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ST21 6JR
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- The bathroom and toilet arrangements in the Old Hall remain of concern because privacy is compromised by gaps at the top and bottom of some WC partitions. p.16
- They were found to be inconsistent in their content and incomplete: some lacked references or had a reference ‘To whom it may concern’; some had no evidence of qualifications, no application form or interview notes; also, files had no record of training (although a central record is kept elsewhere). p.35
- The following 4-point scale is used to indicate the extent to which standards have been met or not met by placing the assessed level alongside the phrase "Standard met?" p.2
- Its layout is compromised by the protected nature of some buildings and it does not have immediate access to local amenities. p.31
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- Identified below are the actions recommended on issues addressed in the main body of the report in order to safeguard and promote the welfare of boarders adequately in accordance with the National Minimum Standards for Residential Special Schools. p.10
- The references below are to the relevant Standards. p.10
- Non-implementation of recommended action can lead to future statutory notification of failure to safeguard and promote welfare. p.10
- No Standard* Recommended Action Timescale for action 1 RS3 Improve privacy arrangements in the shower/WC facilities. p.10
- Files should reflect this Standard, including two references (for all staff including volunteers); a written question to referees regarding suitability to work with children; interview notes; application form; qualifications; tracking sheet. 10.5.05 p.10
- Identified below are advisory recommendations on welfare matters addressed in the main body of the report and based on the National Minimum Standards, made for consideration by the school. p.11
- Note: You may refer to the relevant standard in the remainder of the report by omitting the 2-letter prefix. p.11
- The following inspection methods were used in the production of this report p.12
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- Pages
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- 7,180
- longer than usual (typical 1049)
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- Hard
- Flesch 49, typical 45
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- 17 words
- Next steps
- 8
- typical 5
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- “some”, “not always”, “most”…
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Full report text
Walton Hall
Stafford Road Eccleshall Stafford Staffs ST21 6JR
p.1
Walton Hall
10 & 11 January 2005 Residential Special School (not registered as a Children’s Home)
p.1
Commission for Social Care Inspection
Launched in April 2004, the Commission for Social Care Inspection (CSCI) is the single inspectorate for social care in England.
p.2
Commission for Social Care Inspection
The Commission combines the work formerly done by the Social Services Inspectorate (SSI), the SSI/Audit Commission Joint Review Team and the National Care Standards Commission.
p.2
The role of CSCI is to:
• Promote improvement in social care • Inspect all social care - for adults and children - in the public, private and voluntary sectors • Publish annual reports to Parliament on the performance of social care and on the state of the social care market • Inspect and assess ‘Value for Money’ of council social services • Hold performance statistics on social care • Publish the ‘star ratings’ for council social services • Register and inspect services against national standards • Host the Children’s Rights Director role.
p.2
Inspection Methods & Findings
SECTION B of this report summarises key findings and evidence from this inspection. The following 4-point scale is used to indicate the extent to which standards have been met or not met by placing the assessed level alongside the phrase "Standard met?"
p.2
The 4-point scale ranges from:
4 - Standard Exceeded (Commendable) 3 - Standard Met (No Shortfalls) 2 - Standard Almost Met (Minor Shortfalls) 1 - Standard Not Met (Major Shortfalls) 'O' or blank in the 'Standard met?' box denotes standard not assessed on this occasion. '9' in the 'Standard met?' box denotes standard not applicable. 'X' is used where a percentage value or numerical value is not applicable. Walton Hall Page 1
p.2
Fax No: Address
Stafford Road, Eccleshall, Stafford, Staffs, ST21 6JR Email Address:
p.3
Type of school
Date of last boarding welfare inspection: 11/2/04
p.3
Type of school
Date of Inspection Visit 10 January 2005 ID Code
p.3
Type of school
Name of CSCI Inspector 1 David Morgan 080096
p.3
Type of school
Name of CSCI Inspector 2 Wendy Salt 075841
p.3
Name of Establishment Representative at the
time of inspection Mr Rod Goldthorpe Walton Hall Page 2
p.3
INTRODUCTION TO REPORT AND INSPECTION
Residential Special Schools are subject to inspection by the Commission for Social Care Inspection (CSCI) to determine whether the welfare of children (i.e. those aged under 18) is adequately safeguarded and promoted while they are accommodated by the school.
p.5
INTRODUCTION TO REPORT AND INSPECTION
Inspections assess the extent to which the school is meeting the National Minimum Standards for Residential Special Schools, published by the Secretary of State under Section 87C of the Children Act 1989, and other relevant requirements of the Children Act 1989 as amended. Residential Special Schools are not registered as children’s homes unless they accommodate, or arrange accommodation for, one or more children for more than 295 days a year.
p.5
INTRODUCTION TO REPORT AND INSPECTION
This document summarises the inspection findings of the CSCI in respect of Walton Hall The report follows the format of the National Minimum Standards and the numbering shown in the report corresponds to that of the standards.
p.5
INTRODUCTION TO REPORT AND INSPECTION
• Inspection methods used • Key findings and evidence • Overall ratings in relation to the standards • Recommended action by the school • Advisory recommendations on boarding welfare • Summary of the findings • Report of the lay assessor (where relevant) • The Head’s response and proposed action plan to address findings
p.5
INSPECTION VISITS
Inspections are undertaken in line with the agreed regulatory framework under the Care Standards Act 2000 and the Children Act 1989 as amended, with additional visits as required.
p.5
INSPECTION VISITS
The report represents the inspector's findings from the evidence found at the specified inspection dates. Walton Hall Page 4
p.5
BRIEF DESCRIPTION OF THE SCHOOL AND RESIDENTIAL PROVISION
Walton Hall is a special residential school situated in a rural part of Staffordshire. It provides day and residential education to pupils with moderate learning difficulties aged between five and nineteen years. The boarding provision is available for up to 4 nights per week. The school is able to accommodate up to 40 residential students at any one time.
p.6
BRIEF DESCRIPTION OF THE SCHOOL AND RESIDENTIAL PROVISION
The residential units are situated in two buildings placed within the school’s extensive grounds. Goldstone House is a purpose built unit offering accommodation for five younger boys and five senior girls. The Old Hall is a Victorian listed building and provides three residential units. Gainsborough offers 10 full time residential placements for senior boys; Broughton provides 10 places for post 16 female students and Shugborough, which accommodates 10 post 16 male students.
