Inspection on 21/04/08 for The Bungalow

This is the latest available inspection report for this service, carried out on 21st April 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Bungalow 07/12/05

The Bungalow 01/08/05

The Bungalow 09/11/04

The Bungalow 13/04/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Bungalow Beech Lane Normandy Surrey GU3 2JH Lead Inspector Mary Williamson Unannounced Inspection 21st April 2008 10:15 The Bungalow DS0000013581.V361038.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 The Bungalow DS0000013581.V361038.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. The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Bungalow Address Beech Lane Normandy Surrey GU3 2JH 01483 810115 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) manager.burroughs@careuk.com Care UK Community Partnerships Ltd Ms Stella Nwaubani Care Home 5 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 2. Physical disability (PD). The maximum number of service users to be accommodated is 5. Date of last inspection 25th April 2007 Brief Description of the Service: The home is registered to Care UK Partnership Limited and is one of a number of Residential Care Homes administered by the company. The home is registered to accommodate a maximum of five residents, four of whom are aged between thirty-five and sixty-four years and one aged over sixty-five years. The residents have learning and physical disabilities. The home is a detached single story building situated in a quiet road. Local facilities and amenities are close by. The home provides a caring and supportive service to people with profound disabilities and encourages its residents in adult education and independence training within the limitations of their disabilities. The weekly fees for the home are £1700. The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is a two star rating. This means that people who use this service experience a good quality outcome. This was the first site visit of a key inspection and was unannounced. Mary Williamson Regulation Inspector undertook the inspection. The Registered Home Manager Stella Nwaubani was present for the duration of the inspection. It was possible to meet most of the residents and gain some feedback through body language, signs, gestures, and support from staff on what it is like to live in the home. Records relating to the care of the residents and the management of the home were seen. A tour of the premises was undertaken and it was possible to view some resident’s bedrooms on invitation. Lunch was also observed being served to the residents. Individual and group staff discussions took place and staff was able to confirm training they had undertaken and how this is identified and acted upon. The Commission for Social Care Inspection would like to thank the residents and staff team for their help and hospitality during this inspection. What the service does well: The service provides good quality care and support to residents living in the home. Staff encourage residents within their limitations to make choice and decisions about all aspects of their daily living. This is facilitated through signs, gestures, symbols, and body language. The home is bright and cheerful and appropriate for the residents living there. It has been adapted to meet mobility needs. Residents are encouraged to participate in meaningful activities daily and to take part in community events. Family and friendship groups are maintained. The home is well managed by the manager and her deputy with a good line management support system in place. The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 6 Staff training and development is ongoing. The home is run in the best interests of the residents, with health, safety, and welfare of the staff and residents protected and promoted. What has improved since the last inspection? 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. The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 7 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 The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 8 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, 4, and 5. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Appropriate information is available to support residents to make a choice about living in this home. All residents have a needs assessment and contract of occupancy in place. EVIDENCE: The home has a welcome pack in place, which is available to prospective residents and their families when considering coming to live in The Bungalow. This is informative and when used with the support of relatives, care managers and advocates provide prospective residents with some information about the home. All residents have a pre admission needs assessment in place. This is undertaken by the manager to determine if specific needs can be met. Two needs assessments were seen and are extremely detailed and well maintained. Assessments are reviewed after six weeks and amended accordingly. Contracts of occupancy are in place and outline accommodation offered and level of care provided. Residents are unable to sign their contracts, and relatives of care manager will sign on their behalf. The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 9 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, and 9. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Assessed needs and goals are outlined in individual care plans. Total support and encouragement is provided to enable residents to make decisions in their daily lives. Risk assessments are in place. EVIDENCE: Individual care plans are in place and are well maintained. Care plans are written on the basis of the pre admission needs assessment, a full medical assessment, care manager’s referral assessment, information obtained from family and friends and any other relevant information. Care staff are aware of the content of these care plans and carry out personal care accordingly. The manager explained that staff are involved in encouraging residents to make decisions regarding all aspects of their daily lives. She explained even though communications skills are poor facial expressions, body language and sign language are used to support choice, and a grimace or a moaning noise to show their displeasure with a decision. The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 10 House meetings are held to promote choice in menus, group activities, and home routine. Risk assessments are in place for all identified risks. These promote safety and form part of the care plan. The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 11 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, 15, 16, and 17. