Inspection on 16/08/05 for Bungalow (The)

This inspection was carried out on 16th August 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bungalow (The) 21/09/06

Bungalow (The) 20/12/05

Bungalow (The) 28/10/04

Bungalow (The) 13/05/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 The Bungalow 325 Larkshall Road Chingford London E4 9HW Lead Inspector Rob Cole Unannounced Inspection 16 August 2005 at 10:00am th 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 G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Bungalow Address 325 Larkshall Road, Chingford, London, E4 9HW 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) 020 8523 3264 MCCH Society Limited Rita Naana Asamoah Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Bungalow G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 28th October 2004 Brief Description of the Service: 325 Larkshall Road, also known as The Bungalow, is registered to provide accommodation and personal care to six adults with learning disabilities. The home is operated by MCCH Society Ltd, a not for profit organisation which operates a number of residential homes in London and the South East. The home was purpose built and provides single room accommodation, with shared communal space and bathrooms. The building is situated in the Chingford area of the London Borough of Waltham Forest, and is close to local amenities and transport links. The Bungalow G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 16/8/05 and was unannounced. The inspector had the opportunity of speaking with service users, staff and the homes manager was present throughout the inspection. Overall the inspector believes The Bungalow to be a well run home, and that service users receive high levels of care and support. There are a number of issues that need to be addressed, and these are highlighted with the report. What the service does well: What has improved since the last inspection? What they could do better: Despite some improvements, there are still areas in need of attention. The inspector was disappointed to note that one of the bedrooms has a strong offensive odour, as it did at the last inspection. The home must ensure that regular staff supervisions take place, as well as monthly Regulation 26 visits. Further, arrangements must be made for service users to access day services as appropriate. The Bungalow G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 6 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 G56 G06 S7272 The Bungalow V245134 160805 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 G56 G06 S7272 The Bungalow V245134 160805 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) 1,3,4 and 5 The inspector was satisfied that service users are provided with sufficient information to enable them to make an informed choice about the home. The information is provided through written documentation and the opportunity of visiting the home. EVIDENCE: The home has both a Service User Guide and a Statement of Purpose. Each service user has their own copy of the Service User Guide, which is in written and pictorial form. The Guide includes information on fees payable, what they cover and what is extra, a complaints procedure and details of the manager and their qualifications and experience. The Statement of Purpose covers the aims and objectives of the home, details of the organisational structure and the criteria for admission. The home has developed a written contract/statement of terms and conditions for all service users. Service users have their own copy, as does the home. The contracts cover fees charged, what they cover, what is extra, the rights and responsibilities of each party and the facilities and services provided by the home. The inspector was informed by the manager that service users and their families where involved in drawing up the contract. The contracts have been signed by both the service user or their representative were appropriate, and by the homes manager. The inspector was informed that service users, and their representatives as appropriate, are able to visit the home prior to making a decision as to move in The Bungalow G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 9 or not, including for overnight stays. All service users are initially admitted on a three month trial basis, before making a final decision. The home has an admissions procedure, which is in line with the information provided by the homes manager. There have been no new admissions to the home since the last inspection The Bungalow G56 G06 S7272 The Bungalow V245134 160805 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) 6,7,8,9 and 10 The inspector was generally satisfied that service users have as much control over their daily lives as possible. Service users were observed to make choices for themselves. Risk assessments and care plans are of a good standard, although the home must ensure that care plans are regularly reviewed. EVIDENCE: All service users have care plans in place. These are drawn up with the involvement of the service user, their keyworker, and the homes manager. Plans cover medication, health and personal development. For example there are plans in place around developing independent living skills such as food preparation and road safety. The manager informed the inspector that all service users should have a care review meeting at least once every six months, yet this has not been the case for all service users, for instance the last care review meeting for one service user took place in March 2004, this must be addressed. All service users have a risk assessment in place, and these have been regularly reviewed. Risk assessments were clearly set out, and included strategies for minimising and reducing risks as well as setting out what the risks are. Assessments included risks associated with accessing the community, holidays and medication. Some service users exhibit challenging behaviours on occasions, and clear individual guidelines were in place around The Bungalow G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 11 managing this behaviour, and all staff have received training in working with challenging behaviour. From observation and discussion there was evidence that service users have a large measure of control over their daily lives. Service users were able to get up as they chose, and able to move freely around the house and gardens. One service user has had the sink in their bedroom disconnected from