p.6
BRIEF DESCRIPTION OF THE SCHOOL AND RESIDENTIAL PROVISION
The school is situated within its own extensive grounds, which offer a range of facilities including football, tennis and basket ball, a motorcycle riding and maintenance area, an adventure play area, a small animal farm and a conservation area.
p.6
WHAT THE SCHOOL DOES WELL IN BOARDING WELFARE
Walton Hall Page 5 The atmosphere, approach and presentation at the school and by the pupils and staff are positive. The inspectors noted that demand for the boarding service far outweighed supply (35 to one) and was perceived as an attractive option by students who did not currently attend.
p.7
WHAT THE SCHOOL DOES WELL IN BOARDING WELFARE
There is a “whole school” approach to pupils that is evident in the approach of management to their boarding provision and is also reflected in the 24-hour curriculum. There is an understanding of the additional benefits to both students and their families of boarding.
p.7
WHAT THE SCHOOL DOES WELL IN BOARDING WELFARE
Target setting is used positively and resourcefully with boarding pupils. A positive emphasis is placed on the schools goals of competency, confidence and independence.
p.7
WHAT THE SCHOOL DOES WELL IN BOARDING WELFARE
Management responded enthusiastically to the previous report and to this inspection.
p.7
WHAT THE SCHOOL DOES WELL IN BOARDING WELFARE
Thorough organisation was evident at all levels and included the provision of link governors in certain matters.
p.7
WHAT THE SCHOOL DOES WELL IN BOARDING WELFARE
The inspectors found a good standard of care provided in the majority of areas.
p.7
WHAT THE SCHOOL DOES WELL IN BOARDING WELFARE
Children reported positively on the attention to their individual needs; the Oasis Centre; the motorbikes; the large amount of space. Parents were impressed by the communication by the school; the excellent care; the fairness of staff and the welcome they receive.
p.7
WHAT THE SCHOOL SHOULD DO BETTER IN BOARDING WELFARE
The recruitment process should be reviewed to ensure best practice in the recruitment and vetting of staff. This was also raised last time.
p.7
WHAT THE SCHOOL SHOULD DO BETTER IN BOARDING WELFARE
Further development is necessary of the systems to audit health and safety in all areas of the school including activities.
p.7
WHAT THE SCHOOL SHOULD DO BETTER IN BOARDING WELFARE
Consideration is necessary about how best to develop the identity of the whole care team to maintain and improve standards.
p.7
WHAT THE SCHOOL SHOULD DO BETTER IN BOARDING WELFARE
See also the recommendations included in this report.
p.7
CONCLUSIONS AND OVERVIEW OF FINDINGS ON BOARDING WELFARE
Walton Hall Page 6 This was a positive inspection, which found evidence of good practice in most areas.
p.8
CONCLUSIONS AND OVERVIEW OF FINDINGS ON BOARDING WELFARE
There was evidence that the children were content, settled and well cared for. There was a clear demonstration of an holistic approach to childcare, ensuring that the children’s personal and family needs not just their educational needs were being taken into account.
p.8
CONCLUSIONS AND OVERVIEW OF FINDINGS ON BOARDING WELFARE
The visit found evidence that the school had addressed previous inspection recommendations; some were part of ongoing development.
p.8
CONCLUSIONS AND OVERVIEW OF FINDINGS ON BOARDING WELFARE
The school clearly demonstrated a positive approach to maintaining and raising standards.
p.8
CONCLUSIONS AND OVERVIEW OF FINDINGS ON BOARDING WELFARE
This report makes recommendations in several areas to help the school maintain and further improve standards. Walton Hall Page 7
p.8
Children Act 1989 arising from this inspection?
Notification to be made to: Local Education Authority NO Secretary of State NO
p.9
IMPLEMENTATION OF RECOMMENDED ACTIONS FROM LAST INSPECTION
Recommended Actions from the last Inspection visit fully implemented? YES
p.9
implemented are listed below:
No Standard Recommended actions Timescale for action Walton Hall Page 8
p.9
which indicates how recommended actions are to be addressed. This action plan
will be made available on request to the Area Office.
p.10
RECOMMENDED ACTION
Identified below are the actions recommended on issues addressed in the main body of the report in order to safeguard and promote the welfare of boarders adequately in accordance with the National Minimum Standards for Residential Special Schools. The references below are to the relevant Standards. Non-implementation of recommended action can lead to future statutory notification of failure to safeguard and promote welfare. No Standard* Recommended Action Timescale for action 1 RS3 Improve privacy arrangements in the shower/WC facilities. TBA
p.10
RECOMMENDED ACTION
2 RS15 Introduce a system to monitor the temperatures of fridges and any freezers in the boarding houses. 10.4.05
p.10
RECOMMENDED ACTION
3 RS19 Clarity is needed on the policy for obtaining CRB’s and repeat disclosures for existing staff. 10.4.05
p.10
RECOMMENDED ACTION
4 RS26 The site manager should introduce monthly checks, e.g. hot water temperatures and vehicle checks (including tyre pressures). 10.5.05
p.10
RECOMMENDED ACTION
5 RS27 Staff files should be reviewed and the policy implemented to ensure recruitment procedures are as thorough as possible. Files should reflect this Standard, including two references (for all staff including volunteers); a written question to referees regarding suitability to work with children; interview notes; application form; qualifications; tracking sheet. 10.5.05
p.10
RECOMMENDED ACTION
6 RS30 It is recommended all staff receive regular supervision, attend appropriate meetings and are appraised in respect to all their roles. 10.4.05 Walton Hall Page 9
p.10
ADVISORY RECOMMENDATIONS
Identified below are advisory recommendations on welfare matters addressed in the main body of the report and based on the National Minimum Standards, made for consideration by the school. No Refer to Standard* Recommendation
p.11
ADVISORY RECOMMENDATIONS
1 RS4 Parents and other complainants should be given details of the CSCI.
p.11
ADVISORY RECOMMENDATIONS
2 RS14 There should be a single medication administration-recording sheet for each child.
p.11
ADVISORY RECOMMENDATIONS
3 RS14 Adopt a whole school approach to the teaching of personal health and sex education and consider how the residential staff and the nurse support that approach.
p.11
ADVISORY RECOMMENDATIONS
4 RS14 It is recommended weight recording be reviewed and that a file auditing system be introduced by the new manager.
p.11
ADVISORY RECOMMENDATIONS
5 RS15 Adoption of a whole school approach to healthy eating is recommended.
p.11
ADVISORY RECOMMENDATIONS
6 RS19 It is suggested that the school only use staff that have been fully cleared and that a tracking sheet be used on staff files.
