Inspection on 12/07/05 for The Bungalow

This inspection was carried out on 12th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 21 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Bungalow 08/07/08

The Bungalow 11/05/07

The Bungalow 06/12/05

The Bungalow 09/11/04

The Bungalow 11/06/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Bungalow 1 Short Street Brownhills Walsall West Midlands. WS8 6AD Lead Inspector Lesley Webb Unannounced 12 July 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. The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Bungalow Address 1 Short Street Brownhills Walsall West Midlands. WS8 6AD 01543 372333 01543 372308 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) Chase Community Homes Helen Perkins Care Home 7 Category(ies) of LD Learning Disability (7) registration, with number of places The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 9th November 2004 Brief Description of the Service: The Bungalow is a seven bedded residential home that asims to provide specialised care, support and teaching for people with autism and allied conditions. Facilities within the home include a living room/dining area, seven single bedrooms (all with ensuite facilities), kitchen, laundry and office. There is parking for up to four cars at the front of the building and a enclosed garden to the rear. Emphasis has been placed on a small group living together, enabling a high staff to resident ratio, giving opportunities for residents to develop the ability to transfer skills and knowledge from one sarea of their lives to another. The home opened in 2003, is domestic in nature and located at the centre of Brownhills very close to shops, markets, post office, public houses and bus routes. There are several sport centres within a short distance from the home, providing a variety of leisure activities. There is a local provision for riding for the disabled and Cannock Chase is close by for walks etc. The Bungalow is one of a number of homes that forms Chase Community Homes, a private company that is owned by two teachers, both of whom have over twelve years experience of teaching in residential schools for complex and delayed developmental disorders including autism. The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector arrived unannounced at 2.10pm and stayed at the home until 7.40pm. Due to the complex needs of the people living at the home the inspector was unable to interview service users, so interviewed all staff on duty to judge their knowledge of the needs of the residents and service provision, looked at records, toured the building and sat and observed practices and relationships between service users and staff before giving feedback to the manager. Other information was gathered prior to the inspection from reports of visits undertaken by the owner, service user and relative comment cards. All comments received from relatives praised the service provided by the home, with no negative comments received. Since the last inspection building work has been completed with five additional bedrooms being built, increasing capacity from two to seven (with three of these rooms yet to be allocated to new service users). By the end of the visit the inspector was satisfied that generally the quality of care provided is high and would like to thank both service users and staff for their co-operation and assistance during the visit, in particularly for the time and effort spent participating in the completion of new service user comment cards that are currently being piloted by CSCI. What the service does well: All the staff that were interviewed stated that the residents were the best things about working at the home, with comments received including, “I feel that I am making a difference, I love my job, the more I can do to promote and move people forward makes it all worthwhile”. The inspector found that this comment reflected practices within the home, where staffs dedication to service users was demonstrated throughout the visit. Staff knowledge of the service users was found to be detailed and this was reflected in the positive relationships that have been formed between the staff and service users. Throughout the visit staff were seen to treat service users with respect and dignity, respecting their wishes whilst encouraging them to make choices according to their abilities. The building is furnished and maintained to a very high standard. Recent investment by the registered proprietors has resulted in further improvements to facilities within the home, creating a pleasant place for service users to live. The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 Page 6 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. The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2 and 4. The homes Statement of Purpose, Service User Guide and admission processes are excellent, providing service users and prospective service users and their representatives with details of the services the home provides enabling an informed decision about admission to be made. EVIDENCE: The home has a very thorough assessment process, which includes liaising with other professionals in order that the appropriate decisions can be made as to whether it can meet the needs of prospective service users. In addition to this information about the home such as the Service User Guide and Statement of Purpose give comprehensive information about services and facilities on offer. Trial visits are offered tailored to individual’s needs, which include tea visits, overnight stays and weekend visits. Due to the service user group that the home caters for having complex needs particular attention is given to gathering information from the families of prospective service users as these usually advocate on behalf of their son or daughter. All