Inspection on 06/07/09 for The Bungalow Residential Home

This is the latest available inspection report for this service, carried out on 6th July 2009.

CQC found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Bungalow Residential Home 23/08/06

The Bungalow Residential Home 05/10/05

The Bungalow Residential Home 21/04/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Key inspection report Care homes for older people Name: Address: The Bungalow Residential Home 54 Mossfield Road Farnworth Bolton Lancashire BL4 0AB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Rukhsana Yates     Date: 0 6 0 7 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 21 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 21 Information about the care home Name of care home: Address: The Bungalow Residential Home 54 Mossfield Road Farnworth Bolton Lancashire BL4 0AB 01204794172 F/P01204794172 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Margaret Lowe care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 18 Date of last inspection Brief description of the care home The Bungalow is a privately owned care home providing personal care and accommodation for up to 18 older people. The home is situated in the Farnworth area of Bolton and is within relatively easy reach of shops, pubs, bus routes and other amenities. A park is situated across the road from the home. The home is a single storey building, surrounded by attractive gardens. All bedrooms are single. The fees at the time of this inspection were £386 per week. (Information supplied by the home during the inspection) 0 Over 65 18 Care Homes for Older People Page 4 of 21 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection, which included a site visit that the home did not know was going to take place, was carried out over one day. The inspection prior to this was completed on 26 July 2007. The process of this key inspection included observing what went on in the home, talking to people living there, staff and the manager and owner of the home, looking round the home, and examining some important records. Before the inspection, we also asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This helps us to determine if the management of the home see the service they provide the same way that we see the service. We felt this form was completed with basic details only. Care Homes for Older People Page 5 of 21 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 6 of 21 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 7 of 21 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured that they will have their needs assessed before moving in to the home. People would benefit from having full information about the service in a suitable format to help them make an informed choice about moving to the home. Evidence: The home has a statement of purpose and service user guide describing the services and facilities. The service user guide needs to be reviewed and revised so that it is in a format that is easy to understand and accessible for people living at the home. Records showed that the admission process works well. Before people are admitted to the home the manager carries out an assessment of needs in consultation with the person, their relatives and relevant health professionals. The assessment covers a range of areas including nutrition, mobility, physical and mental health and risk, enabling all parties to ensure that a placement at the home would be suitable before a decision is made. People are welcome to visit the home at any reasonable time to Care Homes for Older People Page 8 of 21 Evidence: have a look around. Placements are usually formally reviewed around 6 weeks after admission. The file of a one person who had recently moved to the home was looked at. It showed that a pre-admission assessment had been carried out by the manager and was supplemented by an assessment conducted by Social Services. Care Homes for Older People Page 9 of 21 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their personal care and health care needs met, and feel that they are treated with dignity and respect. Evidence: The care records of three people were inspected. These contained care plans that contained a range of topics including personal safety, medication, skin condition, mental state, social interests diet, communication and mobility. General and specific risk assessments were in place and there was clear evidence of actions being taken to minimise risks and promote wellbeing. It was evident that people are enabled to access the services of opticians, chiropodists, dentists, district nurses and other specialist services as needed. The practices for the receipt, recording, storage, handling, administration and disposal of medicines were appropriate and safe. The homes written policies regarding medication procedures need to be reviewed and revised so that they provide current and relevant guidelines to staff in this area. Discussion with people living at the home, and observations during the visit confirmed Care Homes for Older People Page 10 of 21 Evidence: that people were treated with respect and that their right to privacy was upheld. Comments made included; It is very nice here. The staff are good and the atmosphere is easy going. A relative told us, I cant fault it and can speak for all my family. My mother has actually improved. People are so nice and welcoming when we come in. Discussion with relatives on the day of inspection indicated that they are kept informed of all changes in their relatives health. Care Homes for Older People Page 11 of 21 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from choices to enable them to exercise day to day control over their lives, receive visitors, and enjoy the food of their choice. Evidence: Discussion with people living at the home, and observations made on the day of the inspection visit, confirmed that the routines of daily life in the home are generally as flexible as possible. People were enabled to choose what time they get up and go to bed, and staff inform and consult them, as far as possible, about the care and support they need, enabling people to retain as much control over their life as possible. In terms of social and leisure provision, people told us that they have been on outings, and enjoy some of the activities such as pampering, listening to music and watching films. They said that staff are busy but they try to make time to sit and chat. People wishing to maintain their religious links are enabled to do so, with regular services and communion taking place in the home. The home has an open visiting policy. There are no unreasonable restrictions on the time people visit. People said their relatives are always made welcome at the home and were able to see their relatives in the privacy of their