p.11
ADVISORY RECOMMENDATIONS
7 RS24 It was recommended the lighting in the senior boys lounge be reviewed; that wardrobes be secured to prevent them falling over.
p.11
ADVISORY RECOMMENDATIONS
8 RS26 The formats for risk assessments of children should be reviewed.
p.11
ADVISORY RECOMMENDATIONS
9 RS29 Individual staff training records are necessary. Note: You may refer to the relevant standard in the remainder of the report by omitting the 2-letter prefix. E.g. RS10 refers to standard 10. Walton Hall Page 10
p.11
PART B INSPECTION METHODS AND FINDINGS
The following inspection methods were used in the production of this report
p.12
PART B INSPECTION METHODS AND FINDINGS
Direct Observation YES Pupil Guided Tour of Accommodation YES Pupil Guided Tour of Recreational Areas YES
p.12
PART B INSPECTION METHODS AND FINDINGS
Checks with other Organisations • Social Services YES • Fire Service YES • Environmental Health YES • DfES NO • School Doctor NO • Independent Person NA • Chair of Governors YES Tracking individual welfare arrangements YES Survey / individual discussions with boarders YES Group discussions with boarders YES Individual interviews with key staff YES Group interviews with House staff teams YES Staff Survey NO Meals taken with pupils YES Early morning and late evening visits YES Visit to Sanatorium / Sick Bay YES Parent Survey YES Placing authority survey NA Inspection of policy/practice documents YES Inspection of records YES Individual interview with pupil(s) NO Answer-phone line for pupil/staff comments NO
p.12
PART B INSPECTION METHODS AND FINDINGS
Date of Inspection 10/01/05 Time of Inspection 09.30 Duration Of Inspection (hrs.) 47.5 Number of Inspector Days spent on site 2
p.12
Pre-inspection information and the Head’s Self-evaluation Form, provided by the
school, have also been taken into account in preparing this report. Walton Hall Page 11
p.12
SCHOOL INFORMATION
Age Range of Boarding Pupils From 9 To 18
p.13
NUMBER OF BOARDERS AT TIME OF INSPECTION:
The following pages summarise the key findings and evidence from this inspection, together with the CSCI assessment of the extent to which standards have been met. The following scale is used to indicate the extent to which standards have been met or not met by placing the assessed level alongside the phrase "Standard met?"
p.13
NUMBER OF BOARDERS AT TIME OF INSPECTION:
The scale ranges from: 4 - Standard Exceeded (Commendable) 3 - Standard Met (No Shortfalls) 2 - Standard Almost Met (Minor Shortfalls) 1 - Standard Not Met (Major Shortfalls)
p.13
NUMBER OF BOARDERS AT TIME OF INSPECTION:
"0" in the "Standard met" box denotes standard not assessed on this occasion. "9" in the "Standard met" box denotes standard not applicable. “X” is used where a percentage value or numerical value is not applicable. Walton Hall Page 12
p.13
The intended outcome for the following standard is:
• Children, parents, staff and placing authorities have access to a clear statement of the school's care principles and practice for boarding pupils.
p.14
Approved Arrangements and school prospectus, which are required to include
specific information. Key Findings and Evidence Standard met? 3 There was evidence that good information is provided about the school, its faculties and the manner in which education and support/care is provided. The school last reviewed this information in December 2004.
p.14
Approved Arrangements and school prospectus, which are required to include
Separate parent and student handbooks are available to describe the boarding arrangements. Young people were involved in writing their handbook, which also contains photographs of facilities and activities.
p.14
Approved Arrangements and school prospectus, which are required to include
Parents and children confirmed that they were provided with accurate information about the school. Walton Hall Page 13
p.14
The intended outcomes for the following set of standards are:
• Children are encouraged and supported to make decisions about their lives
p.15
and to influence the way that the school is run. No child should be assumed
to be unable to communicate their views. • Children's privacy is respected and information about them is confidentially handled. • Children's complaints are addressed without delay and children are kept informed of progress in their consideration.
p.15
key decisions which are likely to affect their daily life and their future. Feedback is
given following consultations. Key Findings and Evidence Standard met? 3 During this inspection several examples of good practice were found in this area, e.g. staff were observed continually consulting and involving children in decision making. It was found that children’s behaviour in the boarding provision was generally good. Staff and the inspectors interpreted this as a reflection of the respect and care they were offered.
p.15
key decisions which are likely to affect their daily life and their future. Feedback is
Records maintained by the school also indicated routine consultation with families; this was confirmed in the parent’s questionnaires and was an important feature of the care offered.
p.15
key decisions which are likely to affect their daily life and their future. Feedback is
The school also has systems to regularly obtain the views of students in addition to statutory reviews; examples include the Youth Council and house meetings. Walton Hall Page 14
p.15
The school and staff respect a child's wish for privacy and confidentiality so far as is
consistent with good parenting and the need to protect the child. Key Findings and Evidence Standard met? 2 Since the previous inspection the school has expanded its policies and procedures to include the use of mobile phones, the use of the internet and the action of staff regarding room searches. This is good practice.
p.16
The school and staff respect a child's wish for privacy and confidentiality so far as is
The bathroom and toilet arrangements in the Old Hall remain of concern because privacy is compromised by gaps at the top and bottom of some WC partitions. Also there is insufficient privacy in the changing area by some shower cubicles. It is recommended that privacy be improved in the shower/WC areas.
p.16
The school and staff respect a child's wish for privacy and confidentiality so far as is
The children have private access to pay phones and several children have mobile phones. There is an access to records policy and children sign to indicate that they understand it. Several children were interested in showing the Inspectors their care files and the information about their targets.
p.16
The school and staff respect a child's wish for privacy and confidentiality so far as is
Records are kept securely and information is handled sensitively.
p.16
The school and staff respect a child's wish for privacy and confidentiality so far as is
Staff were observed ensuring that pupils maintained their own privacy, e.g. when showering. There was minimal need for staff to be involved in personal care of pupils. A policy is now in place to cover searches of children’s belongings.
p.16
The school and staff respect a child's wish for privacy and confidentiality so far as is
Some children benefited from single bedrooms but most did not. This has an obvious effect on privacy but it was not an issue for young people. Walton Hall Page 15
p.16
living in the school, and feel confident that any complaint is addressed seriously and
without delay. Key Findings and Evidence Standard met? 3 It was reported that there had been no complaints: staff endeavour to address any concerns as soon as they arise. Complaints are responded to in writing. The inspectors considered that the ethos of the school promoted confidence in the children to advocate for themselves and other students. There was little use of the complaints books that were available but this may simply represent the fact that children prefer not to write their concerns. The inspectors suggested other ways that could be used, e.g. good ideas or suggestions. Senior staff checks the records regularly.
