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Cambian Dilston College Good

Inspection Summary


Overall summary & rating

Good

Updated 1 January 2019

Cambian Dilston college is a specialist residential college, providing educational services,

accommodation and personal care for young people aged 16 to 25 with learning disabilities and/or autism spectrum disorder. The Care Quality Commission regulates both the premises and the care provided, and both were looked at during this inspection.

The service provides an opportunity for up to 40 young people to learn practical and independent living skills during their stay, with a view to moving into their own supported living accommodation in the community when they leave. Some people attend the college as day students and others stayed for 38 to 52 weeks. There were 18 young people staying at the college during this inspection.

The accommodation is made up of a number of flats above the college and cottages in the grounds. As an older building, the college does not conform to the model of care guidance of 2016 which proposed smaller, community-based housing for people with learning disabilities and/or autism spectrum disorder. However, the care service has been developed and designed in line with other values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

This inspection was carried out on 5 and 8 November 2018.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support an overall rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

There was a registered manager in place. 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.

Due to their complex needs not everyone was able to share their views about the service they received. People looked relaxed and comfortable. Staff provided support with patience and kindness. Staff upheld people's human rights and treated them with dignity.

People and relatives felt the service was safe. Staff received training about safeguarding and knew how to respond to any allegation of abuse. Medicines were managed safely. The accommodation was clean and well maintained.

There were enough staff to provide individual care to people. Regular agency staff were being used to cover vacant posts until permanent staff could be appointed. The provider used vetting checks to make sure any new staff were suitable to work with people who needed care and support.

People’s abilities and needs were fully assessed before they were offered a placement at the college. Staff received essential training to support them safely during their placement.

People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service supported this practice.

Relatives felt they could raise issues and comments and that these were listened to. However, they felt that any actions were not always sustained as they were not embedded into staff practice. This mainly related to support for people to keep in contact and communication between the college and parents. We discussed this with the registered manager as an area for improvement.

People received very individualised support at the college that promoted their independence. They were supported to access a wide variety of learning and work experience opportunities in the local community during college times.

Inspection areas

Safe

Good

Updated 1 January 2019

The service remains Good.

Effective

Good

Updated 1 January 2019

The service remains Good.

Caring

Good

Updated 1 January 2019

The service remains Good.

Responsive

Requires improvement

Updated 1 January 2019

The service required improvement to be responsive.

Relatives felt concerns and complaints were listened to but actions were short-lived and were not embedded into staff practice.

Activities at weekends and evening were to be improved by having increased transport arrangements.

People received a personalised service that offered them opportunities to learn new skills and promoted their independence.

Well-led

Good

Updated 1 January 2019

The service remains Good.