staff that were interviewed were able to give detailed knowledge of the service users assessed needs and records viewed by the inspector confirmed that service users needs are assessed appropriately prior to admission. The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 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 and 7. Although there is a consistent care planning process in place staff need further guidance on review processes and procedures to ensure effective monitoring is achieved. The systems for service user consultation are adequate, with evidence that views are sought and acted upon. EVIDENCE: The home maintains comprehensive care plans that detail aims and goals for service users. All staff that were interviewed were able give examples of aims and goals, which included promoting independence in personal care, cooking and art sessions to increase concentration spans. One member of staff stated, “ Encouraging someone to wash their own face and clean their teeth themselves gives them control and is something everyone is entitled to”. However when the inspector asked staff about the care planning review process staff were unable to demonstrate appropriate knowledge of this, being uncertain of how often this should occur and who is involved. The inspector relayed this information to the manager; instructing that this should be rectified in order that service users needs are monitored appropriately and staff understand their responsibilities within this area. All staff that were interviewed confirmed that service users are able to make decisions about their lives with one stating, “ service users who are non verbal The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 Page 10 let us know their choices through body language, facial gestures and sounds”. Staff also confirmed that they attempt to involve service users in decisions relating to the home giving examples including household chores, shopping and decorating. The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 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) Standards not assessed at this inspection. EVIDENCE: The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19. Personal support in this home is offered in such a way as to promote and protect service users privacy, dignity and independence. EVIDENCE: Throughout the day the inspector witnessed staff offering personal support to service users in a sensitive manner, respecting their dignity and privacy. All staff that were interviewed demonstrated knowledge of individuals preferences and were able to give explanations of how these preferences are met. When asked how do staff ensure personal support is given to service users who are non verbal in the way they want, again staff demonstrated knowledge with comments received including, “always offer choices, look for responses in body language or certain sounds that a person makes”. The manager stated that the home had been having difficulties in arrange annual health checks for some of its residents (a Requirement identified in a previous inspection), with their General Practitioner stating they would have to pay for this service. The inspector recommended that the home write to the Family Practitioners Association for clarification on this matter. The manager also stated that she would contact the community nurse who visits the home to see if she could offer this service. The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 Page 13 Due to the needs of the people who live at the home a variety of professionals are involved in their care and monitoring of the their health. These include behaviour specialists, physiologists and community heath teams. Records demonstrated that service users health needs are monitored appropriately, including prompt referrals in the appropriate specialists. The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 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 and 23. The home has a good complaints system, with evidence that issues are acted upon. Staff demonstrated knowledge of adult protection. Formal training would further ensure the protection of vulnerable adults. EVIDENCE: There have been three complaints against the home since the last inspection, one of which was received directly by the Commission for Social Care Inspection. The first complaint received by the home concerned the conduct of a staff member but was later retracted and documented as being a false accusation. The second complaint was relating to the care received by a service user. The issues detailed in this complaint were fully investigated and resolved with the complainant happy with the outcome. The complaint that was sent direct to CSCI related to the conduct of staff and care provided to service users. After investigating the issues one was upheld and one not upheld. All requirements and recommendations relating to the complaint have been actioned by the home apart from one recommendation advising that staff should undertake report writing training. All paperwork viewed by the inspector demonstrated that thorough and appropriate investigations had taken place ensuring the protection of service users. The inspector did however note that CSCI had not been notified in writing in line with Regulation 37 of the Care Homes Regulations 2001of the complaint relating to the conduct of a member of staff. When asked how they ensure service users are protected from abuse staff replied, “observe changes in service users and report concerns to the manager or deputy” and “ report everything immediately”. Staff also confirmed that the home has a Whistle blowing policy, giving details of its contents. Although the inspector was satisfied with the staff’s responses she instructed that their The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 Page 15 knowledge