Inspection on 13/09/05 for The Bungalow

This inspection was carried out on 13th September 2005.

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

The inspector 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

The Bungalow 04/09/06

The Bungalow 28/11/05

The Bungalow 03/02/05

The Bungalow 26/07/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 The Bungalow The Bungalow Rear Of Lyon Court, Lyon Park Ave Wembley Middlesex HA0 4DN Lead Inspector Julie Schofield Unannounced Inspection 13th September 2005 4:00 The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Bungalow Address The Bungalow Rear Of Lyon Court, Lyon Park Ave Wembley Middlesex HA0 4DN 020 8902 3443 020 8903 9860 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) Residential Care Services Ltd DR FRANK ERIBO Mr Gilbert Seri-Tohoully Care Home 4 Category(ies) of Learning disability (4) registration, with number of places The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd February 2005 Brief Description of the Service: The Bungalow is a care home providing personal care to 4 adults with learning disabilities. At the time of the inspection there were no vacancies. The bungalow is in a residential part of Wembley, close to Ealing Road and with easy access to the shops on Wembley High Road. There are bus routes along Ealing Road and there are underground stations relatively near by (Wembley Central and Alperton). The property is set behind the houses and flats on Lyon Park Avenue and access is along a pathway, which is sufficient in width for a car to drive along. There are wrought iron gates at the end of the pathway and the parking area at the front of the property is behind the gates. The off street parking area would accommodate approximately 4 cars. The bungalow consists of an open plan lounge and dining area, another open plan area, a bathroom, 4 bedrooms (2 of which are ensuite), a kitchen and an office. The laundry room is situated in a separate building, to the side of the bungalow. There is a large garden at the rear of the property, with a large patio area. The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on a Tuesday afternoon in September 2005. It started at 4.00 pm and ended at 7.40 pm. The manager was on duty during the latter part of the inspection. The staff on duty and 2 of the 4 residents took part in the inspection and the Inspector would like to thank them for their comments. A partial site inspection took place and case records and staff records were inspected. What the service does well: What has improved since the last inspection? Since the last inspection the communal areas of the home have been redecorated. A new washing machine, which incorporates a sluicing cycle, has been installed. A new format for the care plan has been introduced, which contains illustrations and is more user friendly. The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 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. The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 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 the following standard(s): No new residents have been admitted to the home since the setting up of the NCSC or the CSCI. EVIDENCE: The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Care plans must be evaluated on a regular basis to ensure that changes in the needs of residents are identified and can be addressed. Residents exercise choice in their daily lives and take part in the day-to-day running of the home. Staff support residents to take responsible risks so that residents can enjoy an independent lifestyle. EVIDENCE: A new format for the care plan assessment document has been introduced. It is more user friendly and includes illustrations. Completed ones were viewed. They included an identification of the needs of the resident, strategies for improvement, level of assistance required etc. The date of the last review meeting (internal or external) for each resident was noted. One of the reviews was outstanding as it had not taken place within the last 6 months but had taken place in 2004. There was evidence that placing authorities, counsellors, family members etc were invited to attend review meetings. A resident confirmed that they had recently attended their review meeting. Two residents were aware of who their key worker was and as the key worker was on duty a discussion took place regarding the needs of the residents. The key The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 10 worker was knowledgeable and able to describe the progress being made by each resident in the home. Residents are encouraged to exercise choice in their daily lives. Although one resident is unable to communicate verbally staff said that they encourage the resident to choose what clothes they wish to wear by asking the resident to point to signify choice. Residents are able to choose their meals and it was noted that before the preparation of the meal listed on the menu the member of staff checked with the residents whether they would prefer an alternative choice. Residents choose what activities they wish to take part in and whether they would prefer to spend time in their rooms. Staff said that residents are encouraged to take part in the day-to-day routines of the home and that this could include helping to put clothes in the laundry baskets, to set the table and to clear away dishes, to tidy their bedrooms etc. A member of staff said that residents were involved in choosing the colour of the new lounge furniture and that the colour chosen was one that a resident pointed to. Case files contained risk assessments, which varied according to the needs of the residents. One file included risk assessments in respect of choking, the non-provision of door keys, using the bath, taking part in activities in the community etc. Risk assessments included risk management strategies. The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 14, 15, 17 Residents have access to day centres and college courses, which provide an