Inspection on 09/08/05 for Oak Bungalow

This inspection was carried out on 9th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Oak Bungalow 24/06/08

Oak Bungalow 03/08/06

Oak Bungalow 31/01/06

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 09/07/2008.

CARE HOME ADULTS 18-65 Oak Bungalow Six Acres Close Roman Road Taunton Somerset TA1 2BD Lead Inspector Sally Murphy Announced 09 August 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oak Bungalow Address Six Acres Close Roman Road Taunton Somerset TA1 2BD 01823 423126 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Somerset County Council (LD Services) Mrs Wendy Jones Personal Care Home Only 10 Category(ies) of Learning Disability (10) registration, with number of places Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users may be admitted who also have a concurrent physical disability. 2. Service users will be admitted for a maximum of 3 months between each admission and discharge. Date of last inspection 14th March 2005 Brief Description of the Service: Oak Bungalow consists of four single storey buildings adjacent to each other. Two of the buildings are known as Oak Bungalow and Meadow View and each has four bedrooms. There are also two flats, which each accommodate one person. The home is situated within walking distance of Taunton town centre. Oak Bungalow is registered with the Commission for Social Care Inspection to provide care for up to 10 service users with a learning disability aged 18-65 years. The home is run by Somerset Social Services. The Registered Manager is Wendy Jones, and the Responsible Individual is David Dick. Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out as part of the planned annual programme of inspection. The inspection was announced and carried out by one inspector over one day. The previous inspection was unannounced and took place on 14th March 2005. On the day of the inspection there were six service users residing at the home. Prior to the announced inspection Comment Cards were sent to service users, relatives and healthcare professionals. Seven cards were returned and each of these stated that service users receive a good standard of care and are treated well by the staff team. During the course of the visit, service users, relatives, staff members and the Registered Manager were spoken with. Care practice was also observed, records examined and a tour of the premises was made. What the service does well: What has improved since the last inspection? Since the last inspection, one of the buildings has been used to accommodate service users from two neighbouring homes whilst building work was completed. Staff from Oak Bungalow have worked flexibly to support staff and service users from Ashbury and The Brambles during this period. All service user rooms within Oak Bungalow have been decorated, new furniture has been purchased for the lounge and garden and radiators have been guarded in service user rooms and the communal bathrooms. Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 Page 6 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. Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3 & 4 Service users and their families are provided with appropriate information regarding the home. Appropriate assessments are completed to ensure that the home will be able to meet service users’ needs. EVIDENCE: The home has a Statement of Purpose and Service User Guide that provide details of the services and facilities provided at Oak Bungalow. The home has an Admissions Procedure. The Registered Manager is also planning to draw up an Admissions Procedure for the two flats. Completed pre-admission assessments were seen within service user plans. Staff from the home have been pro-active in meeting with service users who will shortly be 18 years of age, and subsequently accessing the service. Service users are encouraged to visit the home for short periods and tea visits before staying overnight. Due to the nature of the service the home sometimes has emergency admissions. Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 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 standard(s) 6,7,8,9 & 10 The home has developed an appropriate care plan for each service user. Service users are encouraged to exercise choice and participate in all aspects of life within the home. Service users are supported in taking risks. Records relating to service users are appropriately maintained and stored securely. EVIDENCE: Care plans are maintained for each service user. These follow the standard model used by Somerset Social Services. Two care plans were examined in detail. Care plans included a photograph of the service user and provided information regarding service users’ needs, daily routines and preferences. Risk assessments had been completed where required. Care plans had been regularly reviewed and updated appropriately. Service users are encouraged to exercise choice and independence is promoted. The home has established a protocol for one service user to spend short periods of time accessing the community independently. Staff will support service users in managing their finances where required. Records are maintained of all transactions involving service user finances. Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 Page 10 These are supported by receipts and two staff signatures and are audited on a weekly basis. All records relating to service users are stored securely and may be accessed by service users at their request. Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 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 standard(s) 11,12,13,14,15,16 & 17 Service users are provided with a range of opportunities and are supported in accessing the local community. Service users’ rights and responsibilities are respected. Service users are fully involved in food preparation and menu planning and stated that they enjoy the meals provided. EVIDENCE: Service users are supported in developing and maintaining daily living skills. . During periods of respite care. During periods of respite care staff from the home will assist service users in continuing to access social and educational resources that they would normally attend. Service users are able to participate in a range of activities. Those currently provided include: -arts and crafts, games, puzzles, music, cooking, gardening and walks. Service users also attend discos, drop in at Six Acres, and enjoy pub lunches and shopping. Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 Page 12 Visitors are welcomed at the home. The home has regular contact with family members. Meals are prepared by care staff as part of their role. Meals are individually lead, and service users are involved in choosing and preparing meals as is appropriate to their needs. Care plans included information relating to service users’ dietary needs and preferences. Service users spoke highly of the meals provided. Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 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 standard(s) 18,19 & 20 Service users are provided with appropriate assistance to meet their personal care needs. The home supports service users in accessing healthcare services. Medications are well managed within the home. EVIDENCE: Service users are provided with support to undertake personal care tasks as required. Personal care is provided in private. Staff support service users in accessing healthcare services and ensure that specialist advice is sought as necessary. A Comment Cards received by CSCI from a health care professional spoke very highly of the care and dedication provided by the staff team. Staff are provided with medications training. Due to the nature of the service provided there are a number of admissions and discharges from the home. Staff ensure that clear records are maintained of all medications entering and leaving the home. Medication Administration Records were examined. These included a photograph of the service user. The home has followed good practice in relation to the administration and recording of medications. Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 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 standard(s) 22 & 23 The home has a comprehensive complaints procedure and appropriate policies relating to the Protection of Vulnerable Adults. EVIDENCE: The home has a complaints procedure displayed, which includes the photographs of people that may be contacted, including the Inspector from CSCI. Somerset Social Services Department has also produced a video providing details of how to make a complaint. A copy of the Somerset Social Services’ document entitled ‘Our Promise to You’ is also displayed. There have been no formal complaints received by the home or CSCI. The home has appropriate policies relating the Protection of Vulnerable Adults and Whistle blowing. Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 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 standard(s) 24,25,26,27,28,29 & 30 The home has been decorated and furnished to a good standard. Appropriate adaptations have been provided. The home has sufficient communal areas and bathrooms to meet service users’ needs. The home was found to have a high standard of cleanliness. EVIDENCE: Accommodation is provided in four units. Oak Bungalow and Meadow View each have four bedrooms. There are also two flats which each provides accommodation for one person. Communal areas and bathing facilities are provided within each unit. Service users are able to bring personal possessions with them into the home. A photograph of the service user is displayed on the door of the room they are staying in. All service user rooms are single occupancy. Two bedrooms at Oak Bungalow and both of the flats have en suite facilities. There is an on-going program of maintenance within the home. Since the last inspection both of the flats and all service user rooms at Oak Bungalow have been re-decorated. Radiators have been guarded in bedrooms and bathrooms, and new furniture has been purchased for service user rooms, the lounge and Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 Page 16 garden. There are plans for the kitchen and bathroom to be re-decorated within the forthcoming year. The flooring in the shower room has become worn and stained and also requires replacement. Appropriate adaptations have been fitted to meet service users needs. Hot water outlet temperatures were tested and found to be within the required limits. The laundry was tidy and well organised. The washing machine meets disinfectant standards. Appropriate hand washing facilities have been provided for staff. The home follows good practice with regard to infection control. Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35 & 36 Staffing levels are appropriate to meet service users’ needs. Staff are competent and provide a good standard of care. Staff are provided with regular opportunities to attend training. Staff receive appropriate support and supervision. The home must take further action to ensure that they operate a robust recruitment procedure. EVIDENCE: Duty rotas are maintained. There are generally four care staff on duty during the day and two sleep-in or one waking and one sleep-in member of staff throughout the night, depending upon service users needs. Staff are encouraged to attend regular training. Individual staff training records are maintained. One member of staff from the home has received extended manual handling training and will be sharing this knowledge with the rest of the staff team. Six staff members hold First Aid certificates. Staff are provided with training to meet service users needs. Recent training has included counselling skills, promoting equality and diversity, total communication and medications. 29 of the staff employed have obtained the NVQ Level 2 qualification or its equivalent. Four staff are currently studying for this qualification. Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 Page 18 Newly employed staff are provided with Induction training. Staff confirmed that they receive regular supervision. There are regular staff meetings. Three staff recruitment files were examined. One file did not contain a completed application form and two files contained only one reference. An Enhanced CRB disclosure had been obtained for each staff member. Where issues are raised on a CRB, the home must complete a risk assessment in relation to that individual and the work they undertake within the home. These matters were discussed with the Registered Manager during the inspection who agreed to take appropriate action. Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41 & 42 The Registered Manager provides effective leadership to the staff team. There is a relaxed and open atmosphere within the home. The home should consider how feedback might be sought on the service provided. Appropriate actions have been taken to promote the health and safety of staff and service users at the home. EVIDENCE: The Registered Manager is Mrs Wendy Jones. She is an experienced manager and has provided strong leadership to the staff team during the periods of change at the home. Service users and staff stated that she was approachable and that their views were listened to. As the home provides respite care it has contact with a wide range of service users, relatives and healthcare professionals. The Registered Manager should consider how their views might be sought on a regular basis to obtain feedback on the service provided. The home has appropriate policies and procedures in place to safeguard vulnerable Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 Page 20 service users. All records relating to service users are stored securely in accordance with the Data Protection Act 1998. Fire safety records were examined. Fire equipment is serviced and tested as required. The home has taken appropriate action to address the issues raised during the recent visit from the Fire Officer. There are notices displayed in each room in Somerset Total Communication that provide details of the actions to be taken in the event of a fire. Staff are provided with regular fire safety training. One member of staff has taken lead responsibility for health and safety within the home. Health and safety records had been appropriately maintained. Hazardous substances had been stored securely and were not accessible to service users. All accidents are recorded and reported as required. Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 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 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 4 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 2 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oak Bungalow Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 x D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 Page 22 Are there any outstanding requirements from the last inspection? No. 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. 2. Standard YA27 YA34 Regulation 23 (2d) 19 Requirement The flooring in the shower room has become stained and worn and requires replacement. The home must ensure that a completed application form, two references and an enhanced CRB disclosure are obtained for each staff member. Where issues are raised on a CRB disclosure the home must complete a risk assessment in relation to the work undertaken by that staff member within the home. Timescale for action 31.3.06 30.9.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA39 Good Practice Recommendations The Registered Manager should consider how formal feedback may be sought from service users, relatives and health care professionals who access the home. Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Riverside Chambers Castle Street Tangier Taunton TA1 4AL 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 Oak Bungalow D53 - D02 S36637 Oak Bungalow V234166 090805 Stage 4.doc Version 1.30 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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