the water supply, and this was recorded in their care plan, along with the reasons why. Service users were observed to be regularly consulted on an ad hoc basis, for example on the day of inspection service users were consulted over the proposed social activities for the day. More formal arrangements are also in place to seek service users views, for instance the home holds regular service user meetings. These are minuted, and evidenced discussions on menus, activities and holidays. Some of the bedrooms have been decorated since the last inspection, and service users were able to choose the colour scheme for their own bedrooms. The home has a policy in place on confidentiality, which makes it clear that on occasions a confidence may have to be broken in the health, safety and welfare interests of service users and others. The home stores confidential records in locked filing cabinets within the office, and staff and service users have access to these records as appropriate. The Bungalow G56 G06 S7272 The Bungalow V245134 160805 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) 11,12,13,14,15,16 and 17 The inspector was generally satisfied that service users are supported to live valued and fulfilling lives, with access to appropriate educational and leisure activities. However, the home must ensure that all service users have access to day services as appropriate. EVIDENCE: Service users are involved in a variety of programmes to promote their daily living and independence skills, such as road safety, personal care, laundry and food preparation. Service users have the opportunity to develop social and emotional skills through their access to the community and day services. No service users are currently involved with any formal educational opportunities, although one service user has paid employment delivering papers and leaflets in the local community. Service users have regular access to the community, visiting shops, cafes and banks. Service users use local transport networks, including buses and trains, while two service users have their own vehicles which they use to access the community. Five of the current six service users are involved in day services, which support service users with developing independence skills and visits to places of interests. At the last inspection it The Bungalow G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 13 was identified that the other service user would benefit from access to day services, the manager again informed the inspector at this inspector that they still believed this to be the case. However, the inspector was disappointed to note that no progress has been made in this area, and the service user is still denied this opportunity, and this must be addressed. Service users have access to a variety of social and leisure activities, both in house and in the community. In house service users have access to TV, videos, music, puzzles and games, BBQ’s and the home organises parties to celebrate special occasions. In the community service users attend the cinema, bowling, restaurants and the gym. Service users are supported to go on day trips, they have recently been to the zoo and to Southend, and on the day of inspection several service users went for a day trip on a canal barge. Service users are offered an annual holiday as part of their basic contract price, this year they have had holidays to Clacton and the Lake District, and further holidays are planned for Devon later in the year. Service users are regular visitors to their families and friends, and often go for overnight stays. The home has a quiet room which visitors are able to use, as well as seeing service users in their bedrooms. Service users are also able to maintain contact by phone. Staff were observed to knock and wait before entering service users bedrooms, and care plans indicated that service users are encouraged to do as much of their personal care as possible. Staff were seen to interact with service users in a friendly and respectful manner. All service users have been offered keys to their bedrooms, and are given their own mail to open. At times during the inspection service users were observed to want to be alone, and this was respected by staff. Service users are able to plan their menus through weekly house meetings. Records are maintained of menus, and these indicated that service users are offered a varied, balanced and nutritious diet, and are offered a choice of meals. One service user eats only Halal meat, and records evidenced that this is maintained. Service users are involved in food preparation, and on the day of inspection were observed to help themselves to drinks and snacks. Records are maintained of fridge and freezer temperatures. The kitchen was clean and tidy, and food was stored appropriately. However, on the day of inspection the lunch for service users was prepared by a student nurse who was on placement at the home. The inspector observed that they were not working in line with good practice with regard to food hygiene, and the student nurse confirmed that they have not had any food hygiene training. It was noted that at the time there were three permanent staff in the home, all of whom had received food hygiene training. It is required that service user’s food is only prepared by staff who have received appropriate food hygiene training. The Bungalow G56 G06 S7272 The Bungalow V245134 160805 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) 18,19,20 and 21 The inspector was satisfied that the home is able to meet the personal and health care needs of service users. Service users have access to health care professionals as appropriate, and are supported to manager their own personal care as much as possible. EVIDENCE: All service users are registered with a local GP. Records are maintained of medical appointments, including any follow up action required. These records evidenced that service users have access to health care professionals, including psychiatrists, physiotherapists and chiropodists, and since the last inspection all service users now have access to eye care. The Continence Advisory Service provides continence products and advice to the home. Used continence products are stored in the garden for collection, however, to help prevent the spread of infection, and promote service users dignity, used continence products must be stored in a container with a lid on. The home has a comprehensive medication policy in place. All staff