own rooms. Care Homes for Older People Page 12 of 21 Evidence: Meals are cooked on site in the homes kitchen. Menus are varied, balanced and provided choice. Meals are served in a pleasant dining room, or in the persons own room if that is their choice. Special diets were catered for, and the cook clearly had a good knowledge of individual likes and dislikes. Each person consulted was happy with the meals provided. Care Homes for Older People Page 13 of 21 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident that issues they raise are listened to and taken seriously, and feel safely supported by considerate staff. Evidence: The service has a complaints procedure that is included in the service user guide. People spoken to on the day of inspection said they have confidence in the manager to listen to them, to take their complaints seriously and that issues brought to her attention are responded to. There have been no formal complaints made since the last inspection. Policies and practices aimed at protecting residents from abuse are in place, and Boltons inter-agency safeguarding procedure is held on site. Staff spoken to were able to show that they understood the procedures, and the circumstances in which they should report observations of poor practice. Training records showed that staff have received in-house training in this area and the manager was aiming to access safeguarding training provided by the Local Authority. People living at the home said they felt comfortable and safe, describing the staff as very good and caring. Care Homes for Older People Page 14 of 21 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a comfortable and clean environment. Evidence: A tour of the premises revealed that the home was very clean and free of adverse odours. The lounges and dining room provide appropriate, comfortable and warm communal areas for people living at the home. There was evidence of on-going refurbishment, and people we spoke with said they had no complaints about comfort or cleanliness. The bedrooms we looked at were clean, warm, suitably ventilated, personalised, comfortable and appropriately furnished and equipped. A programme of maintenance and refurbishment has been developed and implemented. People are encouraged to bring personal items into the home to personalise their rooms. Appropriate measures to prevent the spread of infection were in place including adequate hand washing facilities, laundry and sluicing arrangements, provision of disposable gloves and aprons for staff, adequate provision of house keeping staff and appropriate arrangements for the disposal of waste. Care Homes for Older People Page 15 of 21 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are supported by a stable and suitably trained staff team. Evidence: Observations made during the visit, and inspection of staffing rotas, incated that staffing levels were suitable for meeting the needs of people living at the home. People we spoke with were complimentary about the staff and felt that their care needs were understood and met. In addition to care staff, housekeeping, catering and ancillary staff are employed at the home. Staff files showed that the recruitment procedure was safe, although some record keeping needed to be improved. Files contained an application form including a health declaration, two references, a Criminal Records Bureau check including a POVA first check, and proof of identity. The manager addressed shortfalls identified during the inspection visit relating to interview notes following a staff disclosure, and gaps in employment history. There is a commitment to NVQ (National Vocational Qualifications), with all care staff having at least an NVQ 2 in care, and having been trained in moving and handling, fire safety, first aid, protection of vulnerable adults and the Mental Capacity Act. A review of staff training is conducted as part of the regular individual staff appraisal supervision conducted by the registered manager. Care Homes for Older People Page 16 of 21 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a committment to further improving the service, and people feel that the home is managed in a way that takes account of their best interests. Evidence: The registered manager is experienced, has achieved the NVQ Level 4 in care and management and has completed the registered managers award. People living at the home, their relatives and staff told us that the manager operates a management style that is open and accessible. The home was well organised with a clear management structure. Senior carers and a team of care staff support the manager. There is also administrative, maintenance, catering and domestic staff The manager has developed a quality assurance system to monitor the level of satisfaction with the care and facilities provided. She is intending to develop and share the findings with people at the home and their representatives to show how their views underpin plans for further improvement. She intends to further develop the quality assurance system to incorporate the views of visiting doctors, nurses, social Care Homes for Older People Page 17 of 21 Evidence: workers and others who regularly come to the home, and to develop her own checks to ensure practices in the home are of as a high a standard as possible. Measures were in place to ensure that peoples financial interests are safeguarded. Where possible people are encouraged to control their own money. However where they are unable, or choose not to, personal allowances are managed by the home. The arrangements for this were secure and appropriately documented. The health, safety and welfare of people living at the home and others are promoted and protected. For example staff are provided with regular training and appropriate equipment to ensure individual moving and handling needs are met. An example of this would be for a person who needs to be safely moved with the aid of a hoist. Fire safety training is regularly provided. Information provided by the home indicates that electrical safety inspections servicing and gas safety checks were up to date. Care Homes for Older People Page 18 of 21 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 19 of 21 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 1 5 The service user guide must be made available in a suitable format. This will ensure that people find the information accessible and easy to understand. 06/11/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 9 Medication policies and procedures should be updated so that they provide current and relevant guidelines to staff and ensure safe practice in this area at all times. Care Homes for Older People Page 20 of 21 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 21 of 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!