Inspection on 21/09/06 for Bungalow (The)

This inspection was carried out on 21st September 2006.

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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bungalow (The) 20/12/05

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 21st September 2006 10:00 Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 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.V313057.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th December 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.V313057.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 21/9/06 and was unannounced. The inspector had the opportunity of speaking with service users and their relatives, staff from the home, and the homes acting manager was present for most of the inspection. The inspection also included a tour of the premises and an examination of records and documentation. Overall the inspector was satisfied that this is a generally well run home, and that service users receive individual care as appropriate. Service users spoken to said they were very 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.V313057.R01.S.doc Version 5.2 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.V313057.R01.S.doc Version 5.2 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): 1,3,4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that service users are given sufficient information about the home to enable them to make an informed choice. This information is provided through written documentation and the opportunity of visiting the home. EVIDENCE: The home has a Statement of Purpose and Service User Guide in place. Both documents have been produced in plain English, and the Guide has also been produced in pictorial form to help make it more accessible to service users. The Guide includes a copy of the homes complaints procedure and details of the physical environment. The Statement of Purpose includes details of the organisational structure and of the services and facilities provided by the home. However, the Statement says that it is next due to be reviewed in October 2005, the acting manager informed the inspector that this review did not take place, and it is required that the homes Statement of Purpose is dated and subject to regular review. All service users have been provided with a written contract/statement of terms and conditions. These include details of fees payable and the rights and responsibilities of both parties. Contracts have been signed by a representative of the home and by the service user. Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 Page 8 There have been no new admissions to the home since the previous inspection. However, the home has an admissions procedure in place, which makes clear that any prospective service users will be given the opportunity of visiting the home before making a decision as to move in or not. Service users spoken to confirmed that they were indeed given this opportunity. Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is the view of the inspector that service users have control and choice over their daily lives, and that they are involved in the day to day running of the home. EVIDENCE: Individual care plans are in place for all service users. These have been drawn up with the involvement of the service user, their family, keyworker and management from the home. Plans were of a good standard, clear and comprehensive. Plans included needs associated with personal care, mobility and social and leisure needs. Daily records are also maintained, which were linked to care plans. For the most part, there was evidence that care plans are subject to regular review, however, for one service user there was no evidence that their care plan had been reviewed at all in the past twelve months, and it is required that all care plans are reviewed at least once every six months. Risk assessments were also in place for all service users, and as with the care plans these too were of a satisfactory standard. Assessments covered risks associated with challenging behaviours and accessing the community. Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 Page 10 Assessments clearly identified any potential risks, and also included clear strategies to manage and reduce these risks. Risk assessments have been subject to regular review. Through observation and discussion there was evidence that service users have a large measure of control over their daily lives, for example when to get up, what to wear, what to eat etc. The acting manager informed the inspector that service users were regularly consulted over the running of the home on an ad hoc basis, for example over meals and activities. This was seen to be the case on the day of inspection, as staff were observed to consult service users if and where they would like to go out that day. Service users said they would like to go for a bus ride and to a café, and this was subsequently arranged. More formal arrangements are also in place to seek service users views, for instance the home holds regular service user meetings. Records are kept of these meetings, these evidenced discussions on activities, holidays and decorations in the home. 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.V313057.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is the inspectors view that service users are supported to live valued and fulfilling lives, and that they have regular access to the community. EVIDENCE: Although no service users are currently involved in any formal educational opportunities, in house programmes are in place to help develop independence, for example around road safety, budgeting and cooking skills. Five of the six current service users regularly attend day services. These day services provide service users with the opportunity of mixing with other people, and of developing friendships. Day services also provide various outings, including trips on canal boats and to the airport. However, one service user does not have access to any day services, although this has been identified as something that they would potentially enjoy and benefit from, and it is a repeat requirement that all service users have access to day services in line with their assessed needs and stated preferences. Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 Page 12 Service users have regular access to the community, for example to local shops, markets, parks and to the bank. Service users access local transport, including buses and mini cabs. 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, video, music, and various games and puzzles. The home holds occasional parties, for example to celebrate birthdays. In the community service users access a local gym, go swimming, to restaurants, pubs and the cinema. All service users are offered a weeks holiday away from the home each year as part of their basic contract price, which they help to choose and plan. This year there have been holidays to Devon, Dorset and Ireland. The home has a visitors policy in place. On the day of inspection the inspector spoke to a close relative of one of the service users. They informed the inspector that they were able to visit at any time, and were always made welcome by the staff on duty, and that they were able to see their relative in private. They also commented that they were always kept informed of any developments, and involved in the care planning process for their relative, and that they were happy with the level of care and support provided to their relative. Service users are able to visit their relatives away form the home, including going for overnight stays. Records of menus are maintained, these indicated that service users are offered a varied, balanced and nutritious diet. Service users are able to plan menus during their meetings, and are involved in food preparation, including buying food. The kitchen was clean and tidy, and food was stored appropriately. Where support was provided at mealtimes, this was seen to be done in a relaxed and unhurried manner. Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 and 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that the home is generally meeting the personal and health care needs of service users. Medication is administered and stored appropriately, and service users are supported to manage their personal care in a sensitive manner. However, the home must ensure that service users have access to all necessary health care professionals as appropriate. 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 acting 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. Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 Page 14 All service users are registered with a GP. Records are maintained of medical appointments, these evidenced that service users have access to opticians, psychiatrists and physiotherapists. Records include details of the appointment, and also of any follow up action required. However, it could not always be evidenced that necessary follow up action had been taken. For example, a service user had a dental appointment on the 7/2/06 which was recorded. It was also recorded that the service user was to return to the dentist for further treatment on the 20/2/07, yet there was no record or evidence that this took place. It is required that service users have access to health care professionals as appropriate. The home makes use of the Continence Advisory Service, and used continence products are disposed of appropriately. The home has a medication policy in place, and all staff receive training before they are able to administer medications. Medications are stored in locked cabinets inside a designated and locked medication room. Records are maintained of all medications entering the home and of those that are returned to the pharmacist. No service users currently self medicate or are on any controlled drugs. Medication Administration Record charts were maintained, those examined by the inspector appeared to be accurate and up to date. Guidelines are in place on the administration of any medications prescribed on a PRN basis. Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is the inspectors judgement that the home has put in place appropriate systems to help ensure that service users are safe from the risk of abuse. EVIDENCE: The home has a complaints log in place, although the acting manager informed the inspector that the home had not received any complaints since the previous inspection. There was also a complaints procedure in place, this included timescales for responding to any complaints received, and contact details of the CSCI. Service users 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 its own policy on adult protection. This appeared to be in line with current legislation. All staff have undertaken training in adult protection issues, and those spoken to by the inspector demonstrated a good understanding of their roles and responsibilities with regard to adult protection. The home keeps money on behalf of several service users in a locked safe. Records and receipts are maintained of financial transactions involving service users monies. The inspector checked several of these records at random, and all appeared to be satisfactory. Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is the view of the inspector that the home’s physical 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. 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, and items of discarded furniture in the garden have been removed since the last inspection. 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. Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 Page 17 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. All bedrooms are 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. 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.V313057.