p.17
living in the school, and feel confident that any complaint is addressed seriously and
The school enabled the children to make maximum use of the inspection and provides them with other opportunities to raise concerns.
p.17
living in the school, and feel confident that any complaint is addressed seriously and
Throughout the boarding areas the details of the usual CSCI inspector are available to children. The inspectors did not see evidence that parents and other complainants were given clear details of the role of CSCI; this should be reviewed.
p.17
living in the school, and feel confident that any complaint is addressed seriously and
Staff were aware of the complaints procedure.
p.17
months:
Number of above complaints substantiated: 0
p.17
months:
Number of above complaints substantiated: 0 Walton Hall Page 16
p.17
The intended outcomes for the following set of standards are:
• The welfare of children is promoted, children are protected from abuse, and an appropriate response is made to any allegation or suspicion of abuse. • Children are protected from bullying by others. • All significant events relating to the protection of children accommodated in
p.18
the school are notified by the Head of the school to the appropriate
authorities. • Children who are absent without authority are protected in accordance with written guidance and responded positively to on return.
p.18
suspicions or allegations of abuse are properly responded to. These are known and
understood by all staff (including junior, ancillary, volunteer and agency staff). Key Findings and Evidence Standard met? 3 There are extensive child protection procedures in place, which are in line with ACPC guidelines. No issues of concern have been related to the inspectors by the local child protection team. Pupils may have social workers because of difficulties at home.
p.18
suspicions or allegations of abuse are properly responded to. These are known and
All staff including ancillary/support staff, volunteers and governors receive basic training in child protection procedures. One omission was identified by the inspectors and was brought to the attention of the head teacher. Discussions with all levels of staff confirmed their involvement in training and their awareness of procedures. Staff are also provided with written guidance in the residential staff handbook.
p.18
suspicions or allegations of abuse are properly responded to. These are known and
Two members of staff, Mr Goldthorpe, head teacher and the head of care are the designated Child Protection co-ordinators.
p.18
suspicions or allegations of abuse are properly responded to. These are known and
Currently, the home does not have an independent visitor. This is being addressed by the head teacher and will be revisited next time.
p.18
familiar and which is effective in practice. Where possible children in the school
contribute to the development of the policy. Key Findings and Evidence Standard met? 3 The ethos of the school clearly indicates to children that bullying is not acceptable. The inspectors learnt from staff and children that bullying occurred from time to time but was addressed promptly. In their questionnaires, two children reported this had been an issue but had been resolved by staff. In discussions and from questionnaires, the inspectors considered that there was minimal evidence of bullying occurring.
p.19
familiar and which is effective in practice. Where possible children in the school
Written information about the schools principles and policies are available to parents and to children.
p.19
familiar and which is effective in practice. Where possible children in the school
Practices within the school such as the careful grouping of children support the anti-bullying policy.
p.19
familiar and which is effective in practice. Where possible children in the school
Percentage of pupils reporting never or hardly ever being bullied X %
p.19
All significant events relating to the protection of children in the school are notified by
the Head of the school or designated person to the appropriate authorities. Key Findings and Evidence Standard met? 3 The head reported that incidents had been notified to the relevant authorities as appropriate since the last inspection including a potential child protection issue arising at the child’s own home. As previously recommended the headmaster retains a central record of all notifications. CSCI records show that the inspector has been notified of incidents on six occasions; this is good practice.
p.19
NUMBER OF THE FOLLOWING NOTIFIED TO CSCI DURING THE LAST 12 MONTHS:
• Conduct by member of staff indicating unsuitability to work with
p.19
children
• Serious harm to a child 0 • Serious illness or accident of a child 1 • Serious incident requiring police to be called 0 Walton Hall Page 18
p.19
The school takes steps to ensure that children who are absent from the school
without consent are protected in line with written policy and guidance. Key Findings and Evidence Standard met? 3 Clear procedures are in place. It was reported that there have been few incidents of children trying to abscond other than leaving their designated area and going elsewhere in the grounds.
p.20
The school takes steps to ensure that children who are absent from the school
Written guidelines are available to staff to advise them in the event of a missing child. Written information is also provided to parents about the action of staff if a child goes missing.
p.20
The school takes steps to ensure that children who are absent from the school
During the period of inspection, the inspectors were impressed by the level of supervision applied by staff and their knowledge of the whereabouts of every child.
p.20
The intended outcomes for the following set of standards are:
• Children have sound relationships with staff based on honesty and mutual respect. • Children are assisted to develop appropriate behaviour through the
p.21
understanding and clear professional and personal boundaries which are effective for
both the individuals and the group. Key Findings and Evidence Standard met? 3 The quality of relationships between staff and children is a particular strength of this school. The inspectors were favourably impressed with the relationships that were observed between staff and children. Staff were seen to take a genuine interest in the children and appropriate boundaries were maintained. Children were able to approach staff without hesitation and were relaxed in their company; this included appropriate physical contact. This feature was facilitated at least in part by the low level of staff turnover.
p.21
is regarded as unacceptable by staff, it is responded to by constructive disciplinary
measures which are approved by the Head of Care. Key Findings and Evidence Standard met? 3 Staff had access to clear behaviour management strategies, e.g. in their handbook. Inspectors witnessed interventions that were caring, patient and reasonable. Sanctions and rewards were recorded and there was an emphasis on praising good behaviour. The inspectors felt this was an important factor in the culture of the school.
p.21
is regarded as unacceptable by staff, it is responded to by constructive disciplinary
Children reported that the methods used by staff were fair and reasonable. Measures of control that have been used include temporary removal of radio; loss of an activity; temporary minibus ban, early bedtime and sometimes fines for deliberate damage have been sent to parents.
