Inspection on 12/07/05 for Bungalow, The

This inspection was carried out on 12th July 2005.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bungalow, The 16/01/07

Bungalow, The 24/11/05

Bungalow, The 27/09/04

Bungalow, The 15/04/04

Bungalow, The 08/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 The Bungalow 35 Grosvenor Avenue Crosby Liverpool L23 0SB Lead Inspector Janet Marshall Unannounced 12th July 2005 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 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 Stationary 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 F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Bungalow Address 35 Grosvenor Avenue Crosby Liverpool L23 0SB 0151 928 8318 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) North West Community Services (GM) Ltd Mr Thomas Robson Ritchie PC - Care Home Only 3 Category(ies) of LD - Learning Disability - 3 registration, with number of places The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 3 LD. 2. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the CSCI. Date of last inspection 27th September 2004 Brief Description of the Service: 35 Grosvenor Avenue is a detached bungalow located in a residential area of Crosby. It is situated close to local amenities and all forms of public transport.The home is registered to provide care and support for three people who have a learning disability. There are currently two men in residence. The service provider for the home is North West Community Services. The organisation has other similar homes in the North West region.The house is owned and maintained by LHT a local housing association. The aim of the home is to provide an ordinary lifestyle for the people who choose to live there and to respect their rights and choices. The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspection visits are required at the home each year, this was the first. There has been no cause for any visits to the home since the last routine inspection in March 2005. This was an unannounced inspection, which took place over four hours. The requirements and recommendations from the last inspection report were discussed and checked with a member of staff. All of these have been met. A partial tour of the home was conducted. Care records and other required records were inspected. Records that were examined included residents care plans, daily diaries, medical notes, medication sheets, staff rotas and records of health and safety checks. Two members of staff were on duty and there were two residents at home at the time of the visit, the report takes account of their views, which were obtained throughout the inspection. The care of one resident was ‘case tracked’. Case tracking means that the inspector concentrates on the care given and experiences of one or more residents to ensure that the persons needs are recorded in their care plan and are being met. The bedroom of the resident case tracked and communal areas were also examined. What the service does well: What has improved since the last inspection? Redecoration, repairs and replacement of carpets in the home have taken place in the home since the last inspection. These improvements have The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 Page 6 contributed to making the home more comfortable and attractive for those residents who live there. Care plans and other records kept in the home have been relocated making them more accessible. 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 Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 & 2 A good information pack is available at the home so that existing and prospective residents have the information about the home, however the documents are written in a language which one resident finds difficult to understand. Assessments were available for existing residents, which show that the home is meeting their assessed needs. EVIDENCE: There have been no new residents admitted to the home since the last inspection. The two men who live at the home have done for a number of years. There is one vacant room at the home a member of staff confirmed that there are no immediate plans to admit a new resident. A Statement of Purpose and Service User Guide were available at the front entrance of the home. The documents included good information for prospective residents about the home, the information is also useful for existing residents as it clearly describes service facilities available at the home, relevant policies and procedures and information about the staff and the organisation. Both residents files contained a copy of the homes Statement of Purpose and Service User Guide. The information was well presented in large clear print with pictures to support the written information. The resident spoken with was showed the information, he confirmed that he new about the information pack and were it is kept, he struggled to read some of the The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 Page 9 document requesting confirmation of the meaning of some of the wording, this could be improved by providing the information in Plainer English. Assessment information for both residents were examined in detail, the information shows that the home is meeting their assessed needs. The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9 & 10 Care plans for the residents are well written, they include a good level of information, which ensure that needs are met. Residents care plans reflect they are encouraged to take responsible risks in their lives, these are reviewed regularly to be safe and effective. Information about residents was stored securely to ensure that their confidences are kept. EVIDENCE: An Essential Lifestyle Plan was available for each resident. The plans include a great deal of information about individuals abilities, routines, likes and dislikes and provide good information which is very useful for developing residents care plans. The resident who was case tracked confirmed that he was fully involved in the development of his ELP. A care plan was viewed for each of the residents. They were well presented and very well written. Staff support residents through their care plans to develop skills and strengths in areas they need support in to enable staff to meet each persons needs. Both care plans have been reviewed and updated since the last inspection. The plans show that resident’s needs are being met and that changing needs are being identified and recorded. The care plan of one resident who was ‘case tracked’ matched the information gathered from The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 Page 11 him during discussion. The resident told the inspector that he enjoys helping in the kitchen. The resident made it clear that the staff encourage and support him to do the things that he enjoys doing. Risk assessments were viewed for both residents, they have been reviewed and updated since the last inspection ensuring that residents continue to take responsible risks in all aspects of their lives. Care plans and other records about residents were kept securely in the office. The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15 & 17 Residents take part in a variety of activities both at home and in the local community, which are appropriate to their needs and wishes. Relationships are encouraged so that residents maintain contact with family and friends. Residents are encouraged to shop and prepare food that is healthy and enjoyable. Special dietary requirements for one resident are well met to ensure his safety and wellbeing. EVIDENCE: Records and discussion with one resident showed that staff provide many opportunities for residents to take part in activities of their choice. The resident spoken with said that staff help him to go shopping for personal items as well as things for the home. He also said that he takes part in a variety of activities both at home and in the local community including regular bus trips to Southport, Blackpool and other destinations. Daily diaries and timetables viewed for both resident’s showed that they are involved in a varied programme of activities, one resident attends college during the week. Certificates of achievements obtained by him were observed. The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 Page 13 Another resident is supported in the home and in the community, records and discussion with staff showed that they are appropriately supporting him to seek a regular college place following a period of time out from training and education due to illness. There was plenty of fresh, tinned and frozen foods kept at the home. The resident spoken with said that he helps to shop for food. The resident described the food that he likes