Inspection on 24/06/08 for Oak Bungalow

This inspection was carried out on 24th June 2008.

CSCI found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Oak Bungalow 03/08/06

Oak Bungalow 31/01/06

Oak Bungalow 09/08/05

Oak Bungalow 14/03/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Oak Bungalow Six Acres Close Roman Road Taunton Somerset TA1 2BD Lead Inspector Kathy McCluskey Key Unannounced Inspection 24th June 2008 10:30 Oak Bungalow DS0000036637.V362722.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 Oak Bungalow DS0000036637.V362722.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. Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oak Bungalow Address Six Acres Close Roman Road Taunton Somerset TA1 2BD 01823 327715 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) Somerset County Council (LD Services) Mrs Wendy Jones Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users may be admitted who also have a concurrent physical disability. Service Users will be admitted for a maximum of 3 months between each admission and discharge 3rd August 2006 Date of last inspection Brief Description of the Service: Oak Bungalow is registered with the Commission for Social Care Inspection to provide personal care for up to 10 service users aged between 18-65 years who have a learning disability. Service users who have a concurrent physical disability may also be admitted to the home. The home is not registered to provide nursing care. The registered provider is Somerset County Council (LD services). The Responsible Individual is Mr David Dick. The Registered Manager is Wendy Jones. The home is conveniently situated not far from Taunton town centre and is on the same site at the Six Acres Resource Centre. Service user accommodation is provided in four units. Oak Bungalow and Meadow View each have four bedrooms. There are also two self contained flats, which each provide accommodation for one person. The home’s Contract and Statement of Purpose give clear information about the fees and services offered. Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience Excellent quality outcomes. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service for each outcome group under four general headings. These are; - excellent, good, adequate and poor. This unannounced key inspection was conducted over 2 days (5hrs) by CSCI Regulation Inspector Kathy McCluskey. The purpose of the second day was to access staff recruitment records, which could not be accessed on the first day of the inspection. The registered manager Wendy Jones was available on the second day of the inspection. During the inspection we were given unrestricted access to all parts of the home and records requested were made available to us. At the time of the inspection, 6 people were using the service and we were able to meet with one person. The home completed an Annual Quality Assurance Assessment (AQAA) for the Commission. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Extracts from the AQAA have been incorporated within the report as appropriate. As part of this inspection the Commission sent comment cards to a percentage of people using the service, staff and healthcare professionals and we received three completed comment cards from healthcare professionals. Responses have been included within this report. We would like to thank all involved, for their time and cooperation with the inspection process. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? At the last inspection two requirements were raised. One related a breach in complying with a condition of registration, which related to the maximum placement not exceeding 3 months. This has been addressed and the Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 7 Commission are proposing an application to remove this condition as the home is offering a service in line with its Statement of Purpose. At the last inspection it was required that the home provide sluicing and staff hand washing facilities in the laundry in Oak bungalow. We were able to see that this had been addressed. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 8 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 Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 5 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. People thinking about using the home are provided with detailed and up to date information about the home and services offered. The home ensures that people are appropriately assessed before a placement is offered. People can feel confident that the home can meet their assessed needs and aspirations. EVIDENCE: The home has produced a Statement of Purpose and Service User Guide, which are reflective of the services offered by the home. These documents have been updated since the last inspection. Information is produced in accessible formats. We were able to see evidence that the home assesses any person thinking about staying at the home. Detailed assessments are also obtained from appropriate healthcare professionals. Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 10 We were informed that the needs and personalities of people already staying at the home are also taken into consideration before a new admission is accepted. The majority of people moving to the home are using this as a respite facility or short term placement and the home obtains and develops a clear discharge plan as appropriate. We examined some care plans and were able to see that the home assist people to set out and work towards achievable goals. In Oak Bungalow, three of the four bedrooms have the provision of overhead hoist tracking and profiling beds. The bathroom is fitted with a hi-low bath and mobile hoists are available. Meadow View and the two flats are more appropriate for people without a physical disability. We were able to see evidence that staff are well trained and that they have the skills to meet the needs of people at the home. We were able to see that people are provided with a contract which is produced in symbol format. Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home’s care planning procedures are good and provide staff with detailed information about the needs and aspirations of the people living there. People are supported to make decisions about their lives in line with the care planning and risk assessment process. EVIDENCE: We looked at two care plans at this inspection. Both contained very detailed information about the assessed needs of the individual and clearly identified their preferences and aspirations, which helps staff to deliver care in a more person centred way. Care plans also contained a ‘my day’ plan which details all aspects of daily life. Detailed risk assessments were also in place. We were able to see very comprehensive information relating to one person with epilepsy. This provided Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 12 staff with important information about action to be taken in the event of an emergency. Detailed records were maintained for each seizure. Care plans demonstrated that the individual and/or their representative had been involved in the care planning and review process. It was evident that people’s goals and aspirations were discussed and that plans had been developed to assist people in achieving their goals. All records had been regularly reviewed. Each day staff record daily entries for each individual. These were noted to be detailed and informative. The home supports people to make decisions about their lives. This is achieved through the care planning and risk assessment process. The home has regular ‘talk groups’ for people. These groups enable people to discuss topics of their choice and are facilitated by staff. Clear information is displayed for people on how to contact advocacy services. Staff have received training in Somerset Total Communication and the home ensure that any written information is produced in an appropriate format for people. We received completed comment cards from 2 healthcare professionals and a GP. Responses were positive. In the home’s completed Annual Quality Assurance Assessment (AQAA) they stated that; ‘we provide a service that is designed around the needs of the individuals’ and ‘we encourage and support all service users to participate in the running of the home as far as they are able’. The home has policies on confidentiality. All records are stored and accessed in accordance with the Data Protection Act 1998 Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is Excellent This judgement has been made using available evidence including a visit to this service. People are supported to maintain and develop practical life skills and to maintain contact with family and friends. The home provides people with the opportunity to access a wide range of social/leisure activities. People are involved in menu planning, shopping and cooking. Meal times are flexible and healthy eating is promoted. EVIDENCE: It was evident that the home support people to maintain and develop practical life skills. Care plans examined contained detailed information regarding Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 14 individual’s assessed needs, abilities and aspirations. These contained clear information for staff as to how goals would be achieved. People are supported to access a range of facilities such as; Cannington College, work power and resource/day centres. The home also supports people to access local leisure facilities and shops and offers assistance with budgeting. During the summer months, regular barbeques are held and the home has a range of ‘in-house’ resources available for people such as DVD’s, games, puzzles, arts and crafts. Following suggestions by people at the home, staff have supported people to develop a vegetable patch in the home’s garden. The home has a wheelchair accessible minibus and the home supports people to access a wide range of leisure activities. Information about forthcoming events is displayed in the reception area of the home. People living at the home are able to write suggestions as to where they would like to go. This is also discussed at the regular ‘talk’ groups. One person using the service told us that they were looking forward to attending a disco that evening. We were told that this is a favourite with many people. Care plans contained information about the hobbies/interests of individuals. Care plans also contained information about peoples’ family history/contacts and these contained evidence that people are supported to maintain contact with their family and friends in line with their agreed plan of care. Routines within the home are tailored to meet the needs of the individual. Each person has a ‘my day plan’ which is drawn up with the individual. This sets out their plan for the day and includes things such as work placements, social events and group or individual activities. Each person’s day is different and people ‘come and go’ throughout the day. We were informed that staffing levels are increased where required, to meet people’s social needs. People are supported in developing a weekly menu and are supported to shop and cook in line with their plan of care. The home provides people with information regarding healthy eating. As many people are out during the day, the main meal is enjoyed at tea time. The menu displayed appeared wholesome and varied. Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. People are supported to meet their personal care needs in line with their agreed plan of care and preferences. The home ensure that people’s healthcare needs are met. The home’s procedures for the management and administration of peoples’ medication are good. EVIDENCE: Care plans examined contained information regarding the person’s needs, abilities and preferences regarding meeting personal care needs. We spoke to one person using the service who told us that they were happy about the way staff assisted them. This person confirmed that ‘staff are always kind’. Oak bungalow is fitted with assisted bathing facilities and shower, Meadow View has the provision of a ‘wet room’. We were able to see evidence in care plans examined that the home supports people to access appropriate healthcare professionals. The home confirmed Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 16 that it had established very good links and received very good support from healthcare professionals. One care plan examined contained very detailed information regarding epilepsy management. Clear instructions were in place for staff and records had been maintained for each seizure. Training records indicated that staff had received training in the management of epilepsy. A detailed care plan had also been raised to meet the needs of a person with a dementia. Three healthcare professionals completed comment cards for the Commission and in response to the question; ‘are individuals’ healthcare needs met by the service’, no concerns were raised and we received the following comments; ‘Excellent contact with the local GP’, ‘They do very well’. We examined the home’s procedures for the management and administration of people’s medication. All medicines were found to be securely stored. As the majority of people using the service are short stay or respite, the home records any medicines brought into the home on medication administration records (MAR). As details of medicines are hand written, to reduce the risk of errors it has been recommended that the entry is confirmed by two staff signatures. MAR charts contained clear information regarding the amount of medicine received by the home and returned to the pharmacy. Information was available regarding any prescribed medicines in use and protocols were in place for the use of ‘as required’ medication. Photographs of individuals’ were attached to each MAR chart to aid identification. We were informed that nobody was currently prescribed any controlled drugs. We were also informed that all staff had received up to date training in the management and administration of medication. People are supported to manage their medicines in line with their agreed plan of care. We were informed that lockable storage would be made available where required. As recommended at the last inspection, the home’s medication policy has been reviewed. Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is Excellent This judgement has been made using available evidence including a visit to this service. People are supported to raise concerns and the complaints procedure has been produced in accessible formats. The home has policies & procedures in place to reduce the risk of harm or abuse to the people using the service. EVIDENCE: The home displays a clear complaints procedure in the reception area of the home. Copies are also available in the service user guide. The complaints procedure is produced in a format which makes it accessible to all people. A DVD is also available. This was produced locally by people with a learning disability and is called ‘Listen to us’. The AQAA completed by the home stated that, ‘We take complaints very seriously and ensure people are informed of the progress’ and ‘we support service users to raise concerns and we encourage constructive criticism from service users, carers and staff’ We received a comment from a healthcare professional who described the home as ‘exceptional in this regard’ The home has received one complaint since the last inspection and we were able to see that this had been fully investigated in line with the home’s procedures. Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 18 No complaints have been raised directly with the Commission. The home has a range of policies and procedures in place to reduce the risk of harm or abuse to the people living there. These include the management of peoples’ finances, management of aggression, whistleblowing, acceptance of gifts, missing persons and physical intervention/restraint. The home confirmed that it has an up to date policy on Somersets Safeguarding Adults Policy (May 2007). The home’s completed AQAA stated that; ‘All staff have received training around the protection of vulnerable adults and the Mental Capacity Act’. This was also confirmed on examination of staff training records. We examined records and procedures relating to the management of people’s finances. The home manages small amounts of money on behalf of people at their request or in line with their agreed plan of care. Records are made of all transactions and receipts are maintained. Records and balances are audited each day. It has been recommended that two staff signatures are obtained to confirm any financial transaction. We were informed that the home does not act as appointee for people nor does it hold peoples’ cash point/bank cards. Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 &30 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home provides people with a comfortable and homely environment the home can offer people three choices of accommodation dependent on their needs. Specialist equipment is available in one of the bungalows, which can assist people who have mobility difficulties. The standard of cleanliness is good and the home’s infection control procedures have improved. EVIDENCE: As previously mentioned, the home is divided into three parts. Oak bungalow has 4 single bedrooms, large lounge, dining area and well-equipped domestic type kitchen. There are 2 disabled access toilets and an assisted bathroom. 3 of the 4 bedrooms are fitted with overhead tracking for a hoist and 3 bedrooms Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 20 have profiling beds. All bedrooms are fitted with a wash hand basin and staff hand washing facilities. The laundry has been fitted with a new washing machine with sluice cycle and alginate bags are available for any soiled laundry. Appropriate hand washing facilities are in place. The requirement raised at the last inspection regarding this has been addressed. Meadow View bungalow has 4 bedrooms, bathroom/shower room and toilet. There is a good sized lounge and dining room and well equipped kitchen and laundry. There is also a games room and a staff sleep in room. This bungalow would be more appropriate for people without a physical disability. During this inspection we noted that ‘star’ type locks were in place on bedroom doors in addition to door locks. This was brought to the attention of the network manager who stated that these were not used and arrangements would be made for their removal. On the second day of this inspection, it was confirmed that arrangements had been made. Two self contained flats lead off from this bungalow. The flats also have their own front doors and each accommodate 1 person. The flats consist of one bedroom, good sized living room/kitchen and a bathroom/toilet. All areas of the home seen promoted a comfortable and homely feel. It was apparent that people are able to personalise their own bedrooms. The standard of cleanliness was good and no malodours were apparent. On the day of this unannounced inspection, carpets were being cleaned by outside contractors. Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 & 36 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. Staffing levels are arranged around the needs of people using the service. The home ensure that staff are appropriately trained. The home follows appropriate and robust staff recruitment procedures. Staff are well supported and regularly supervised. EVIDENCE: We were informed that staffing levels were based on the assessed needs and social needs of the people living there and were increased accordingly. We were informed that the minimum number of staff on duty would be as follows; 4 care staff during the day and at night 1 waking carer based in Oak bungalow and 1 sleep-in carer based in Meadow View. Staff spoken with did not raise any concerns about staffing levels. Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 22 All staff are issued with a job description which clearly outlines their roles, responsibilities and lines of accountability. Signed copies were available in the staff recruitment files examined. Records and staff spoken with confirmed that they received the training needed to enable them to meet the needs of people using the service. We were able to see that, apart from mandatory training, staff had been provided with other specialist training such as epilepsy, positive intervention, equality and diversity, mental health, dysphagia, eating and drinking, dental health & somerset total communication. Newly appointed staff complete a one week induction period before they start working at the home. This covers topics such as the Valuing People white paper 2001, working with people with challenging behaviours, the definition of learning disabilities and many other topics. The induction period continues for a further 12 weeks and any additional training needs are identified and appropriate arrangements are made. The registered manager told us that of the 21 permanent care staff employed, 9 have achieved a minimum of an NVQ level 2 in care or equivalent. This equates to 43 , which is just below the 50 recommended in the National Minimum Standards. We were told that 3 staff are currently nearing completion of the NVQ 2 and that 3 staff are registered and would commence the award later in the year. Three staff recruitment files were examined. These contained all required information. The registered manager stated that people using the service were encouraged to be involved in the selection of staff. Newly appointed staff are recruited through the Local Authority’s recruitment processes. The registered manager confirmed that the home was fully involved in the interviewing and selection process and that applicants always visit the home prior to an interview. The home’s arrangements for staff supervision are very good. Employees sign a supervision contract which sets out the agreed frequency of supervision sessions. We were able to see that supervision sessions are used to discuss a wide range of topics and that any training needs are identified, discussed and any action required is recorded. Staff also have an annual appraisal which is very detailed. Staff spoken with were very positive about the support they received. Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. The home is effectively managed by a registered manager who promotes an open and inclusive style of management. People using the service and their representatives are given opportunities to express their views. The home has procedures in place to ensure the health and safety of persons at the home. EVIDENCE: There have been no changes to the management structure since the last inspection. The registered manager Wendy Jones is an experienced and Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 24 appropriately trained manager who promotes an open and inclusive style of management. People told us that she was very supportive and approachable. We received three completed comment cards from healthcare professionals and in response to the question ‘What do you feel the service does well?’, the following comments were made; ‘Provides personal and responsive individualised care’, ‘Will highlight problems and communicates well with other professionals’, ‘They seek advice from psychology around proactive ways of managing distress and behaviour using a person centred approach to care’. Given that the home mainly offers a short stay/respite facility, the use of annual quality assurance questionnaires are not felt to be appropriate. We were informed that following a placement, contact is made with the individual and/or their representative to seek their views on the service provided. Regular ‘talk groups’ are held for people using the service. These groups enable people to discuss topics of their choice. In their completed AQAA, the home stated ‘We encourage service users to give us their ideas on what we could do better’, ‘We encourage feedback from carers, parents and service users as to how they feel stays have gone’. Staff meetings are held monthly and minutes are maintained. The home has procedures in place to ensure the health and safety of persons at the home. During this inspection we examined records relating to the following; FIRE SAFETY – We were able to see evidence of weekly in-house checks on the home’s fire alarms and emergency lighting systems. Staff training records indicated that staff had received up to date training in fire safety. We did not examine the home’s fire risk assessment at this inspection. ELECTRICAL SAFETY – We were able to see that annual testing on the home’s portable electrical appliances were carried out on 29/05/08. GAS SAFETY - The home has an up to date servicing records dated 20/02/08 EQUIPMENT SERVICING – We were able to see 6 monthly servicing records for the home’s ‘hi-low’ bath and mobile hoist dated 28/01/08. To reduce the risk of scalding, hot water outlets are checked monthly to ensure that they do not exceed the Health & Safety Executive’s safe upper limits. To reduce the risk of legionella, weekly flushing is carried out on water outlets not frequently used. Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 25 We were informed that all staff undertake mandatory training during their induction period and that regular updates are carried out. This was confirmed when we examined staff training and induction records. Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 26 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 3 2 3 3 3 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 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 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000036637.V362722.R01.S.doc 4 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 4 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oak Bungalow Score 3 3 3 x x 3 x Version 5.2 Page 27 3 3 3 x NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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. 2. Refer to Standard YA20 YA23 Good Practice Recommendations To reduce the risk of errors, hand written entries on the medication administration records should be confirmed with two staff signatures. Where the home offers assistance in the management of peoples’ finances, two staff signatures should be obtained to confirm any financial transaction. Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Oak Bungalow DS0000036637.V362722.R01.S.doc Version 5.2 Page 29 - 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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