p.21
is regarded as unacceptable by staff, it is responded to by constructive disciplinary
All staff are trained in physical interventions (SCIP). It was reported and recorded that physical interventions were few in number; this is good practice. The former head of care was the SCIP trainer and new staff now have to attend external training courses. Walton Hall Page 20
p.21
The intended outcomes for the following set of standards are:
• Children experience planned and sensitively handled admission and leaving processes. • The school's residential provision actively supports children's educational progress at the school. • Children have ample opportunity to engage in purposeful and enjoyable activities both within school and in the local community. • Children live in a healthy environment and the health and intimate care needs of each child are identified and promoted. • Children are provided with healthy, nutritious meals that meet their dietary needs. • Children wear their own clothing outside school time, can secure personal
p.22
appropriate, with parents and carers and placing authorities – as far as possible and
handled with sensitivity and care by those concerned. Key Findings and Evidence Standard met? 0 Not inspected. Walton Hall Page 21
p.22
education, ensuring regular attendance, punctuality and a minimum of interruption
during the school day. Key Findings and Evidence Standard met? 3 The school offers a 24-hour curriculum that benefits each child in his or her education and care needs. There is effective communication between the school and the boarding provision to ensure consistency of approach and agreed targets are met. Specialist staff knowledge is shared, e.g. during inset days. Care staff were observed ensuring that children attended school on time. The ethos of teamwork was a recurring feature of the inspection.
p.23
education, ensuring regular attendance, punctuality and a minimum of interruption
The care teams are now beginning to introduce programmes of independent living skills and making good use of the domestic-style facilities. This was well balanced with free time.
p.23
education, ensuring regular attendance, punctuality and a minimum of interruption
The schools aims of confidence, competence and independence were evident in the practices of boarding staff and staff felt this helped make learning easier. The head teacher also felt this was an important reason to maintain the boarding provision for this group of children (unlike other areas of the country) and was compiling statistics to help represent the improvement in achievements. The inspectors considered there was effective input to children’s social education that helped them at school and was likely to have lasting benefits. This was also acknowledged by some parents. Walton Hall Page 22
p.23
Children have ample opportunity to engage in purposeful and enjoyable activities
both within the school and in the local community. Key Findings and Evidence Standard met? 3 This standard is influenced by the fact that boarding only occurs between Monday evening and Thursday evening; also, there were no children from a different cultural background that may have required specific activities. The care staff team recognised the importance of occupying children with interesting, age and understanding appropriate, activities. There was a sensible balance between structured activities and free time and a range of activities available to students both within the school and in the community. The school offers activities within the small animal farm and work was planned to convert a nearby, unused house into a farm classroom.
p.24
Children have ample opportunity to engage in purposeful and enjoyable activities
The children spoke particularly positively about the motorbike activity sessions. Within the grounds there are also outdoor sports facilities. The recently opened Oasis centre provides very popular recreational facilities and children explained that good work, behaviour or progress resulted in a ticket to use the centre.
p.24
Children have ample opportunity to engage in purposeful and enjoyable activities
One aspect of the activity programme for the older students concentrates on the development of independent living skills. Although this area was challenging for some of the young people their comments indicated the value of the programme. Individual target setting sessions were introduced during this inspection visit and planned activities included laundry tasks, shopping, cooking and money management /budgeting. This will be reviewed next time.
p.24
Children have ample opportunity to engage in purposeful and enjoyable activities
Children indicated in their questionnaires and in discussion with the Inspectors that they thoroughly enjoyed the activities offered by the school.
p.24
Children have ample opportunity to engage in purposeful and enjoyable activities
Records examined included risk assessments of specific activities, the records highlighted action to be taken to reduce risk including the level of supervision required. Walton Hall Page 23
p.24
The school actively promotes the health care of each child and meets any intimate
care needs. Key Findings and Evidence Standard met? 3 A review of health care needs has recently been completed, indicating a range of needs including nutrition/diet, sight and hearing, epilepsy, continence and mental health issues. None of the children has significant physical disabilities. Several are diagnosed as having Aspergers’ Syndrome or Autistic Spectrum Disorders. The inspectors had the benefit of discussions with the nurses involved at the school.
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The school actively promotes the health care of each child and meets any intimate
The records indicated a satisfactory system to obtain and to share information about health care needs between the school and parents. As recommended in the previous inspection report the school has reviewed records to ensure that all relevant health information was available to residential staff.
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The school actively promotes the health care of each child and meets any intimate
The previous inspection report supported the head teachers concerns about the provision of specialist nursing support to the school. During this inspection it was reported that this issue has now been satisfactorily resolved. The head teacher also raised with the inspectors his concerns about the high proportion of female students who leave and become pregnant within a short time. This will be discussed further next time.
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The school actively promotes the health care of each child and meets any intimate
The documentation sampled included information about specific health care needs and detailed the required action by staff to meet needs. Children’s weights are recorded. However, some have not been done for many months. It is recommended this be reviewed and that the new manager introduce an auditing system.
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The school actively promotes the health care of each child and meets any intimate
Satisfactory arrangements were in place for the storage and administration of medication. Medication is received from parents every week and the school is not involved in ordering them from the pharmacist. It was suggested that a less time consuming individual recording sheet could be used.
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The school actively promotes the health care of each child and meets any intimate
A discussion was held about the way in which the school teaches personal health and sex education. It was recommended that the school develops an overall “whole school approach” to this subject rather than addressing it in a somewhat fragmented manner. The Inspectors suggested that once the whole school approach is established, it would be easier to see how the residential staff and the school nurse fitted into and supported that approach. Walton Hall Page 24
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health, religious persuasion, racial origin or cultural background are met, including
the choice of a vegetarian meal for children who wish it. Key Findings and Evidence Standard met? 3 There was evidence that cookery was a regular activity enjoyed by many of the children. Shopping and cooking is also a feature of the independent living skills programme for older pupils. These were areas that staff were developing.
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health, religious persuasion, racial origin or cultural background are met, including
The school provides a range of catering areas throughout the boarding provision. The lunchtime meal is provided within the school building by the school’s catering team. The evening meal is prepared in the Old Hall and Goldstone House by kitchen staff. It was reported that the boarding kitchen staff consult with the school cooks to ensure appropriate balance and variety in menus.
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health, religious persuasion, racial origin or cultural background are met, including
Each house within the Old Hall also has its own domestic style kitchen used for breakfast, supper and snacks. This is good practice as this range of facilities offers good opportunities to the young people to practice independent living skills and to enjoy meals in small group settings. Standards of safety, health and hygiene within the kitchens were good although it was advised that a system is introduced to monitor the fridge temperatures in the house kitchens. It was discussed that this could easily be incorporated into the independent living programme.
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health, religious persuasion, racial origin or cultural background are met, including
Supplies within the kitchens were good and children commented very favourably on the menus and the standard of meals provided. One noted in the questionnaire that the dining room was very noisy and this may be something for staff to keep under review.
