Inspection on 20/12/05 for Bungalow (The)

This inspection was carried out on 20th December 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 6 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) 16/08/05

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 Bungalow (The) The Bungalow, 325 Larkshall Road Chingford London E4 9HW Lead Inspector Rob Cole Unannounced Inspection 20th December 2005 10:00 Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bungalow (The) Address The Bungalow, 325 Larkshall Road Chingford London E4 9HW 020 8523 3264 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) r.asamoah@mcch.org.uk MCCH Society Limited Rita Naana Asamoah Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th August 2005 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. Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 20/12/05 and was unannounced. The inspector had the opportunity of speaking with service users, relatives, staff and the homes deputy manager was present throughout the inspection. Overall the inspector believes this to be a well run care home, and service users spoken to informed the inspector that they are happy with the level of care and support provided. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 7 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 the following standard(s): None The standards in this section were not tested on this occasion, but will be tested as part of the next inspection. EVIDENCE: The standards in this section were not tested on this occasion, but will be tested as part of the next inspection. Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 6,7,8,9 and 10 The inspector was satisfied that service users have a large measure of control over their daily lives, and that they are involved in the day to day running of the home. However, the home must ensure that care plans are comprehensive, and that risk assessments are regularly reviewed. EVIDENCE: Clear care plans are in place for all service users. Plans are in plain English, and drawn up with the involvement of service users, their relatives were appropriate and staff from the home. Daily logs are also maintained, and there was evidence that plans are reviewed every six months. Plans cover personal care, mobility and medication. However, not all plans were comprehensive. For example, one care plan included a weekly planner, which indicated that the only occasions the service user leaves the house are when they visit their farther. Staff informed the inspector that this was not accurate, and that the home supports this service user to access the community on a regular basis, including for social and leisure activities, but there were no details of this in the care plan. It is required that all service users have comprehensive care plans in place clearly setting out how the home can meet all their assessed needs. Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 9 Risk assessments were in place for all service users, these were generally of a good standard. Assessments included clear strategies for managing and reducing any risks, and covered risks associated with food preparation and accessing the community. Clear guidelines were also in place on the managing of any challenging behaviours that service users exhibit. However, some risk assessments have not been reviewed for over two years, and it is required that risk assessments are subject to regular review. 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 choose, 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 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 Christmas arrangements. A new sofa for the sitting room has been purchased since the previous inspection, and service users were involved in choosing this. 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. Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 10 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 the following 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: No service users are currently involved in any formal educational or employment opportunities. However, in-house there are programmes in place to help develop service users independence, for example around cooking skills and road safety, clear guidelines are in place around these. Five of the six service users are involved with a variety of day service provision. These services facilitate various activities, including sensory sessions, social activities such as bowling and pool, and day trips for example to Southend and Clacton. One service user is involved in a gardening project run by the Local Authority. However, one service user still does not have any access to day services, despite the fact that the home has identified that this person would benefit from day services. The deputy manager informed the inspector that the home is currently trying to arrange suitable provision, and it Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 11 is a repeat requirement that all service users have access to appropriate day services in line with their stated preference and assessed needs. Service users have regular access to the community, for example visiting local parks and shops, and on the day of inspection two service users went out Christmas shopping. Two service users have their own vehicles, and service users use public transport including buses and mini cabs. Service users are involved in a variety of social and leisure activities, both inhouse and in the community. In-house service users have access to TV, video, music, games and puzzles, and the home arranges parties, for instance to celebrate service user’s birthdays. In the community service users attend a gym, go swimming, to the cinema and pub. Service users also regularly eat out at cafes and restaurants, and were in the process of arranging a meal out to celebrate Christmas at the time of inspection. All service users are offered an annual holiday away from the home as part of their basic contract price, this year service users have been to Devon, the Lake District and Clacton. 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. Records are kept of menus, and these indicated that service users are offered a varied, balanced and nutritious diet. Service users plan the menu during their weekly meetings. There was evidence that service users are involved in food preparation, including buying the food. The kitchen was clean and tidy, and food was stored appropriately. Records are maintained of fridge and freezer temperatures. Since the previous inspection all staff involved in food preparation have now received training in food hygiene. Mealtimes were observed to be relaxed and unhurried, and support to service users with feeding was provided in an appropriate and sensitive manner. Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 18,19,20 and 21 It is the view of the inspector that the home is generally able to meet the health and personal care needs of service users. Service users are supported to manage their own personal care as much as possible, while medications are appropriately stored, administered and recorded. EVIDENCE: 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 home has a policy on death and dying, and the deputy 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. All service users are registered with a GP. Records are maintained of medical appointments, which also included details of any follow up action necessary. Records indicated that service users have been working with psychiatrists, Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 13 district nurses, chiropodists and physiotherapists. However, the home could not evidence that all service users have had access to dental care, for example there was no evidence that one service user had any access to dental care since they first moved in to the home in June 2003, this must be addressed. The home makes use of the Continence Advisory Service, who supply advice and continence products. Since the last inspection the home now disposes of used continence products in an appropriate manner. The home has a medication policy in place, all staff receive training before they are able to administer medications. No service users currently self medicate or are on any controlled drugs. Medications are stored in a locked cabinet inside a designated mediations room, and in a locked container within the fridge. Records are maintained of medications entering the home and of those that are returned to the pharmacist. Medication Administration Record charts are maintained, those checked by the inspector appeared to be up to date and accurate. Guidelines are in place on the administration of medications prescribed on a PRN basis. Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 22 and 23 It is the inspector’s judgement that the home has taken reasonable steps to ensure the safety and protection of service users, for example through staff training and a clear and accessible complains procedure. However, the home must ensure that the adult protection procedure is in line with current legislation. EVIDENCE: The home maintains a complaints log, although the deputy manager informed the inspector that the home has not received any complaints since the last inspection. The home also has a complaints procedure. This was prominently displayed within the home, and made appropriate reference to the CSCI. Service users and relatives spoken to demonstrated a good understanding of whom they could complain to if they so wished. The home has a copy of the Local Authorities adult protection procedures, and also its own adult protection policy. This appeared to be in line with current legislation. All staff have undertaken training in adult protection issues, staff spoken to by the inspector demonstrated a good understanding of issues around adult protection. All service users have their own bank accounts, and the home holds money on behalf of service users in a locked cabinet. Records and receipts are maintained of financial transactions involving service users monies. The inspector checked several at random, and all appeared to be satisfactory. Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 15 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 the following 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. 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 deputy 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. However, there were several items of discarded items of furniture left in the garden, and these must be removed. At the last inspection it was found that the sitting room carpet was badly stained, and the inspector was pleased to note that this has subsequently been replaced. The home has one bathroom/toilet, and one shower room/toilet. Both the bath and shower have been adapted to make them accessible to all service users. Bathrooms Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 16 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 previous inspection all bedrooms are now free from offensive odours. 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. Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 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. Staff appear sufficiently competent and experienced, and have built up good relations with service users. EVIDENCE: The home provides 24-hour staff support, including a waking night staff and emergency on-call procedure. There was a staffing rota on display, this accurately reflected the actual staffing situation on the day of inspection. Since the last inspection the rota now clearly identifies who is in charge of the home at any given time. The inspector was satisfied that the home is staffed in sufficient numbers to meet service users needs. All staff are over twenty one years old. The home holds regular staff meetings, and all staff are ale to contribute to the agenda. Minutes kept of staff meetings evidenced discussions on health and safety and service user issues. The home has policies in place on recruitment and selection and equal opportunities. Service users are involved in the recruitment of staff to the home. Staff employment records are held centrally by the organisation, and will be checked as part of the next inspection. All staff have been given a copy of their job description, but staff spoken to were not aware of the General Social Care Council codes of conduct, and it is Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 18 required that all staff have access to these codes. Through observation and discussion there was evidence that staff have built up good relations with service users, and a good understanding of their roles and responsibilities. Staff demonstrated an ability to communicate well with service users, some of whom have complex communication needs. All staff receive a structured induction programme, this includes the homes physical environment and service user issues. Records are maintained of staff training, these evidenced recent training in fire safety, food hygiene, epilepsy and multi sensory awareness. Of the eleven care staff currently employed by the home five either have or are presently working towards a relevant care qualification. The deputy manager informed the inspector that it was the intention of he organisation that all staff will be given the opportunity of completing a relevant qualification. All staff receive formal supervision, and since the last inspection there was evidence that this now takes place at regular intervals. The home’s manager supervises the deputy manager and senior support worker, who in turn supervise the rest of the staff team. Records are maintained of supervisions, and staff have access to their records. Supervision includes service user issues, staffing issues and training and performance issues. Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 and 43 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. 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. Service user meetings, staff meetings, supervisions and care plan reviews all contribute to the quality assurance within the home. Copies of previous inspection reports were available to view in the home, and there was evidence of monthly Regulation 26 visits taking place. The home issues questionnaires Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 20 to service users to gain their feedback on the home, completed questionnaires seen by the inspector were generally positive. 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 as various health and safety related policies in place, such as on accident and incidents and first aid. Staff undertake health and safety training, including food hygiene and fire safety. Fire fighting equipment was located around the home, and last serviced in February 2005. Fire exits were clearly signed and free from obstruction. Fire alarms are tested by the home on a weekly basis, and were last serviced by an engineer on the 16/11/05. Regular fire drills are held, and the home has a fire risk assessment in place. COSHH products were stored securely, and the home maintains records of fridge/freezer and hot water temperatures. There was evidence that the home had in date PAT testing and an electrical installation certificates, and since the last inspection the home has had a landlords gas safety check. The home has in date employer’s liability insurance cover. Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 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 X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 3 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 2 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 2 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bungalow (The) Score 3 2 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 DS0000007272.V266832.R01.S.doc Version 5.0 Page 22 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 YA13 Regulation 16 Requirement The registered person must ensure that all sercvice users have access to appropriate day services, in line with their stated preference and assessed needs. (Timescale 30/11/05 not met) The regisered person must ensure that comprehensive and up to date care plans are in place for all service users, clearly setting out how the home can meet service users assessed needs. The registered person must ensure that service user’s risk assessments are subject to regular review. The registered person must ensure that service users have access to all health care as appropriate, including dental care. The registered person must ensure that all items of discarded furniture are removed from the garden. Timescale for action 30/04/06 2 YA6 15 30/04/06 3 YA9 13 30/04/06 4 YA19 13 30/04/06 5 YA24 23 30/04/06 Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 23 6 YA13 18 The registered person must ensure that all care staff working in the home have access to the General Social Care Council codes of conduct. 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford 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. Extracts may not be used or reproduced without the express permission of CSCI Bungalow (The) DS0000007272.V266832.R01.S.doc Version 5.0 Page 25 - 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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