receive training in medications before they are able to administer it. Records are maintained of those medications entering the home and those that are returned to the pharmacist. Medications were stored securely within a locked cabinet, in a designated and locked medication room, and in a locked container in the fridge as appropriate. Medication Administration Record charts are The Bungalow G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 15 maintained, those examined by the inspector appeared to be up to date and accurate. Clear guidelines were in place around the administration of medications prescribed on a PRN basis. Care plans indicated that service users are encouraged to manage their own personal care as much as possible. Service users informed the inspector that they are able to get up and go to bed as they wish, and are able to choose their own clothes to wear. On the day of inspection all service users were appropriately dressed. All service users have an allocated keyworker, the manager informed the inspector that service users are involved in choosing their keyworker. The home has a policy on death and dying, and the manager informed the inspector that service users would be able to stay in the home if they had a terminal illness, as long as the home could meet their medical needs. The home has sought the views of service users on the arrangements to be made in the event of their death, and these have been recorded. Were appropriate, relatives have also been involved in this process. The Bungalow G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 16 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) None These standards were not tested on this occasion, but will be tested as part of the next inspection. EVIDENCE: These standards were not tested on this occasion, but will be tested as part of the next inspection. The Bungalow G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 17 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) 24,25,26,27,28,29 and 30 It is the view of the inspector that the home’s environment is suitable to meet its stated purpose. Service users are provided with adequate communal and private space, and the home is generally well maintained both internally and externally. However, the issue of the odour in one of the bedrooms must be addressed. EVIDENCE: The home is situated in the Chingford area of the London Borough of Waltham Forest, close to shops, transport links and other local amenities. The home is purpose built over one floor, and all areas are accessible to service users. The home has shared space adequate to meet the needs of service users, consisting of a lounge, dining area, quiet room, two bathrooms, kitchen and secure garden. The manager informed the inspector that it is planned that the quiet room will be converted into a sensory room for service users. Service users were observed to move freely around the communal area and garden. The kitchen has recently been refurbished. The garden has appropriate garden furniture. The carpet in the sitting room was badly stained, and must be cleaned or replaced. The home has one bathroom/toilet, and one shower room/toilet. Both the bath and shower have been adapted to make them The Bungalow G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 18 accessible to all service users. Bathrooms were clean, tidy and free from offensive odours on the day of inspection. Bathrooms all had working locks fitted with an emergency override device. All service users have their own bedrooms. Bedrooms had adequate natural light and ventilation, and all bedrooms have a hand basin in them. Rooms are decorated to service users personal tastes, for example with family photographs, music systems and televisions. Rooms had adequate furniture, including chest of draws, wardrobes and chairs. Since the last inspection service users now have new chairs in their bedrooms. One bedroom had a strong offensive odour, and this must be addressed as a matter of priority, and is a repeat requirement. Bedrooms meet National Minimum Standards on size requirements. The home was purpose built, and has wide corridors and doorframes to allow access for people using wheelchairs. Both the bath and shower have been adapted to allow access to all service users, and there are handrails provided by the toilets. One service user has a hydraulic hoist, and there was evidence that this is regularly serviced. The home has an infection control policy, and protective clothing such as latex gloves where provided to decrease the risk of the spread of infection. The home has appropriate laundry facilities, and hand washing facilities are provided close to the laundry facilities and throughout the home. The Bungalow G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 19 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) 32,33,34,35 and 36 It is the judgement of the inspector that the home has sufficient staff to meet the needs of service users, and that staff receive training appropriate to their job. However, the home must tighten up its recruitment procedures, to ensure all necessary checks are carried out. EVIDENCE: The home provides 24-hour support including a waking night staff and emergency on-call procedure. The inspector was satisfied that the home was staffed in sufficient numbers to meet service users needs. There was a staffing rota on display within the home, and this accurately reflected the staffing situation on the day of inspection. However, the rota did not indicate who was in charge of the home at any given time, and this must be addressed. The home has policies in place on equal opportunities and recruitment and selection. The inspector was pleased to note that service users are involved in the recruitment of staff to the home. Several staff employment files were checked, there was evidence that since the last inspection the home now carries out CRB checks for all staff, and there was also evidence of checks on passports and birth certificates. However, there was no evidence that the home had taken up references for several staff, nor was there always a full The Bungalow G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 20 written record of staff’s employment history, including any gaps in employment. This must be addressed. All staff receive a structured induction programme, which includes care planning and health and safety issues. There is an on-going training programme for staff, and records indicated that staff