opportunity to develop their social and communication skills. Residents receive support from members of staff to develop independent living skills. Taking part in activities gives residents the opportunity to become more independent and to enjoy an interesting and stimulating lifestyle. The support of staff enables residents to maintain family contact. Residents have a varied and balanced diet, with dishes to satisfy religious and cultural needs. The preferences of residents must be known and alternatives arranged when required. EVIDENCE: One resident is developing their independent living skills and confirmed that they assist with their laundry and can make a cup of tea and a snack. The key worker said that some residents receive shopping awareness training through their day centre attendance. A resident confirmed that they received support from a bereavement counsellor. One of the residents attends a local church. The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 12 Each resident has a day care programme. Three residents attend day centre on 5 days per week and the fourth resident attends a day centre on 2 days per week and has activities arranged by the home on the other 3 days per week. A resident had a certificate on display in their room for successful completion of a BACES craft course. Two of residents said that they had enjoyed a recent holiday in Minehead and the photographs were shown and discussed with the residents. One of the residents said that they preferred this holiday location to previous ones. The holiday had included visits to local attractions. One resident had particularly enjoyed the evening entertainment e.g. disco dancing. Residents confirmed that they attended clubs in the evenings and at weekends. Residents also confirmed that day trips took place and these have included trips to Brent Cross, Watford, Camden Market, Harrow, and the West End etc. A resident confirmed that they were in regular contact with a member of their family by telephone and by visiting. A resident is assisted to visit a relative who lives in a nursing home. Residents visit friends living in other care homes and these friends make return visits to the Bungalow. Residents were offered a snack on their return to the home in the evening and during the inspection the evening meal was prepared and served. The member of staff preparing the meal confirmed that they had attended food hygiene training. The evening meal consisted of fish in batter, pots and vegetables. One of the residents said that they wanted the fish to be served in a bread roll and this request was met. A member of staff said that one of the residents did not like pilchards and the resident said that they did not like any fish and that they had not eaten the fish. The menu was available for inspection and it provided a varied and balanced diet. The member of staff said that African-Caribbean foods were prepared for an African-Caribbean resident and that there were no other special dietary requirements. Records of the meals consumed by each individual resident were available and were up to date. Records of the weight of residents are kept on a monthly basis. They were also up to date. The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 The personal support that residents receive varies according to their level of dependency. Residents’ health care needs are met through access to health care services in the community. Trained staff administering medication in accordance with the GP’s instructions promotes the physical health of residents. EVIDENCE: The level of assistance with personal care tasks varies according to the needs of the residents. The member of staff said that this could range from encouragement and prompting to direct assistance. There was evidence in the case files of access to the GP, and of medication reviews by the GP. There was also evidence of appointments with the chiropodist, the optician, the dentist, the psychologist, out patient clinics etc. There was evidence of access to routine screening e.g. blood tests. Residents were able to have flu jabs, if they wished. Staff confirmed that a member of staff accompanied the resident on appointments. Medication is kept in a locked facility and the storage was safe and secure. Medication is administered from a weekly dosette box, which has been filled by the pharmacist. Medication in the dosette boxes had been removed in The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 14 accordance with the GP’s directions. Records of the administration were inspected and were up to date and complete. The senior member of staff who was responsible for administering medication during the shift confirmed that he had attended medication training. The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Residents are aware of their right to complain if the care that they receive is not satisfactory. An adult protection policy and protection of vulnerable adults training for staff contribute towards the safety of residents. EVIDENCE: A copy of the complaints procedure was on display in the home. The simple procedure included timescales for each stage of the procedure and referred complainants to the directors of the company, if the home’s manager could not resolve matters. Information regarding access to other agencies e.g. the CSCI was included, with the address and telephone number of the local office. The senior member of staff on duty said that no complaints have been recorded since the last inspection. Residents said that if they had any complaints they could speak to some one in the home. Staff on duty confirmed that they have received protection of vulnerable adults training. Staff said that they had access to the home’s adult protection procedure. The senior member of staff on duty said that no allegations or incidents of abuse have been recorded since the last inspection. The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 30 Residents are satisfied that the Bungalow is comfortable and homely in appearance. Some