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents take part in appropriate activities either at home or in the community. Family and friendship links are maintained. Residents receive a well balanced diet. EVIDENCE: Individual plans outline the daily routine and leisure activities for each resident. Some residents like to get up at a specific time and follow their physiotherapy exercise routine; others like to attend an individual day service outside the home. An example of activities include aromatherapy, in house arts, make up, foot spa, supported reading, baking, and a video evening. Residents also visit the pub, go personal and house shopping, visit garden centres, go for individual walks locally, and trips to the coast and places of interest. The home has a communal vehicle, and all the residents have their own car. Residents had a holiday in Cornwall last year and plan to go to Blackpool this year. The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 12 Family links are maintained and visitors are welcome in the home at any reasonable time. Some comments from relatives in feedback forms include “very impresses with the care” “very satisfied with our daughters care” “my son is always happy”. A resident can go home in his car as this has got wheelchair access. Relatives are involved in care reviews, and care planning. Staff observe residents rights and promote privacy and independence whenever possible. The staff stated that there is a house meeting every Thursday to discuss the menus for the following week. Photographs of food and symbols are user to help residents choose meals. There is also a visual guide available to promote healthy eating and a well balanced diet. A dietician is also available to monitor best practice. Residents take it in turn to shop for food, and are included as much as possible in the preparation of this. Sensitive support is provided for residents who require help with feeding. The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 13 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, and 20. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents receive personal care as agreed and outlined in individual care plans. Appropriate arrangements are in place to meet the health care needs of the residents and they are also protected by the homes medication administration policy. EVIDENCE: Agreed care procedures are undertaken in a sensitive manner as outlined in individual care plans. Good systems are in place to meet the health care needs of the residents. All the residents are registered with a local GP. They can visit the surgery or have home visits depending on the nature of their illness. Residents also have a yearly medical check up. There is also access to a dental clinic in Guildford, a chiropody clinic when required, and the optician visits the home yearly. The physiotherapist, and district nurse visit on request. The home has a medication administration policy in place, which protects the residents living there. All staff undertake training in this policy to promote best practice. Due to capacity residents are unable to self medicate. The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 14 Medication recording charts were seen and are well maintained. Boots the chemist provide all the medication for the home, undertake audit trails and provide training for staff. The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 15 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, and 23. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The complaints procedure and the safeguarding procedures protect residents living in the home. EVIDENCE: There is a complaints procedure in place, which is also included in the welcome pack. Residents would have to depend on relatives, care managers or key workers to make a complaint on their behalf. There have been no complaints since the last inspection. The home has an abuse awareness procedure in place and all staff undertake mandatory training in this procedure yearly. During a discussion with staff they were familiar with the safeguarding procedures and felt confident that any suspicion of abuse would be managed professionally and in a timely fashion. The manager has undertaken local authority training on safeguarding procedures. The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 16 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, 26, 29, and 30. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, hygienic and safe environment that is suitable for its stated purpose. EVIDENCE: The home is situated in a quite residential area and is in keeping with the local community. The environment is bright, airy, comfortable, and well-maintained, which meets the individual and collective needs of the residents. Improvements are ongoing and there are plans to extend the lounge into the conservatory to promote space. Individual bedrooms are well-decorated and furnished according to resident’s needs and choice. Key workers maintain bedrooms and personalise them to reflect individual hobbies and interests. The home has been adapted to meet the mobility needs of residents. Individual hoists are in place, an assisted bathroom, adapted toilet seats, a The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 17 shower trolley, grab rails and standing frames are available to aid mobility. There is a ramp in place to access the garden. The home is clean and hygienic and free from odour. The laundry is well equipped and suitable for the needs of the home. The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 18 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, and 35. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The ratio, and competence of care staff to residents is sufficient to meet their assessed needs. Recruitment procedures protect the residents. EVIDENCE: The staff duty rota was seen and the number of staff on duty both during the day and at night is sufficient to meet the residents assessed needs and enable them to follow an appropriate leisure activity plan. Staff training and development is ongoing. All staff receive a structured induction-training programme within six weeks of appointment. All staff have an individual training and development profile, which are regularly monitored and updated. NVQ training is in place and currently two staff are undertaking NVQ level 2, with several more staff having achieved this award at level 2 and 3. The recruitment practice in the home was explored. Staff employment files were seen and are well maintained. These include all the required employment documentation, which protect the residents living in the home. The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 19 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, and 42. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well managed home that is run in their best interests. Health, safety, and welfare is promoted. EVIDENCE: The home is well managed by an experienced manager who has been in post for several years. She also has a Registered Managers Award (RMA). There is a good line manager structure with support from the service manager, and the deputy manager, who takes charge of the home in the absence of the home manager. Systems are in place to monitor quality assurance. Feedback is actively sought from residents, relatives, and other visiting professionals. An occupational therapist stated that staff are always helpful. A doctor said that staff are The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 20 competent and helpful. Relatives comments “ My son gets the best of care”, “I am very impressed with the care”, “my son is always happy”. Regulation 26 visits are undertaken every month to monitor progress, and medication audits, health and safety audits, and care reviews take place frequently. Health, safety, and welfare of the residents are promoted and protected. All staff undertake mandatory health and safety training, which is repeated yearly. Fire safety is observed and fire alarms are tested weekly. There is a contract in place for the maintenance of fire fighting equipment. Risk assessments are in place for all identified risks and safe working practice. The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 21 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 3 3 X 4 3 5 3 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 3 25 X 26 3 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 22 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. Refer to Standard Good Practice Recommendations The Bungalow DS0000013581.V361038.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 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