would be enhanced further if they undertook formal training in Adult Protection. The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 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 standard(s) 24. The standard of the environment within this home is excellent, providing service users with an attractive and homely place to live. EVIDENCE: On the day of inspection the home was clean, comfortable and free from offensive odours. The inspector was informed that staff attempt to create a homely atmosphere within the building by ensuring service users have their own personal items and bedrooms are decorated to individuals tastes. As mentioned in the summary of this report there has been recent investment by the registered proprietors creating additional bedrooms and improving facilities and services within the home. After touring the building the inspector could only find minor areas still requiring attention. These were: * The bin in ‘E’ en-suite facility requires a lid. * The temperature must be monitored on a daily basis in the laundry room to ensure the extractor fan is adequate and that temperatures comply with Workplace Regulations. * Advice must be sought from the Environmental Health Department about a fly screen being fitted to the kitchen window (on the day of inspection the windows were open allowing fly’s to enter the kitchen area). The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 Page 17 * The toilet seat must be replaced in the en-suite facility used by ‘Z’ as this is broken. One service user who has recently moved in to the home previously lived at another establishment owned by Chase Community Homes. The move was agreed with all appropriate persons as it was felt the service users needs could be met better if they lived at The Bungalow. The one facility that the service user has lost by moving to The Bungalow is the use of a separate relaxation area from other service users, which was previously used to manage behaviours. The home have attempted to rectify this by sectioning off a part of the service users bedroom, but the inspector felt that this did not offer the same facility as was previously used. The manager stated that this issue had been raised with the registered proprietors and alternatives were going to be investigated. The inspector instructed that this should be given priority to ensure the service users needs are fully met and to ensure behaviours are appropriately managed. The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34, 35 and 36. Staff have a good understanding of service users needs, this was evident from the positive relationships that have been formed between staff and service users. Some progress has been made in relation to training; further work is still required to ensure staff have the appropriate skills and qualifications to meet the needs of everyone living at the home. EVIDENCE: Records confirmed that the staffing ratios are maintained to one member of staff for every two service users. In addition to this an additional 20hours a week are allocated to a named service user and the manager works supernumerary to care. Presently the home does not employ separate kitchen or domestic staff, with support workers undertaking these duties. The inspector expressed concern regarding this practice as it impacts on the direct care service users receive. For example if one member of staff is cooking a meal this leaves one person to care and assist four service users, all of whom have high dependency levels and has the potential to place service users at risk. The manager stated that domestic and kitchen staff were going to be recruited when the home is fully occupied, however the inspector reinforced that this should be addressed now rather than at a later date when service provision could have deteriorated. The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 Page 19 Observations and discussions with staff demonstrated that the staff group is made up of individuals from various backgrounds, with differing skills and experiences, all of which complement the service user group living at the home. Previous Requirements instructing that staff undertake continence, supervision, equal opportunities and infection control training remain unmet, however the inspector was shown written evidence detailing dates when this had been arranged to be undertaken. Staff that were interviewed confirmed the importance of training, with one person stating, “It gives an insight on how to handle situations and helps staff to be consistent with care, which is important for the people who live here who are autistic”. When checking staff records and talking to staff the inspector could find no evidence that autism and communication training is provided in a systematic way. Staff confirmed that they receive some guidance in this area, but would benefit from more training. Many staff at the home hold NVQ qualifications and have undertaken Learning Disability Award Framework accredited training. Since the last inspection the home has improved its staff personnel files resulting in all those sampled containing the documents and information as required in the Care Homes Regulations 2001. All staff confirmed that they receive regular, formal supervision from the manager, commenting on its usefulness to discuss personal training requirements, problems and the needs of the service users. Records viewed confirmed that staff receive supervision above the national minimum required, however no files sampled contained evidence that annual appraisals take place. In addition to supervision staff confirmed that regular staff meetings occur, again as a tool to monitoring service users needs are met. The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 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 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) 