minor cleaning is required. Single bedrooms provide residents with privacy and residents are satisfied that the size of the room provides them with sufficient space in which to relax. Residents live in a home where standards of cleanliness are good. EVIDENCE: The home is situated off the road and behind blocks of flats. There are gates at the end of the access road keeping the garden area secure so that residents are able to use the garden areas without constant supervision. The home is kept in a good state of repair and the staff said that new lounge furniture is on order. The bungalow is furnished and decorated in a comfortable and “homely” style and the lounge areas have been decorated since the last inspection. However there are some marks on the wall near the residents’ bedrooms. Seat cushions on the chairs around the dining table need cleaning. Residents said that they were pleased with the furnishings, fittings and décor in the home. The weather has been warm recently and there was a floor standing fan in the lounge, which has been used to keep the temperature in the lounge at a comfortable level. The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 17 Each resident has their own single bedroom and 2 of the bedrooms have en suite facilities. The rooms all meet the recommended standard of a minimum of 10 square metres and 2 of the residents said that they liked their rooms because they were big. They are comfortably furnished and decorated and contain storage space. Two of the residents showed the Inspector their room. They have purchased televisions and music centres for their rooms and confirmed that they are able to relax in their room, free from unnecessary intrusions. One resident has purchase a treadmill and said that they used this, as they wanted to keep fit. It was noted that there was a hole in the board being used to cover a fireplace. It was noted during the inspection that all areas seen were clean and tidy and that the home was free from offensive odours. A new washing machine with a sluicing cycle has been installed in the laundry room, which is in a building adjacent to the bungalow. The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 36 The rota demonstrated that there were sufficient staff on duty to support the residents. Residents are supported by staff that undertake NVQ training to develop their skills and knowledge and to understand the needs of the client group. Individual supervision sessions enhance the overall support available to staff and is an opportunity to encourage personal development. EVIDENCE: During the inspection 2 members of staff were on duty. They confirmed that there are 2 members of staff on duty in the morning, before residents leave for the day centre. There are also 2 members of staff on duty in the afternoon and evening. At the weekend there are 2 staff on duty during the day. At night there is one member of staff sleeping in but on call. One of the members of staff on duty said that the local authority is arranging training in Makaton for support workers. The senior member of staff said that members of the staff team were undertaking NVQ training. In addition to this training was arranged through the company and that this included training relevant to the client group e.g. challenging behaviour, epilepsy, protection of vulnerable adults etc and training relevant to the duties to be carried out e.g. food handling, fire safety, manual handling, first aid, infection control etc. The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 19 Staff on duty confirmed that staff were supported and supervised by managers. The manager of the home held supervision sessions with members of staff on an individual basis, each month. A staff meeting also took place on a monthly basis. During the staff meeting there was a 2-way exchange of information as staff could make suggestions and the manager gave feedback from the meetings that he had attended at head office. In addition senior managers within the company visited the home and were available to support staff. The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42, 43 The knowledge of what to do if the fire alarm rings helps everyone in the home, in the event of a fire occurring. In the event of an accident or incident occurring in the home, insurance cover protects residents, members of staff and visitors to the home. EVIDENCE: The record of fire drills being held in the home was up to date and demonstrated that the alarm was sounded on a weekly basis and then followed by a drill, with residents taking part. There was an Employer’s Liability insurance certificate on display in the home. It was valid for the period 12/12/04 to 11/12/05. It provided cover up to a minimum of £5 million. The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 X X 3 CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Bungalow Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 3 DS0000017464.V250707.R01.S.doc Version 5.0 Page 22 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. 1 2 Standard 6 17 Regulation 14.2 & 15.2 12.3 Requirement That review meetings take place on a regular basis, at least six monthly. That what the resident likes and dislikes eating is checked on a regular basis and recorded on the case file. That the marks on the wall near the residents’ rooms are made good and that the seat cushions of the dining chairs are cleaned. That a suitable covering is provided for the fireplace. Timescale for action 01/12/05 01/12/05 3 24 16.2 & 23.2 16.2 01/12/05 4 25 01/12/05 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 6 Good Practice Recommendations That the home devises a system for noting the date of the last review meeting and for contacting the placing authority in advance of the date next due. The Bungalow DS0000017464.V250707.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 DS0000017464.V250707.R01.S.doc Version 5.0 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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