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health, religious persuasion, racial origin or cultural background are met, including
A few of the children were identified as having specific dietary needs and it was reported that the cook was planning to discuss the menus with the school nurse. Although the menus appeared to be well balanced and of satisfactory nutritional value the Inspectors felt that menu planning was an area that may benefit from greater attention (e.g. use of refined carbohydrates and sugar intake). It was felt that a whole school approach to healthy eating would be best practice rather than the existing practice of providing a healthy option at each meal. The Inspectors felt that this change of emphasis would be of benefit to the health (and education) of all of the children in addition to those with specific dietary needs. Walton Hall Page 25
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Children are provided for adequately on an individual basis and encouraged to
exercise their own preferences in the choice of clothing and personal requisites.
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their money are provided with the assistance they need, in a way which maximises
their choice. Key Findings and Evidence Standard met? 3 Children board at the school for a maximum of 4 nights per week and the responsibility for clothing remains with individual families. Children under 16 years wear school uniform during the day. During this visit the Inspectors observed staff helping children to look after their clothing/belongings and to get ready for school. No concerns arose regarding the presentation of children.
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their money are provided with the assistance they need, in a way which maximises
Records of money held in safekeeping for children were examined, these were satisfactory and involve children. Walton Hall Page 26
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The intended outcomes for the following set of standards are:
• Children have their needs assessed and written plans outline how these needs will be met while at school. • Children's needs, development and progress is recorded to reflect their individuality and their group interactions. • There are adequate records of both the staff and child groups of the school. • In accordance with their wishes, children are able and encouraged to maintain contact with their parents and families while living away from home at school. • Children about to leave care are prepared for the transition into independent living. • Children receive individual support when they need it.
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that child in accordance with that plan, monitors progress in relation to that plan, and
updates that plan as necessary. Key Findings and Evidence Standard met? 3 The previous inspection report recommended guidance be provided on the implementation and monitoring of care plans. It was reported that guidance and additional training had been implemented and that senior staff routinely monitored care plans (see also Standard 14, above). The head teacher is implementing strategies to improve the measures of progress that will be significant for the school and for individual children. It is particularly important at present when the boarding provision in all special schools is under review and there is a fear amongst stakeholders that the benefits are underestimated by decision-makers.
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that child in accordance with that plan, monitors progress in relation to that plan, and
Records sampled during this visit demonstrated that individual needs were identified and action plans were in place to meet those needs. Care documentation included a profile of daily activity and specific needs, agreements on bedtime arrangements, health information and risk assessments on specific behaviours or activities. Information was also provided about specific targets identified for each term.
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that child in accordance with that plan, monitors progress in relation to that plan, and
Several of the children discussed their care plans with the Inspectors, they were familiar with the contents of their care plan files and were eager to demonstrate the progress they were making. During the visit the Inspectors spent some time with the older children in an independent living skills session. The Inspectors were impressed with the way in which staff helped the young people to identify individual areas that needed development and to set their own individual targets. Staff were intending to refine this process further. Walton Hall Page 27
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which can, in compliance with legal requirements for safeguards, be seen by the
child. Key Findings and Evidence Standard met? 3 The previous inspection report recommended a review of the existing system to ensure that all relevant information was available to residential staff. Individual files sampled during this visit in the boarding settings provided satisfactory information.
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which can, in compliance with legal requirements for safeguards, be seen by the
Care records were appropriately maintained and confidentially stored.
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The school maintains clear and accurate records on the staff and child groups of the
school, and major events affecting the school and children resident there. Key Findings and Evidence Standard met? 0 The inspectors understand that appropriate registers of staff and children are in place; these were not inspected this time.
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to maintain contact with their parents and other family members (unless there are
welfare concerns) while living at school. Key Findings and Evidence Standard met? 3 No problems were identified in this area by parents or children. Phones are available for children’s use. Many have mobile phones for which a policy is in place that is accepted by children. Contact with parents varies, as does the number of overnight stays some children have; in any case it is up to a maximum of only 4 nights.
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to maintain contact with their parents and other family members (unless there are
Inspectors were not made aware of any restrictions on contact with parents.
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to maintain contact with their parents and other family members (unless there are
Staff have various ways of maintaining links with parents including home/school diary; monthly meetings; phone calls. Walton Hall Page 28
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is expected to leave care or move to independent living. The school works with any
Personal Advisor for the child. Key Findings and Evidence Standard met? 0 Inspectors did not inspect this area in detail. However, the use of the post-16 independent training was inspected (see other parts of this report).
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children identified as having particular support needs, or particular problems, receive
help, guidance and support when needed or requested. Key Findings and Evidence Standard met? 3 Inspectors received 6 questionnaires from children. No concerns were raised regarding care and various positive comments were made. No child currently requires specific help with cultural matters. There was evidence and examples provided by all the staff, about how issues for individual children have been addressed. There was also evidence that children support each other and advocate on each other’s behalf.
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children identified as having particular support needs, or particular problems, receive
Specific therapeutic techniques are not used. External agencies are used as appropriate. As mentioned elsewhere, the school does not currently have an independent visitor but this is being addressed and will be reviewed next time. Walton Hall Page 29
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The intended outcomes for the following set of standards are:
• Children live in well designed, pleasant premises, providing sufficient space and facilities to meet their needs. • Children live in accommodation that is appropriately decorated, furnished and maintained to a high standard, providing adequate facilities for their use. • Children are able to carry out their ablutions in privacy and with dignity. • Children live in schools that provide physical safety and security.
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environment most helpful to each child's development, and is sufficient for the
number of children. Key Findings and Evidence Standard met? 3 The school benefits from an attractive and spacious location. There are a variety of buildings both modern and old. Its layout is compromised by the protected nature of some buildings and it does not have immediate access to local amenities. However, each negative has counterbalancing positive points. The old building in particular is unsuitable for children with physical disabilities. Such issues will have to be carefully assessed as part of the alterations to the service next year as will certain safety issues if dependency levels are going to rise.
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environment most helpful to each child's development, and is sufficient for the
Improvements are ongoing as part of budget-planning, e.g. fencing, windows, disabled access, hot water pipe covers.
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environment most helpful to each child's development, and is sufficient for the
Space is usually generous except in some communal areas in the old building. This was brought to the head teacher’s attention in the context of overall numbers and dependency levels. This is important because of its impact on behaviours and therefore on both staff and the larger resident group. Staff should keep this factor under consideration when planning new admissions and any behavioural problems. The inspectors have provided guidance to the head teacher on the space that should be available per child.