have recently received training in challenging behaviour, adult protection, person centred planning, manual handling and epilepsy. Of the ten care staff employed at the home five either have or are currently working towards NVQ’s in care. The manager informed the inspector that it s planned that all care staff will be given the opportunity of completing a relevant care qualification. Staff receive formal supervision. The manager supervises the deputy manager and senior support worker, who in turn supervise the rest of the staff team. Records are maintained of staff supervisions, these indicated that supervisions cover performance, service user issues and training issues. However, not all staff receive regular supervision. Records indicated that one member of the staff team has not had any formal supervision since October 2004, and it is required that all staff receive regular formal supervision, at least six times a year. The Bungalow G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 21 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) 37,38,39,40,41 and 42 The inspector believes that the homes manager is suitably qualified and experienced to carry out their duties, and that the home is generally well run. Records and policies are generally well maintained, although the home must ensure that monthly Regulation 26 visits take place. EVIDENCE: The manager has 12 years experience of working with adults with learning disabilities, including 9 years in a managerial capacity. They have a qualification in care management, and have completed an NVQ Level 4 in Management and the Registered Managers Award. Several staff spoken to informed the inspector that they found all three senior staff in the home to be approachable and accessible, and the inspector observed staff interacting in a relaxed manner with the manager. Regular staff meetings are held and minuted, which give staff the opportunity to raise and discuss issues. The Bungalow G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 22 Service user meetings and staff meetings all contribute to the quality assurance within the home. Copies of previous inspection reports were available to view. The home uses questionnaires to gain the views of service users on the running of the home, those seen by the inspector were generally positive. However, the home has not had monthly Regulation 26 visits, there have only been six carried out over the past year, and it is required that these are carried out monthly and that they are unannounced. The home holds all policies required by the National Minimum Standards. The inspector checked several at random, including equal opportunities and recruitment and selection, and all appeared to be satisfactory. The home stores confidential records in a locked filling cabinet, staff and service users have access to records as appropriate. The home has various health and safety policies in place, including on first aid and accident and incidents, and staff receive appropriate health and safety training, such as on fire safety and moving and handling. Fire fighting equipment was situated throughout the home, and was last serviced by an engineer in February 2005. Fire exits were free from obstruction, and clearly signed. Bar locks have been fitted to the doors leading in to the rear garden since the last inspection. Fire alarms are tested weekly, and were last serviced by an engineer on the 13/7/05. The home checks and records hot water temperatures and fridge/freezer temperatures as appropriate. The home has had recent PAT testing and an electrical installation safety check. However, there was no evidence of a landlord’s gas safety inspection within the past twelve months, and this must be addressed. The Bungalow G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 23 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 3 x 3 3 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 2 3 2 3 3 Standard No 11 12 13 14 15 16 17 3 3 2 3 3 3 2 Standard No 31 32 33 34 35 36 Score x 3 2 2 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Bungalow Score 3 2 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 3 2 x G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 24 YES 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 YA26 Regulation 16 Requirement The registered person must ensure that the home is free from offensive odours. (Timescale 31/1/05 not met) The registered person must ensure that all care plans are regularly reviewed, at least once every six months. The registered person must ensure that all sercvice users have access to appropriate day services, in line with their stated preference and assessed needs. The registered person must ensure that all staff involved in food preparation in the home receive appropriate training in food hygiene. The registered person must ensure that used continence products are stoed appropriatly in a container with a lid on it. The registered person must ensure that the sitting room carpet is cleaned or replaced as appropriate. The registered person must ensure that the staffing rota clarly indicates who is in charge of the home at any given time. The registered person must G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Timescale for action 30/11/05 2. YA6 15 30/11/05 3. YA13 16 30/11/05 4. YA17 18 30/11/05 5. YA19 16 30/11/05 6. YA28 23 30/11/05 7. YA33 17 30/11/05 8. YA34 19 30/11/05 Page 25 The Bungalow Version 1.40 9. YA36 18 10. Y39 26 11. YA42 13 ensure that the home carries out all necessary checks on staff in line with National Minimum Standards and The Care Homes Regulations 2001, including satisfactory references, and a written record of staffs employment history. The registered person must ensure that all staff receive regular formal supervision, at least six times a year. The registered person must ensure that monthly unannounced Regulation 26 visits are carried out, and that a copy of the reports from these visits is forwarded to te CSCI, and a copy retained in the home. The registered person must ensure that the home has an appropriate gas safety check at least once every twelve months. 30/11/05 30/11/05 30/11/05 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 Good Practice Recommendations The Bungalow G56 G06 S7272 The Bungalow V245134 160805 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Gredley House 1-11 Broadway London E15 4BQ 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. 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