mean that the students receive a more effective service. What the care home could do better: We did not make any requirements during this visit, but we did make some recommendations for good practice. We said that although care plans show that students can make their own choices and decisions, they should also contain information about recent legislation that is designed to protect people`s decision-making rights. This is so that they can show they have looked at the effects that the legislation has upon the student`s lives. We also said that care plans should give more detail about how staff meet the privacy and dignity needs of students. This is so that support can be reviewed in more detail, and any new staff can support the students more effectively. We made two recommendations about medication arrangements, the first being that there should be a portable and lockable storage arrangements in place for when medication is taken out of the home, for example on day trips. This is so that they can be kept safely. We also said that there should be clear instructions about how to administer medicines that are taken only when necessary. This is so that the medicines are administered consistently. CARE HOME ADULTS 18-65 Toynton College (Cluster Five) Toynton Hall Main Road Toynton All Saints Spilsby Lincolnshire PE23 5AE Lead Inspector Wendy Taylor Unannounced Inspection 23rd June 2008 09:00 Toynton College (Cluster Five) DS0000066723.V367077.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 Toynton College (Cluster Five) DS0000066723.V367077.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. Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Toynton College (Cluster Five) Address 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) Toynton Hall Main Road Toynton All Saints Spilsby Lincolnshire PE23 5AE 01790 752499 01790 754058 sarah.scarbro@linkage.org.uk www.linkage.org.uk Linkage Community Trust Mrs Sarah Jane Scarbro Care Home 20 Category(ies) of Learning disability (20), Physical disability (2) registration, with number of places Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - PC to service users of the following gender: Both whose primary care needs on admission to the home are within the following categories: Learning Disability, not falling within any other category (LD) - 20 Physical disability (PD) - 2 Linkage Cluster 5 may accommodate a maximum of 5 service users aged 16-17 years of age, conditional on there being no service users over the age of 25 years at the home. All staff working unsupervised with students under the age of 18 years will be over 21 years of age. The maximum number of service users who can be accommodated is: 20 29th June 2006 2. 3. 4. Date of last inspection Brief Description of the Service: Cluster 5 consists of 2 purpose-built, two storey houses called Vale View and Yew Tree. Both houses are situated on the main Toynton College campus, very near to each other. Linkage Community Trust is the organisation responsible for providing the services. Up to twenty students can be accommodated in the two houses. Accommodation in both houses includes two lounges, a kitchen, utility room, toilets, staff room and a number of bedrooms and storerooms. All bedrooms are en-suite. Vale View also has an attached conservatory, a computer area, and a passenger lift to the first floor. There are enclosed gardens at both houses, with parking to the front of the buildings. All students attend Toynton College. The houses only provide accommodation for students during term times, and they are closed during college holidays. There were six students living at Yew Tree, and 10 students living at Vale View at the time of the inspection. None of the students were under the age of 18 years. The manager told us that the current fees for the service range between £8465:00 and £15,227:00 per year, depending on individual needs. These fees are for care and therapy, and there are extra costs for vocational/independence Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 5 support, and equipment. Most students are funded for placement through their Local Authority, and the Learning and Skills Council. However students can attend on a privately funded basis. Information about these costs, as well as the day-to-day operation of the homes, including a copy of the latest inspection report, is available from the main offices in the houses. Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means that the students who use the service receive excellent outcomes. This key unannounced inspection took place on one day in June 2008 and lasted for approximately eight hours. The care and support received by four students was followed in detail, using a method called case tracking. This method involves talking to the students and observing the care and support they receive. It also involves looking at their care plans, medical records and daily notes. Some of the general house records and staff records were also looked at. Staff and the registered manager were spoken to during the visit, and information already held by us, such as a self-assessment and notifications, were also used. Comments made by students, relatives and staff are contained in the body of the report. What the service does well: What has improved since the last inspection? Since the last visit, Yew Tree has become part of Cluster 5, which means that more students can live there. There have also been improvements to the decoration, and the fixtures and fittings in both houses, such as new flooring in bathrooms, and a new garden shed at Vale View. Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 7 Training courses about providing healthy diets, and how to report safeguarding issues to the Local Authority, have become available to staff. Students can now have support from a physiotherapist who visits the college every week, and the manager orders medication for students instead of the college nurse. These improvements mean that the students receive a more effective service. 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. Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 8 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 Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 9 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): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Comprehensive assessment processes ensure that student’s support, education and leisure needs can be fully met. EVIDENCE: We looked at the personal files of four students. All of the files contain detailed assessment information including areas such as care and support, independent living skills, education, and religious and cultural needs. The assessments also show what the student wants to achieve, and who was involved in the process. For example the student and their families, schools, social workers, and any other involved professionals. Information we already have told us that the process is co-ordinated by the Linkage Transition Team, who assess all of the available information and decide whether the college can meet the identified needs. The manager said that this process is still in place, and that prospective students are offered a chance to stay at the college for up to five days during the assessment period so that they have a chance to get to know people, and so that specialist