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environment most helpful to each child's development, and is sufficient for the
Electronic monitoring is not used. Walton Hall Page 30
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The school provides adequate good quality and well-maintained accommodation for
boarding pupils, which is consistent with their needs. Key Findings and Evidence Standard met? 3 Inspectors found the school to be clean, tidy, warm, well presented and -decorated throughout and this is to the credit of everyone concerned, especially considering the listed status of the old building. Maintenance and improvements were ongoing. The head teacher reported that the accommodation is used in a way that best reduces the chances of bullying.
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The school provides adequate good quality and well-maintained accommodation for
It was recommended the lighting in the senior boys lounge be reviewed; that wardrobes be secured to prevent them falling over.
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The school provides adequate good quality and well-maintained accommodation for
No concerns arose regarding sleeping arrangements or the facilities and none were identified by students. There is adequate space for homework and recreational activities.
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suitable to meet the needs of the children. The school has appropriate changing and
washing facilities for incontinent children where necessary. Key Findings and Evidence Standard met? 2 Recommendations were made previously regarding several matters including the numbers of WC's and this has been reviewed by the head teacher in light of funding and planning issues. The inspectors on this visit were satisfied with the provision but expressed concern again about lack of privacy in some shower and w/c areas including the spaces above and below some w/c partitions, these issues should be revisited. Walton Hall Page 31
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and other hazards, in accordance with Health and Safety and Fire legislation and
guidance. Key Findings and Evidence Standard met? 2 Health and Safety was one of the areas of greatest concern during the last inspection. Since then substantial effort has been invested in addressing the issue.
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and other hazards, in accordance with Health and Safety and Fire legislation and
County Council audits occur six-monthly but internal health and safety issues have been reviewed and the deputy head has been appointed to oversee this area. Also, a link governor has been allocated to take a special interest and a sub-committee formed to which termly reports are made; this is good practice. The deputy head reported that he has researched the subject, taking previous reports into account, and conducted an audit. The site manager intends to introduce monthly checks that will include hot water temperatures and vehicle checks; the inspectors will review this, as well as the progress made on window glass safety measures. The inspectors considered that there is now an effective framework in place for dealing with this complex area: implementation will be reviewed next time. The role of individuals and groups of staff as well as students will also be reviewed.
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and other hazards, in accordance with Health and Safety and Fire legislation and
The Fire Service fire safety officer has reviewed fire safety recently and a report has been made to the head teacher; this work is now being progressed. Fire equipment servicing was overdue at the time of inspection but the site manager reported that the engineers were visiting later the same week. Records examined during this visit indicated termly fire drills and weekly alarm bell tests.
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and other hazards, in accordance with Health and Safety and Fire legislation and
Risk assessments are in place for the various parts of the site and for children. Those for children were comprehensive but followed two formats, one of which was not a risk assessment although it contained useful information. This should be reviewed.
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and other hazards, in accordance with Health and Safety and Fire legislation and
It was reported that the site has its own sewerage system that requires routine attention. This was not inspected during this inspection. The inspectors understand the area is completely safe.
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and other hazards, in accordance with Health and Safety and Fire legislation and
There is no gas on site and the central heating uses oil. Electrical appliances are checked annually. An asbestos safety strategy is in place and signed by staff. Maintenance issues that need attention are recorded centrally; this is good practice but, given the size of the site, introduces the chance that issues will not be reported. It was therefore suggested that each floor has its own book that is checked and signed-off by the maintenance team. Walton Hall Page 32
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The intended outcomes for the following set of standards are:
• There are careful selection and vetting of all staff, volunteers, and monitoring
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abusers
• Children are looked after by staff who understand their needs and are able to meet them consistently. • Children are looked after by staff who are trained to meet their needs. • Children are looked after by staff who are themselves supported and guided in safeguarding and promoting the children's welfare. Walton Hall Page 33
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or Enhanced level as appropriate to their role in the school), with a satisfactory
outcome. There is a satisfactory recruitment process recorded in writing. Key Findings and Evidence Standard met? 2 Recruitment was an area of major concern during the last inspection and important issues that could affect children’s safety remain outstanding. In several areas there appeared to have been little progress made.
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or Enhanced level as appropriate to their role in the school), with a satisfactory
A sample of staff personnel records was inspected. They were found to be inconsistent in their content and incomplete: some lacked references or had a reference ‘To whom it may concern’; some had no evidence of qualifications, no application form or interview notes; also, files had no record of training (although a central record is kept elsewhere). Referees were not being asked specific questions about the candidates’ suitability to work with children. Effective tracking of such issues is not in place but could for example be overseen by the bursar.
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or Enhanced level as appropriate to their role in the school), with a satisfactory
It was reported that the policy of the council is that staff can be employed whilst CRB checks occur. The inspectors accepted this but said that best practice (NMS 27.7) indicates that staff do not begin work until CRB-clearances are in place. It is suggested that the school only use staff that have been fully cleared as this (a) best protects children, (b) reflects the schools aim to achieve the highest standards, and (c) reflects the fact there is minimal staff turnover and therefore little need for urgent employment of new staff.
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or Enhanced level as appropriate to their role in the school), with a satisfactory
The head teacher acknowledged that work was needed in these areas to bring files up-to- date where possible and to introduce a new system that addresses these issues. This is essential from a child protection point of view.
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or Enhanced level as appropriate to their role in the school), with a satisfactory
Gap students are not used. Four people currently live on site in staff houses.
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or Enhanced level as appropriate to their role in the school), with a satisfactory
Some staff are designated childcare officers while others who undertake some shifts have other designations. The number below is for the former.
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specified under standard 28.2. Records of staff actually working in the school
demonstrate achievement of this staffing level. Key Findings and Evidence Standard met? 3 The boarding provision is staffed by childcare officers and extraneous staff from other departments. This appeared to ensure that sufficient staff were on duty. On call managers are always available and the senior officer routinely contacts each flat. Staff carries radios. Sleep-in staff are used in each unit. The principal childcare officer (PCCO) has recently resigned and other staff are now covering her hours; her duties are currently being addressed by the senior RCCO.
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specified under standard 28.2. Records of staff actually working in the school
Staffing levels appeared to be sufficient to meet the needs of the children and records show at least two staff on duty in each flat. This reflects both the competency levels of staff (which were seen to be high), and the relatively low level of dependency of children. However, this must be kept under review especially in anticipation of the reorganisation next year.