and dislikes, this information was reflected in his care plan. The food eaten by residents is recorded in their individual daily diaries. Records and discussion showed that staff are appropriately trained in dealing with the process and equipment for one resident who is unable to eat by mouth. The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 & 20 Resident’s health care is well recorded and monitored to ensure that their health care needs are met. Medication was stored appropriately and records were well kept to ensure the protection of residents. EVIDENCE: Records showed that the health care needs of residents were recorded in good detail. Records about resident’s healthcare were well kept and up to date. The resident spoken with said that staff help him to attend regular healthcare appointments. All medication is administered by staff. Medication was in date and stored in a locked cabinet in the office. A new medication cabinet has been provided since the last inspection. Items of unused or unwanted medication are returned to the pharmacist a record of this was kept at the home. The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 A Resident was confident that his concerns were listened to and acted upon, however, this was negated by records of the complaint not being available to show that it was dealt with appropriately. A clear complaints procedure was available so that residents can use it. Safeguards were in place to protect the people living in the home from abuse. EVIDENCE: A resident spoken with said that he recently made a complaint to the manager about a member of staff and was satisfied with the way that it was dealt with stating that his concerns were listened to and taken seriously by the manager. He said that he was confident about raising his concern and would again in the future if he had to. There was no record of the complaint made by the resident. A record of the complaint made, details of any investigation, action taken and outcome must be kept at the home to show that it was dealt with appropriately. The homes complaints procedure was available in large clear print and in picture format. Copies of the procedure were available in the homes information pack, the staff handbook and in each of the resident’s files. The resident said that he knows were to find the complaints procedure if he needs it. A number of policies and procedures were in place to protect the safety, health and welfare of residents including a copy of Seftons Local Authority Protection of Vulnerable Adults Procedure (POVA), which clearly describes what action, must be taken in response to suspicion or evidence of abuse. Staff spoken with showed a good awareness of the different types of abuse and their responsibility to protect vulnerable adults. The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25 & 30 The home has been decorated, repairs carried out and new items bought for the home making it more comfortable for residents. Policies and procedures were in place to ensure that a high standard of cleanliness and hygiene is maintained. EVIDENCE: A full tour of the home was carried out. All areas of the house were clean, tidy and well maintained. A lot of work has been carried out at the home over the past twelve months making it more comfortable for residents. The dining room, hall and residents bedrooms have been decorated since the last inspection. Carpets have also been replaced around the home including those in residents bedrooms and the furniture in one residents bedroom has been repaired. Another resident has a new bed and the furniture in his room has been rearranged to provide him with more space. One resident spoken with said that he was involved in selecting carpets and colour schemes. He said that he is very happy with the improvements that have been made around the home. Photographs and other personal items were displayed around the home making it look and feel more homely. The staff handbook contained a number of policies and procedures relating to cleanliness and hygiene. A member of The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 Page 17 staff showed awareness of the importance of maintaining a clean and hygienic environment for the people who live there. The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staff have completed the required training, which enables them to meet the needs of residents. EVIDENCE: Staff rotas showed that sufficient numbers of staff are on duty at all times. There is usually two staff on duty at all times during the waking day. One waking staff is on duty at night. A resident said that he likes the manager and staff and that they are very helpful and good at their jobs. This also showed in the quality of care plans and other records kept at the home. Staff records were not available because the manager who is the only person that has a key locked them away, this is to protect staff confidentiality. A member of staff spoken with confirmed that he has completed most of the training that is required as well as training that is specific to the needs of the residents. The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39, 41 & 42 The manager of the home is positive, approachable and inclusive benefiting both residents and staff. Processes within the home are carried out to ensure that resident’s views are listened to and acted upon. The commission are not receiving monthly quality audit reports to ensure resident’s views about the home are important. Policies and procedures were in place to protect the health, safety and welfare of the residents and staff. Some information in residents care files was not signed or dated to show that the information is up to date. EVIDENCE: Staff and residents said that the manager is very approachable. Staff also described him as positive and inclusive, saying that he is supportive of both residents and staff. The home has produced a questionnaire about the service for residents and their families to complete. Several completed questionnaires were seen they The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 Page 20 showed that residents are happy with all aspects of the home. A resident said that he is very happy with all aspects of the home. A member of staff said that a representative of the company is carrying out monthly visits to the home. These visits must be carried out by law so that the person who represents the company can make sure that the service is running well and in the best interests of the residents. A report about the visit must be written, a copy must be left at the home and a copy sent to the Commission. The last report sent to the commission was in February 2004. The reports must be sent to commission each month. A member of staff said that he has completed health and safety training. Certificates were not available to support this because they were locked away with other staff details. A detailed health and safety manual was available at the home. The manual included certificates of safety checks and details of tests carried out on the environment, they were all well kept and up to date. All the required health and safety policies and procedures were available in the homes handbook. Most records kept at the home are very well maintained and easily accessible to everybody, however some information in residents care files was not signed or dated this must be done to show that the information is up to date and relevant. The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x x x Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Bungalow Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x 2 3 x F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 Page 22 no 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. 1. Standard YA22 Regulation 22(3) Requirement The manager must ensure that a record of complaints made by residents is kept detailing any investigation, action taken and outcome. The manager should ensure that records about residents are signed and dated to show that they are up to date. Timescale for action 31/09/05 2. YA41 17(3)(a) 31/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA1 Good Practice Recommendations The manager should make the homes Statement of Purpose & Service user Guide more accessible to residents. The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Burlington House, 2nd Floor, South Wing Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 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. Extracts may not be used or reproduced without the express permission of CSCI The Bungalow F53 F03 The Bungalow S5434 V239543 12.07.05 Stage 4.doc Version 1.40 Page 24 - 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. 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