assessments, such as speech and language, can be carried out if necessary. Other information tells us that once a student starts their college placement Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 10 they are offered the chance to stay at other houses on the campus if they wish. Student and their relatives told us through discussions and surveys that they had enough information to make a choice about whether to attend the college, and they were fully involved in the assessment process described above Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 11 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 excellent. This judgement has been made using available evidence including a visit to this service. Students are consulted about their daily lives, and supported in an individualised and respectful way. Person centred care plans provide comprehensive information about goals and aspirations EVIDENCE: Personal files are well laid out in a consistent manner so that people know where to find information. Students sign to say they have been involved in care planning and risk assessing, and they and their relatives also told us that they are very involved. Care plans cover areas such as communication; care delivery, risk, and specialist support such as speech and language therapy. They are person centred and give details about how to support students with personal hygiene, medication, finances, and personal safety. They also show what students want to achieve. Plans cross reference with the pre admission assessments, and we could see that staff knew what the student’s needs were Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 12 and how to support them. Staff showed us that they also knew about student’s individual likes and dislikes, and these are recorded in personal files. Individual risk assessments are in place for things like road safety, fire safety, using the kitchen, and strangers coming to the house. They show that student’s are supported to maintain and develop their independence, whilst staying safe. Staff said that they have training in how to carry out risk assessments and records confirmed this. Records show that risk assessments and care plans are reviewed regularly with students and their families, and the manager carries out regular audits of the plans to make sure that they are being kept up to date. There are also detailed daily notes to show that the student has been supported appropriately, and any important information, for example telephone calls from families, is highlighted. Pre inspection information, and house records showed us that students take part in weekly house meetings, menu planning, and leisure planning. We saw staff respecting student’s choices and wishes, and offering them alternatives to planned activity. Records clearly show when students have made a decision about things like which staff member they want for a key worker, and whether they want a key for their bedroom. It was recommended that the plans contain some information to show how they have considered recent legislation about decision-making. There is information around the home about local advocacy services and how to use them, and students also have a regular meeting with their key worker, in which they can share their views and keep up to date with what is happening around the college. Students told us that staff teat them very well. Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 13 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 excellent. This judgement has been made using available evidence including a visit to this service. Students benefit from a wide range of social and educational opportunities, which help them to develop their skills and live a fulfilling life. EVIDENCE: There are vocational and educational programmes in place for each student. They include activities such as drama, skills for life, photography, communication, independence, media, and gardening. Social and leisure programmes include sewing, sweet making, football, and fashion sessions. There is also an annual film festival at the college, which is advertised all around the campus. Picture cards are available to students to help them make a choice of activity more easily. Students were seen going to education sessions during the visit, and on their return home they said that they had enjoyed them. One student said that there are lots of things to do, and they enjoy doing things with their friends. They said they can go shopping, or on Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 14 holiday, or for day trips. Records, personal effects, and photographs show that students are encouraged to maintain contact with their family and friends, and care plans show how they do this. There is a computer that students can use for leisure purposes, and to keep in contact with family and friends. There is information to show how student’s individual religious and cultural needs are met. The manager said that they are currently looking into the possibility of having a chaplaincy service for the students to use. Surveys from relatives told us that cultural needs are met very well within the service. Pre inspection information shows that there is a policy in place about how student’s rights and differing needs are supported, and there is a member of staff within the college who makes sure that the policy and any laws about the subjects are being used properly. There are awareness boards in the houses, which contain information about these subjects for staff to discuss with students during house meetings. Each student has a list in their personal file that shows what they like and don’t like to eat, and it also shows if the student has any special dietary needs, such as diabetes. Students were being given the opportunity to prepare their breakfast, and one student said that they all help to cook the meals. Another student said that they have lunch at the college canteen sometimes but they prefer to eat at home. There is picture-based information on kitchen cupboards to remind students what is in them, so that they can be more involved in the kitchen activities. Students choose their menus at weekly house meetings, and sign the menus to show that they have chosen them. Individual weight reducing, or cultural diets are well catered for. Records show that some staff have been able to attend training about healthy diets. Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 15 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. Students benefit from the health and personal care arrangements within the college. However some medication arrangements should be reviewed to ensure that students are fully protected. EVIDENCE: Care plans are in place for health needs, including medication, and where necessary psychology, psychiatry or speech and language therapy. They also cover things like exercise programmes, weight monitoring and nail checks. Staff were observed to maintain students’ privacy and dignity when supporting them with personal care. However it was recommended that care plans show more detail about how they do this, so that the support can be reviewed in more detail, and any new staff can support the students more effectively. Students register with a local GP during the term time, and they keep the arrangements for dentists and opticians that they have at their family home. There is now a physiotherapy service within the college for 2-3 days per week, for the students to make use of. Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 16 There is a registered nurse employed by the college, who helps students with any health issues on a daily basis, and staff were seen supporting one student to use this service on the day of the visit. A student said that ‘the nurse knows how to help you, and what to do’. Daily notes show when students have been referred to the nurse, or where they have received any other health support, for example from their GP. There is also a medical appointment diary, so that appointments are not forgotten. The college holds an annual healthy lifestyle week. This involves helping students to experience things like different types of exercise, and having healthy food taster sessions. Medication records and storage within the home were satisfactory. Personal files contain summaries of any medication changes, and a stock balance is completed every time a medicine is given. This is so that staff know how much medication is in the home at any given time, and they know when to reorder medication. There are recording forms in place to show when students take medication on home leave, but we made recommendations about storage when taking medication out on day trips. We also recommended that there are clear instructions in place about how to administer medicines that are taken only when necessary. Records show that staff receive training in how to administer medication, and the college nurse carries out this training. The manager said that there are also plans for the college nurse to carry out drop-in visits to support staff with medication issues. The manager now orders medication from the pharmacy instead of the college nurse. A recent report from a local pharmacy inspection did not highlight any issues with regard to medication. Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 17 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 protected by robust policies and practices, and by the knowledge of staff. EVIDENCE: Since the last inspection visit, there has been one complaint made by a student. Records show that staff managed and resolved the complaint appropriately. One referral has also been made to the Local Authority Safeguarding Adults team, and this was not upheld. There is an informal concern/complaint sheet in each student’s file, so that they can record anything they are not happy with. Students told us through surveys and discussions that they know how to make a complaint, that staff listen to what they have to say, and they feel safe living at the college. Relatives told us that they are confident that students are safe at the college. There is an up to date complaints policy in place, and pre inspection information shows us that it is also available on DVD. The manager said that students are reminded about how to make complaints, during their meetings with their key worker. There is an up to date copy of the Local Authority guidance on how to protect people. Staff said that they receive training about how to keep students safe, and records confirmed this. They also demonstrated through discussion that they know what abuse is, and what to do if it is suspected or seen. Pre inspection information shows that some staff have been on a training course run by Local Authority, that tells them how to Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 18 make referrals. The manager said that during induction, staff are given information leaflets about protecting people, for them to keep; and there are plans to raise awareness of the whistle blowing policy with staff over the next twelve months. Student’s finances are managed, recorded and monitored by the main administration department within the college, and there is a policy in place. The manager explained that students receive a weekly sum of money that they sign for and spend on whatever they wish. Spending is recorded and any money left at the end of term is reimbursed to the student. Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 19 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 excellent. This judgement has been made using available evidence including a visit to this service. Students’ benefit from a comfortable, homely and well-maintained environment, that allows them to be as independent as possible. EVIDENCE: Students told us through our surveys that they think the houses are kept clean and fresh. A recent survey carried out by the college looked specifically at accommodation, and students said that they have a nice place to live. One student commented that they would like to have one large lounge instead of two smaller ones, and the manager acknowledged this. When we looked around the houses they were clean and tidy, and students said that they helped with housework. The manager told us that students have lockable space in their bedrooms, and have a key to their room if they wish. We saw one student’s bedroom and it was nicely personalised and comfortable. Pre inspection information tells us that at Vale View, new non-slip flooring has Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 20 been fitted in shower rooms, and a new garden shed has been provided. At Yew Tree the bathrooms have been fitted with new window blinds, and some bedrooms have been redecorated. This information also tells us that the provider is considering giving the homes’ maintenance budgets to managers to allow them to take more control of the environments. The college have their own maintenance department, and the manager said that they respond quickly to requests for repairs. No maintenance issues were identified during the visit, and the houses were nicely decorated. There are small, but nicely kept garden areas for students to use at both houses. We saw that recycling programmes are being carried out with students, and there was information about recycling available in the houses. Picture-based instructions are in place to help students to use washing machines and tumble driers, and there are picture-based hand washing prompts in toilets and bathrooms. Substances that can be harmful, such as disinfectants are kept in a locked cupboard, and there are information sheets available to tell students and staff how to use them safely. Records show that electrical equipment is regularly checked, as is the passenger lift in Vale View. Risk assessments are in place for things like legionella, window restrictors, and use of electrical equipment. Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 21 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, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students are protected by recruitment procedures, and they benefit from a well-trained staff team. EVIDENCE: Staff files contained information such as identification, criminal record bureau checks, application forms, and written references. They also show that staff have detailed induction training, which includes subjects such as health and safety, student information/care plans, policies and procedures, protecting people, and medication practice. Staff are introduced to the wider organisation during induction so that they are aware of the values and principles to work by. Staff said that they have good induction training and it includes time to shadow more experienced workers. They also described a clear recruitment process, including interviews. Pre inspection information tells us that the college plan to involve students in the induction and training arrangements for staff, in the future. Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 22 There is an annual training plan in place, which includes subjects such as equality and diversity, managing behaviour, risk assessing, fire safety, loss and bereavement, and makaton communication. Records show that some staff are also undertaking, or have achieved nationally recognised care qualifications. Staff files contain copies of certificates to show what training they have attended. They said that there is a good training programme that helps them to develop their skills, and the subjects reflect the student’s needs. They demonstrated a detailed knowledge of each student’s needs and preferences through observation of their practice, and through discussions with them. Relatives surveys included comments such as ‘staff do a good job’, and ‘staff are caring and considerate’. One relative said they think that staff need more training about autism needs, and this was highlighted to the manager. Most staff said that they have regular supervision and a yearly appraisal, and records confirmed this. They said that the manager supports them very well, and there is good teamwork in the houses. One file did not contain any records of supervision. The manager said that this staff member had only joined the team a few months ago, and she has regular contact with them through the shift system. She said that she would make formal supervision a priority for them. Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 23 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 excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed, and systems within the home protect the student’s health, welfare and safety needs. Systems also ensure that students are fully involved in the development of the service EVIDENCE: Staff said that they have good management support within the houses, and they feel comfortable to approach the registered manager with any issues they may have. Records show that they have regular meetings that cover issues like health and safety, maintaining student’s rights and meeting differing needs, whistle blowing, and medication. In surveys they made comments such as ‘love working for Linkage’, and ‘Linkage provide very good service’. Surveys Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 24 from relatives indicate that there is generally good communication with families, and an overall satisfaction with the services provided. Our records show that the manager keeps us informed of anything that happens in the service that may affect the health or safety of students. Managers from the provider organisation also send us regular reports to show that they are monitoring the quality of the service provided. The manager told us that plans for the next twelve months include employing a deputy manager in both Yew Tree and Vale View to help maintain consistency; developing a DVD format for the service user guide so that every one can access it; investigating web site based learning to increase opportunities for students and staff; and involving more students in the staff recruitment process. Pre inspection information shows that all of the college’s policies are currently being reviewed to make sure that they properly reflect student’s rights and differing needs. This is called an equality and diversity impact assessment. The manager told us that there is a student and a staff consultation group in place so that everyone can give their views and opinions about the subject, and there are people employed by the college who have been specially trained to support students and staff with the issues. Records show that there is a group called the ‘Learner Council’ within the college. This is a student group that meet regularly and representatives from each house attend. Minutes of the meeting show that they discuss issues such as meals, the alcohol policy, bullying, and racism. They talk about how these issues affect them, and how they want the college to respond. They are also able to express their views through surveys and questionnaires. The annual survey for students, last carried out in February 2008, asks for their views about making complaints, feeling safe, receiving information, care and support, making choices and being respected. The outcomes of the survey were generally positive, and one comment was made about using more pictures to support the words in the survey. The manager said that this has been acknowledged. Relatives also have the opportunity to complete satisfaction surveys, however this is carried out across the whole college campus so that comments about individual services are not easily identified. The manager said that the need for service specific surveys has been identified and would be implemented for the next survey. Pre inspection information tells us that since the last inspection, the manager has achieved a nationally recognised qualification in managing health and safety issues. The information also tells us that there are risk assessments in place for substances that may cause harm to people, and there is an infection control policy available. Records show that individual health and safety checklists are completed with students when they start at college, which helps them to understand things such as what to do if there is a fire. The manager also completes risk assessments for staff when they return to work after an injury. There is a fire risk assessment in place, and the manager said that it is Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 25 due to be reviewed in the near future. There are records to show when fire evacuation practices have taken place, that regular checks of the alarm systems are carried out, and that emergency lighting is checked regularly. Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 4 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 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 4 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 4 X X 4 X Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 27 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations It is recommended that care plans include reference to the Mental Capacity Act, 2005 and the effects it has upon the people’s lives. This is to ensure that their rights and choices are protected. It is recommended that care plans show more detail about how privacy and dignity is maintained. This is so that the support can be reviewed in more detail, and any new staff can support the students more effectively. It is recommended that portable and lockable storage arrangements are provided for medicines that are taken out of the home. This is to ensure that they are kept safely. It was recommended that there are clear instructions in place about how to administer medicines that are taken only when necessary. This is to ensure that medicines are administered consistently. 2 YA18 3 YA20 4 YA20 Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. Extracts may not be used or reproduced without the express permission of CSCI Toynton College (Cluster Five) DS0000066723.V367077.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!