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Inspection Summary


Overall summary & rating

Outstanding

Updated 18 October 2017

The inspection took place on 7 and 8 June 2017. It was unannounced. At Treloar College’s last inspection we rated it Good.

The college is a residential further education college specialising in support for students with a physical or other disability. Some students had extremely complex needs arising from their disability. Our inspection looked at the residential accommodation, healthcare provision and the care and support for students outside their educational curriculum.

At the time of this inspection there were 89 students accommodated in four residential houses. There were also 18 day students. Most students were in residence during term time, but a small number stayed in one of the residential houses all year. Each residential house had a registered manager.

A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

There were exceptional arrangements in place to manage risks to students’ safety and wellbeing. Risk management was focused on overcoming obstacles and reducing restrictions on students’ activities. Students’ abilities were enhanced, their independence was promoted, and they were supported to participate in activities safely.

Students were supported by sufficient numbers of suitable staff. Appropriate checks were made before staff started to work to make sure they were suitable to work in a care setting.

Students received their medicines as prescribed. Medicines were stored and administered safely. There were arrangements in place for student who wished to be responsible for their own medicines.

Where students had swallowing difficulties, the college had put in place exceptional arrangements to support them with appetising food which was safe for them to eat and allowed them to feel included. Students were supported to eat a healthy diet with a variety of cafeteria and self-catering options which were adapted to their physical needs.

Students were supported by staff who benefited from a comprehensive training and support programme. Where necessary staff received training relevant to a student’s individual needs and conditions, and specialist equipment used to support the student.

Care and support were provided only with students’ agreement and consent. Staff were aware of the legal requirements in force where people lacked capacity to consent.

Multi-disciplinary teams were in place to support students with their healthcare needs. There was an integrated healthcare centre with dedicated nurses and part-time GP.

There were in-house technicians who adapted and customised assistive technology to enable students more easily to express their views, take part in decisions about their care and be as independent as possible.

There was an outstanding focus on equality, diversity and inclusion. Care and support took into account students’ cultural and religious background and their lifestyle choices. The college was accredited as a “Leader in Diversity” by the National Centre for Diversity.

All staff we spoke with put students at the centre of everything they did. We saw examples of excellent relationships between students and staff.

There were exceptionally thorough arrangements to assess students’ needs before they joined the college, during their stay and to prepare them to move on to the next stage in their lives.

Care and support while they were at the college were based on thorough and detailed care plans which were reviewed regularly and kept up to date with their changing needs.

There was a positive, open and empowering culture shared by staff and students. Care and support were dedicated to helping students achieve their goals and ambitions.

Management and quality assurance systems were in place to drive continuous im

Inspection areas

Safe

Good

Updated 18 October 2017

The service was safe.

There were arrangements in place to protect students from risks to their safety and wellbeing, including the risks of avoidable harm and abuse.

Students benefited from processes which managed risks in way that supported their independence.

There were sufficient numbers of suitable staff to support students safely and in accordance with their needs and preferences.

There were arrangements in place to manage student's medication safely.

Effective

Outstanding

Updated 18 October 2017

The service was effective.

There were exceptional arrangements in place to support all students to eat well and have their dietary needs met, including students with swallowing difficulties.

Staff training was comprehensive and tailored to individual students' needs. The college was innovative and creative in developing training that supported staff to deliver outstanding care.

There was focus on students' consent to their care and support. Where appropriate, staff were confident to take account of the legal requirements concerning people who lacked capacity to consent based on detailed guidance.

Students' healthcare needs were met, largely by in-house provision of GP and nursing support.

Caring

Outstanding

Updated 18 October 2017

The service was caring.

The college made exceptional use of assistive technology to enable students to express their views, to take part in decisions about their care and to maximise their independence.

The college's outstanding approach to equality, diversity and inclusion had been recognised by a national organisation.

There were excellent relationships between staff and students , with staff putting students at the centre of their care.

Responsive

Outstanding

Updated 18 October 2017

The service was responsive.

There were extremely thorough processes in place to manage students' transition into college and to move on successfully at the end of their course.

Students received care and support which met their needs and took account of their preferences. The college used its risk assessment system positively to encourage and enable students to meet their goals and ambitions.

There were arrangements in place to learn from complaints and other expressions of students' experiences. The college supported all students to participate in these arrangements.

Well-led

Outstanding

Updated 18 October 2017

The service was well led.

There was an open, empowering culture focused on the students' needs, which was recognised and supported at all levels.

The college was recognised as a role model for excellent management and leadership at all levels, which had been acknowledged by external accreditation.

The college found innovative ways to assess, monitor and improve the quality of service provided with the participation of students and staff.