Archived: Livability Nash Residential

Updated 23 June 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection was carried out on the 7 June 2017. The inspection was unannounced and was carried out by one inspector and a specialist nurse advisor. We spent time observing the care and support being provided to students. We looked at records, including five student’s care records, staff recruitment and training records and records relating to the management of the service. We spoke with three students and four relatives. We also spoke with four support staff, two nurses, a speech and language therapist and the registered manager.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also looked at the information we held about the service including notifications they had sent us. We used this information to help inform our inspection planning.

Updated 23 June 2017

Nash FE College provides specialist college services for people aged 18 to 25, most of whom have profound and multiple learning disabilities. The college is situated in the London borough of Bromley. At the time of this inspection 14 students were residing at two units at the college.

At our last inspection in 18 May 2015 the service was rated Good. The college demonstrated they continued to meet the regulations and fundamental standards. At this inspection we found the service remained Good.

Students told us they felt safe living at the college. All staff had received training on safeguarding people from abuse. There was a whistle-blowing procedure available and staff said they would use it if they needed to. We observed a good staff presence at the college and staff were attentive to people’s needs. Action was taken to assess any risks to students. Risk assessments included information for staff about action to be taken to minimise the chance of accidents occurring. Medicines were managed appropriately and students were receiving their medicines as prescribed by health care professionals.

Staff had the knowledge and skills required to meet the needs of the students. The registered manager and staff had a good understanding of the Mental Capacity Act 2005 and acted according to this legislation. Students told us they enjoyed the meals provided to them and could choose what they wanted to eat. They were supported to maintain good health and had access to healthcare professionals when required.

Assessments were undertaken to identify student’s care and support needs before they started to attend the college. The relatives of students told us they had been consulted about their loved ones care and support needs. Care and support plans were drawn up ready for the student attending the college. The care plans included detailed information and guidance for staff on how the student’s care and support needs should be met. Students told us their privacy and dignity was respected and there were plenty of activities for them to partake in if they wished to do so. Student’s received co-ordinated care when they graduated from the college. A transition team supported students to consider their next steps when they graduated from the college. The college had a complaints procedure in place. The relatives of students we spoke with told us they were confident their complaints would be listened to.

The college had a registered manager in post. They had managed the service for over a year and they were knowledgeable about the requirements of their role. The college recognised the importance of regularly monitoring the quality of the service. They sought the views of students through weekly meetings and annual satisfaction surveys. Staff told they liked working at the college, they received good support from the registered manager and there was an out of hours on call system in operation that ensured that management support and advice was available to staff when they needed it.