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Staff receive training and development opportunities that equip them with the skills
required to meet the needs of the children and the purpose of the school. Key Findings and Evidence Standard met? 3 Staff training was seen to be in place and to include NVQ-assessments and training in core subjects such as child protection and autism. The senior CCO had obtained NVQ 3. The head teacher agreed to confirm that all staff, including volunteers, had received the training that was provided on child protection. It was observed that there was useful sharing of knowledge between teaching and care staff.
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Staff receive training and development opportunities that equip them with the skills
It was recommended there be individual staff training records; these could be linked to and maintained at staff supervision meetings.
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Staff receive training and development opportunities that equip them with the skills
Personal development plans were not inspected. Walton Hall Page 35
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All staff, including domestic staff and the Head of the school, are properly
accountable and supported. Key Findings and Evidence Standard met? 2 Staff spoke highly about the general level of support they receive from management and various examples were given. It has been agreed that individual supervisions occur but this has yet to start for all staff, partly because the principal childcare officer has left. This should now be undertaken by the senior RCCO.
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All staff, including domestic staff and the Head of the school, are properly
The inspectors were also aware that several staff who undertook childcare duties also had other duties in the school including domestic, catering and teaching roles. This is acceptable but raises issues of supervision. It is important that such staff are kept up to speed with the ethos and practicalities of the caring role and it is not sufficient for them to be peripheral. The inspectors consider them to be an integral part of the care team and would expect them to operate to the same standards even if there were different levels of seniority. To this end, it is recommended they receive regular supervision. The same issue arises regarding attendance at meetings, e.g. care team meetings, and appraisals. Additional duties in a care role must not be separated from formal lines of accountability. Walton Hall Page 36
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The intended outcomes for the following set of standards are:
• Children receive the care and services they need from competent staff. • Children enjoy the stability of efficiently run schools. • The governing body, trustees, local authority, proprietor or other responsible body monitors the welfare of the children in the school.
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The school is organised, managed and staffed in a manner that delivers the best
possible childcare. Key Findings and Evidence Standard met? 3 Each boarding house has a dedicated member of staff responsible for the overall needs of that group of children. There was evidence of good co-ordination of the needs and requirements of each of the houses. Additional staff are provided to support the core residential staff and there was evidence of consistency in this arrangement. The senior childcare officer is currently providing support as acting head of care. There was evidence of routine checks to each house and regular radio contact by the acting head of care. The Head and Deputy head teachers provide evening and over night on call support, staff reported that management support was reliable and positive.
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The school is organised, managed and staffed in a manner that delivers the best
Individual and group staff supervision sessions are held although it is accepted that the system of formal individual supervision needs to be developed. Staff meetings and routine handover meetings were also in place.
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The school is organised, managed and staffed in a manner that delivers the best
All care staff were involved in NVQ training.
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The school is organised, managed and staffed in a manner that delivers the best
Crisis management strategies were not inspected on this occasion.
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must make sure that the operation of the school meets the requirements of these
standards in relation to the day to day running of the school. Key Findings and Evidence Standard met? 3 The inspectors were impressed by the overall presentation of the school and its focus on children’s needs. Management was committed and effective in the vast majority of areas with initiative being taken where necessary. Children and parents raised no major concerns and this is to the credit of all concerned. The board of governors appears to be most active and the inspectors received much useful information from the chairperson who is also the link-governor for boarding.
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must make sure that the operation of the school meets the requirements of these
The financial management of the school is not a primary concern of the inspectors. However, the head teacher demonstrated how the school remains financially viable despite the various financial stringencies it faces including maintaining a large listed building and receiving a low level of central government funding.
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must make sure that the operation of the school meets the requirements of these
Monitoring is improving in several areas (e.g. care plans; health and safety). This will reviewed next time when a new head of care is in post.
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receive a written report on the conduct of the school from a person visiting the school
on their behalf every half term. Key Findings and Evidence Standard met? 3 Representatives of other schools make visits as part of the quality assurance process. Routine local authority inspections are made.
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receive a written report on the conduct of the school from a person visiting the school
The inspector’s recommendation that a governor become involved in overseeing boarding provision has been acted upon; this is good practice. Walton Hall Page 38
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D.1 Head’s comments/confirmation relating to the content and accuracy of the
We would welcome comments on the content of this report relating to the Inspection conducted on 10 January 2005 and any factual inaccuracies:
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D.1 Head’s comments/confirmation relating to the content and accuracy of the
Please limit your comments to one side of A4 if possible
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D.1 Head’s comments/confirmation relating to the content and accuracy of the
A copy of the Providers comments and action plan are available at the Area Office, where these have been submitted. Walton Hall Page 39
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Action taken by the CSCI in response to Head’s comments:
Amendments to the report were necessary NO
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Action taken by the CSCI in response to Head’s comments:
Comments were received from the provider YES
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Action taken by the CSCI in response to Head’s comments:
Head’s comments/factual amendments were incorporated into the final inspection report
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Action taken by the CSCI in response to Head’s comments:
Head’s comments are available on file at the Area Office but have not been incorporated into the final inspection report. The inspector believes the report to be factually accurate
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Note:
In instances where there is a major difference of view between the Inspector and the Head both views will be made available on request to the Area Office.
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are to be addressed and stating a clear timescale for completion. This will be
kept on file and made available on request.
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Status of the Head’s Action Plan at time of publication of the final inspection report:
Action plan was received at the point of publication YES
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Status of the Head’s Action Plan at time of publication of the final inspection report:
Action plan covers all the statutory requirements in a timely fashion YES
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Status of the Head’s Action Plan at time of publication of the final inspection report:
Action plan did not cover all the statutory requirements and required further discussion
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Status of the Head’s Action Plan at time of publication of the final inspection report:
Provider has declined to provide an action plan
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Date
Note: In instance where there is a profound difference of view between the Inspector and the Head both views will be reported. Please attach any extra pages, as applicable.
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Walton Hall / 10 & 11 January 2005
Commission for Social Care Inspection 33 Greycoat Street London SW1P 2QF
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Walton Hall / 10 & 11 January 2005
Telephone: 020 7979 2000 Fax: 020 7979 2111
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Walton Hall / 10 & 11 January 2005
National Enquiry Line: 0845 015 0120 www.csci.org.uk
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Walton Hall / 10 & 11 January 2005
S0000038723.V163068.R01 © This report may only be used in its entirety. Extracts may not be used or reproduced without the express permission of the Commission for Social Care Inspection
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Walton Hall / 10 & 11 January 2005
The paper used in this document is supplied from a sustainable source
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