38, 39 and 42. The manager provides clear leadership throughout the home, with all staff demonstrating awareness of their roles and responsibilities. The home regularly reviews aspects of its performance through a good programme of self-review including consultations with service users and their representatives, ensuring a quality service is provided. EVIDENCE: All staff that the inspector spoke to stated that the manager is approachable and offers support and guidance, with one person stating, “ you can challenge things if your not happy with something and not worry about any comeback from the manager, everyone’s views are listened to”. The atmosphere throughout the visit was found to be both welcoming and inclusive, with service users and staff appearing relaxed and happy. Since the last inspection the home has completed an audit of its quality assurance systems, including analysing the views of families and stakeholders The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 Page 21 in the community and is currently incorporating issues identified into the development plan for the home. Also since the last inspection safe working practice risk assessments have been implemented for all areas of Standards 42.2 and 42.3 of the National Minimum Standards, however a previous Requirement to develop the fire risk assessment still remains outstanding. When viewing staff training files the inspector could not find evidence that staff having undertaken two fire training sessions a year. Both the manager and staff on duty stated that this had occurred; however records did not verify these comments. Also not all staff at the home have undertaken Food Hygiene training. The inspector instructed that staff who do not hold this qualification should not prepare and cook meals for service users and that staff must be on duty at all times who hold an up to date certificate. The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 x Standard No 22 23 ENVIRONMENT Score 2 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x 2 3 2 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Bungalow Score 3 2 x x Standard No 37 38 39 40 41 42 43 Score x 3 3 x x 2 x E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 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 YA6 Regulation 15 Requirement The home must be able to demonstrate that care staff understand the review processes for care plans, including how often this should occur and who should be involved All service users must be offered a minimum annual health check (REQUIREMENT ORIGINALLY MADE JUNE 2004) All service users must be offered a hearing test (REQUIREMENT ORIGINALLY MADE JUNE 2004) The home must notify CSCI of all allergations of misconduct for anyone employed at the home in line with Regulation 37 of the Care Homes Regulations 2001 All staff must undertake Adult Protection training The bin in E ensuite facility requires a lid The temperature must be monitored daily in the laundry room Advice must be sought from the Environmental Health Department regarding a flyscreen being fitted in the kitchen The toilet seat must be replaced Timescale for action 31/10/05 2. YA19 12(1) 31/10/05 3. 4. YA19 YA22 12(1) 22(1) 31/10/05 Immediate 5. 6. 7. 8. YA23 YA24 YA24 YA24 10(1) 16(1) 16(1) 16(1) 31/10/05 31/10/05 31/07/05 31/07/05 9. YA24 16(1) 31/07/05 Page 24 The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 in Z ensuite facility 10. 11. YA24 YA32 16(1) 18(1) The option of a separate room for Z must be explored fully All staff must undertake contience training (REQUIREMENT ORIGINALLY MADE NOVEMBER 2004) Separate kitchen/domestic staff must be employed (REQUIREMENT ORIGINALLY MADE NOVEMBER 2004) The manager must be able to verify that staff have undertaken equal opportunities training (REQUIREMENT ORIGINALLY MADE NOVEMBER 2004) All staff must undertake austism training All staff must undertake communication training specific to the needs of service users The manager must receive supervision training (REQUIREMENT ORIGINALLY MADE NOVEMBER 2004) All staff must receive an annual appraisal All staff must undertake infection control training (REQUIREMENT ORIGINALLY MADE NOVEMBER 2004) Staff must not prepare or cook food if they do not hold an up to date food hygiene certificate The fire risk assessment must be more detailed and comprehensive (REQUIREMENT ORIGINALLY MADE NOVEMBER 2004) The home must be able to demonstrate that all staff undertake two fire training sessions a year 31/10/05 31/10/05 12. YA33 18(1) 31/08/05 13. YA35 18(1) 31/10/05 14. 15. 16. YA35 YA35 YA36 18(1) 18(1) 18(2) 31/10/05 31/10/05 31/10/05 17. 18. YA36 YA42 18(2) 13(3-6) 31/10/05 31/10/05 19. 20. YA42 YA42 13(3-6) 13(3-6) Immediate 31/08/05 21. YA42 13(3-6) 31/10/05 The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 Page 25 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. 3. 4. Refer to Standard YA19 YA22 YA35 YA36 Good Practice Recommendations It is recommended that the home write to the Family Practitioners Association for advice regarding accessing and payment for annual health checks All staff undertake report writing training as recommended following a complaint investigation It is recommended that developmental areas that do not require formal training courses to be undertaken be included on staff training and development assessments It is recommended that the format for recording supervision be amended so that agreed actions, dates and details of who is going to complete actions can be recorded The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection West Point Mucklow Office Park Mucklow Hill Halesowen. B62 8DA 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 The Bungalow E55 S41185 The Bungalow V238707 120705 Stage 4.doc Version 1.40 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!