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that the home is staffed in sufficient numbers to meet service users needs, and that the staff generally receive appropriate supervision and training. EVIDENCE: The home provides 24-hour staff support, including a waking night staff and emergency on-call cover. Staff spoken to demonstrated a good understanding of their roles and responsibilities. All have been provided with a copy of their job description, and of the General Social Care Council codes of conduct. The home holds regular staff meetings. Staff were observed to have built up good individual relations with service users, and to treat them in a respectful and friendly manner. Staff were also seen to demonstrate a good ability to communicate with service users, some of whom have complex communication needs. All staff undertake a structured induction programme on commencing work at the home, this includes service user and health and safety issues. On going training is provided for staff, and recent training has included medication, moving and handling, food hygiene and Person Cantered Planning training. Of the ten care staff currently employed at the home, only two have obtained a relevant care qualification, although the inspector was informed that several more staff are at present working towards such a qualification. It is required Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 Page 19 that at least 50 of all care staff working in the home have an NVQ Level 2 in Care or equivalent qualification. The acting manager supervises the deputy manager and the senior support worker, who in turn supervise the rest of the staff team. Records are kept of supervision, and staff get a copy of these records. Records indicated that staff receive supervision at suitably regular intervals, and that it covers appropriate areas for discussion, including service user issues, staffing issues and training needs. The home has policies in place on equal opportunities and recruitment and selection. Staff employment records are held centrally by the organisation, with the agreement of the CSCI. The CSCI carried out an audit of staffing records earlier this year, and found them to be satisfactory. Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 Page 20 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that this is a generally well run home, although more attention needs to be paid to health and safety management. EVIDENCE: The homes registered manager is currently on secondment at another project. An acting manager has been put in place to oversee the day to day running of the home. They are supported by a deputy manager and a senior support worker. All three work full time in the home. The acting manager has achieved the Registered Managers Award, and is currently working towards an NVQ Level 4 in Care. Staff and service users informed the inspector that they found the acting manager to be approachable and accessible, and on the day of inspection staff were observed to interact with the manager in a relaxed manner. Service user meetings, staff meetings and staff supervision all contribute to the quality assurance within the home. Questionnaires are issued to service Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 Page 21 users to gain their feedback on the running of the home, and those seen by the inspector contained generally positive feedback. Copies of previous inspection reports were available to view in the home. The inspector checked copies of Regulation 26 reports in the home, and found that no Regulation 26 visits took place in March, June and July of this year, and it is required that these occur monthly, and that a written record of these visits is kept at the home. Record keeping in the home was of a generally good standard, and records are stored securely. Staff and service users can access their records as appropriate. The home had policies and procedures in line with National Minimum Standards, those checked by the inspector, including admissions and adult protection, appeared to be satisfactory. Health and safety policies were in place, including on COSHH and fire safety, and staff undertake regular health and safety training, for instance on food hygiene and first aid. Fire extinguishers were situated around the home, these were last serviced in February 2006, fire exits were clearly signed and free from obstruction. Fire alarms were last serviced on the 20/9/06. The acting manager informed the inspector that the home was supposed to check fire alarms on a weekly basis, yet records indicated that they had not been checked since the 28/8/06, and it is required that fire alarms are tested by the home at least once a week. The home keeps records of hot water and fridge/freezer temperatures, and COSHH products were stored securely. There was evidence of in date testing for gas safety, PAT and electrical installation. The home had in date employer’s liability insurance cover. One service user has an electronic hoist that they use daily. The inspector was informed that this was now three years old, yet there was no evidence that it has been serviced at all in that time. It is required that it is regularly serviced as appropriate. Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 X 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 2 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 2 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 3 3 3 2 3 3 2 3 Bungalow (The) DS0000007272.V313057.R01.S.doc Version 5.2 Page 23 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 service users have access to appropriate day services, in line with their stated preference and assessed needs. (Timescale 30/04/06 not met) The registered person must ensure that service users have access to all health care as appropriate, including dental care. (Timescale 30/04/06 not met) The registered person must ensure that the homes Statement of Purpose is subject to regular review. The registered person must ensure that all service users care plans are subject to regular review, at least once every six months. The registered person must ensure that at least 50 of all care staff employed at the home have achieved a relevant care qualification. The registered person must ensure that monthly unannounced Regulation 26 visits take place at the home, DS0000007272.V313057.R01.S.doc Timescale for action 31/12/06 2. YA19 13 31/10/06 3. YA1 6 31/12/06 4. YA6 15 31/10/06 5. YA32 18 31/12/06 6. YA39 26 31/10/06 Bungalow (The) Version 5.2 Page 24 7. YA42 13 and 23 8. YA42 13 and that a copy of the report of these visits is kept at the home. The registered person must ensure that fire alarms in the home are tested at least once a week. The registered person must ensure that any electronic hoists used in the home are regularly serviced as appropriate. 31/10/06 31/12/06 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.V313057.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East London Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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.V313057.R01.S.doc Version 5.2 Page 26 - 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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