Inspection on 18/07/07 for The Bungalow

This inspection was carried out on 18th July 2007.

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 10/07/06

The Bungalow 05/12/05

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 115 Cross Keys Lane Hadley Telford Shropshire TF1 5LR Lead Inspector Rebecca Harrison Key Unannounced Inspection 18th July 2007 09:00 The Bungalow DS0000064999.V346109.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 The Bungalow DS0000064999.V346109.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. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Bungalow Address 115 Cross Keys Lane Hadley Telford Shropshire TF1 5LR 01952 260712 F/P 01952 260712 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) Care Tech Community Services Limited Mrs Claire Goodwin Care Home 4 Category(ies) of Learning disability (4) registration, with number of places The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide personal care and accommodation without nursing for service users of both sexes whose primary care needs on admission to the home are within the following category: Learning disability (LD) 4. The maximum number of service users to be accommodated is 4. 2. Date of last inspection 10th July 2006 Brief Description of the Service: The Bungalow is registered with the Commission for Social Care Inspection to provide accommodation and personal care for a maximum of four adults with a learning disability. At the time of the inspection the home had two vacancies. The home is situated in Hadley, Telford and is in keeping with the local community and accessible to shops, pubs and the local college. The Bungalow has recently reopened following a period of major refurbishment and an increase in registered numbers. Accommodation is provided over two floors providing two lounges, a dining room, kitchen and four single bedrooms. Adequate outdoor space is provided with wheelchair access, although it is not the intention of the provider to accept referrals for people with limited mobility within this particular service. CareTech Community Services Ltd is the registered provider. The responsible individual is Mr Stewart Wallace and the manager is Ms Claire Goodwin. Caretech’s philosophy is included in the Statement of Purpose and states ‘CareTech and their staff work on the philosophy of enabling people to live as full a life as possible, supporting them in their daily activities and any identified long term plans. We recognise that all people with disabilities should be given due respect to their individuality enabling all to be fully involved in any decisions having an affect on their lifestyle commensurate to the level of their abilities and enabling people to maintain all their entitlement associated with citizenship’. Information about this service is available from the Statement of Purpose and Service User Guide. Inspection reports produced by CSCI can be obtained direct from the provider or are available on CSCI’s website at www.csci.org.uk Current fees charged per person range from £1325.00 to £1393.88 per week. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on 18th July 2007 from 9 am until 1pm with a return visit on the following day from midday to 2.30pm to meet with the manager and look at staff files. The inspection included talking with the two people who currently use the service, the staff on duty and the manager. The inspector looked in detail at all aspects of care provided for both people, observed work practice, examined a number of records and looked around the home. Service users and staff on duty completed a questionnaire during the inspection and some of their views have been included in this report. The purpose of the inspection was to assess all 22 ‘Key’ National Minimum Standards for Younger Adults. A quality rating is provided throughout the report based on each outcome area for the people who use the service. These ratings are described as excellent/good/adequate or poor based on findings of the inspection. The people who use the service, the staff and the manager were very helpful throughout the inspection. What the service does well: The two people who live at The Bungalow are supported to use their local community on a regular basis and are developing good social networks. Family links are well established and promoted. Following the major refurbishment of the home the staff team have successfully supported an existing service user to return to his home and have admitted a new person following a number of introductory visits. The two people appear comfortable with one another and have settled into their new home well. Feedback received from surveys include: ‘We look after service users well and make sure that they feel at home and are given the level of support they need’. ‘The home provides good/excellent standards of care to service users and the staff work well as a team’. ‘I like karaoke’. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 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 summary of this inspection report can be made available in other formats on request. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 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 DS0000064999.V346109.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3,4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective people and their representatives have the information needed to choose a home, which will meet their needs. They have their needs assessed and a contract which clearly tells them about the service the will receive. EVIDENCE: One person has very recently been admitted to the home since the home reopened in early June. Records examined evidenced that an Overview Assessment had been obtained from the placing authority in addition to the home carrying out their own assessment of need. A detailed transition plan was available and a written outcome of all visits undertaken. Discussions held and records seen indicated that the existing service user living at the home was fully involved in introductory visits to ensure compatibility and that the home is appropriate to meet the needs of the person concerned. A Statement of Service was available on file. It was reported that a copy has been forwarded to the persons’ representatives awaiting signature. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are provided with detailed information to ensure service users’ assessed needs are met. The people who use the service are supported to make decisions and enabled to take responsible risks. EVIDENCE: Support plans were examined and information in relation to the existing service user was found detailed with evidence of regular review. The staff are nearing completion of the support plan for the recently admitted person and discussions held with staff indicated that they are still getting to know the person and appeared confident supporting him. Both people are provided with a key worker for continuity of care and have opportunity for 1:1 through regular ‘Talk Time’ sessions to assist future planning for example to discuss interests, family, activities, events and new social and leisure opportunities. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 10 During the inspection both people were supported in making decisions and offered choice in relation to activities, drinks and activities. Numerous risk assessments to support both in-house, community activities and day trips were available on files with evidence of review. The manager was advised to clearly state peoples support requirements particularly against community activities. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to make choices about their life style, and supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. EVIDENCE: One person has attended college and is currently attending ‘summer school’ during the summer break. Discussions held with him indicated that he very much enjoys accessing this facility, which has provided him with the opportunity to develop a number of skills. Neither person attends day service provision provided through the local authority but receive additional funding for 1:1 opportunities provided by the home. Records seen on file evidenced that both people are provided with good opportunities to access the community and are supported to attend a local club, visit friends, leisure interests, shopping and dealing with finances. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 12 One person told the inspector that he enjoys going to church and loves football and pictures of his favourite team was seen displayed in his room. He also reported that he has been on day trips as evidenced in his social diary and activity record. The person most recently admitted to the home is currently being supported to try out new experiences in the community and to develop new friendships. A pictorial and voice activated book has been developed by the speech and language department to assist communication as seen during the inspection and the manager reported that Makaton training is to be sourced. Both people were seen assisting with housekeeping tasks during the inspection visitors are always welcome. Records evidence links with family and friends are promoted. Since the last inspection social networks have increased with one person attending college and an evening social club and developing friendships amongst other people who live in the organisations homes nearby. All contact and visitors to the home are recorded on a communication/contact sheet held on each persons file. Both service users are encouraged and supported to partake in menu planning, shopping and meal preparation as seen during the inspection. The food available in the fridge was sparse however meals provided on both days were as per the menu displayed. It was reported that due to financial constraints food is having to be purchased on a daily basis while awaiting an additional budget for the person most recently admitted. A record of food intake is held on people’s files and evidenced that people are provided with a varied diet based on their individual preferences. Both people indicated that they enjoy the meals provided. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. The home has a satisfactory system of handling, storing and managing medication that safeguard the people who use the service. EVIDENCE: Preferences in relation to individual support requirements were available on both files examined in addition to detailed Health Action Plans, one signed by the service user. Records evidence that people’s health is monitored and regularly reviewed with relevant health professionals and outcomes stated. The manager committed to ensuring the person most recently admitted to the home is registered with a general practitioner shortly. Medication procedures appeared satisfactory at the time of the inspection with the exception of one gap in the medication administration record (MAR chart) for the person most recently admitted and excessive stock of prescribed creams for one person. The manager was advised to date creams when they The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 14 are opened and discard after three months. Prescribed medication is supplied by Boots Chemists in the form of the Monitored Dosage System (MDS). It was reported that three members of the staff team have completed the ‘Aset’ Certificate in Managing and Safe Handling of Medicines distance learning course provided through a college and awaiting verification and that the remainder of staff have attended a one day in-house course provided by the organisation. The manager has sourced a further training course through the local authority and staff are due to attend soon. The homes policy on medication was not reviewed on this occasion. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service and their representatives are able to express their concerns and have access to an effective complaints procedure. Appropriate procedures are in place to safeguard service users from potential abuse. EVIDENCE: People have access to a complaints procedure and a pictorial complaints pack was available on one of the files examined. One person spoken with has an understanding of who to approach if he was not happy with the service provided. No complaints were found recorded in the complaints log and confirmed by the manager and no concerns or complaints relating to this service have been referred to CSCI since the last inspection. A copy of the local safeguarding adults policy and procedure is available. No referrals have been made under these procedures since the last inspection. It was reported that all but one staff member has attended training in adult protection and physical intervention. It was reported that the people currently accommodated do not require physical intervention however concerns were expressed in relation to the training currently provided by the organisation therefore alternative training is being sourced by the manager. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 16 The organisation has financial procedures in place to ensure people who use the service and the staff are safeguarded. Staff spoken with were satisfied with the procedures in place and confirmed regular the management team undertakes audits. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 17 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people who use the service to live in a comfortable environment, which encourages independence. EVIDENCE: The home has recently reopened following major refurbishment to include an extension of living accommodation and an increase in registered numbers from three to four people. A full tour of the home was undertaken accompanied by one of the people who use the service. The décor and furnishings are of a high standard and it is evident that people very much enjoy the much-improved accommodation. The home meets the requirements of the fire and environmental health departments as confirmed during the recent registration site visit undertaken by CSCI. Accommodation is provided over two floors providing three bedrooms on the ground floor and one bedroom plus office on the first floor. A passenger lift is not available however it is not the provider’s intention to accommodate people The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 18 with mobility difficulties. Two lounges, a well-equipped kitchen and dining room are also provided. An enclosed patio area and garden is provided at the rear of the property although the lawn is in need of attention. The home was found well presented during this unannounced inspection. Rooms were bright, clean and airy. People are supported with household duties and staff have attended training in infection control procedures. Products hazardous to health are appropriately stored and supported by relevant assessments. The manager was advised to ensure liquid soap is made readily available in areas required. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 19 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): 32,33,34,35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use the service are supported by a trained, committed and staff team and are safeguarded by the homes recruitment procedures. EVIDENCE: People using the service are supported a team of four permanent staff to include the manager, the deputy manager and two support workers. A further support worker is currently deployed at a local home managed by the organisation and is due to return shortly. Records evidence that agency staff are used on a daily basis until the team is fully staffed. The manager was able to evidence that only regular staff from the same agency are used that are familiar with the home and needs of the people accommodated as confirmed in discussions held with an agency member of staff during the inspection. He reported that he very much feels part of the team and has read support plans and risk assessments. Staff were seen to engage with service users in a positive manner and demonstrated a good understanding of individual needs. It was reported two support staff hold an NVQ qualification. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 20 The two people currently accommodated are supported by two staff throughout the day and one sleep-in person during the night. The manager reported that staffing levels are appropriate to the current needs of service users and committed to keeping these under review based on the needs of future admissions to ensure consistency of care delivery and in keeping to free determination and choice. It was reported that no new staff have joined the team since the last inspection however the manager was able to evidence that the home has advertised and interviews held. One person is due to join the team in August following pre-recruitment checks therefore it was not possible to examine personnel records on this occasion however recruitment procedures were found satisfactory at the previous inspection. Discussions held with the manager indicated that under no circumstances would an employee commence direct work with service users until all checks are undertaken and satisfactory. Criminal Records Bureau certificates are held centrally by the organisation and these were examined by CSCI‘s Provider Relationship Manager during an audit of records in January 2007 and found satisfactory. The manager has undertaken team training needs analysis and appropriate courses have been sourced to include service specific and mandatory training. Staff spoken with reported that they are provided with good training opportunities but considered that the organisation could better support staff in care progression and pay awards. Records seen and discussions held evidence that staff receive formal supervision from the management team at the required frequency however the registered manager has not received supervision since February 2007. Appraisals are due to be undertaken shortly. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 21 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): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home benefit from a service that is effectively managed, with aspects of performance reviewed and health and safety generally promoted. EVIDENCE: Ms Claire Goodwin is the registered manager of the home and is contracted to work 40 hours per week. She stated that she is nearing completion of the Registered Managers Award. She reported that since the last inspection she has undertaken training in Health and Safety for Managers and is due to attend training in Mental Capacity Act and physical intervention refresher training shortly. All staff spoken with reported that the manager is supportive and approachable. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 22 The provider prior to the home closing for refurbishment undertook a Quality Assurance Audit and a score of 91 was achieved with few recommendations for improvement made. Discussions held with one service user and observations made evidenced that service users partake in decision-making processes. A visit under Regulation 26 has yet to place since the home reopened. The manager committed to seeking the views of relatives and stakeholders on how the home is achieving for service user within the next six months to assist with future planning. Health and Safety procedures were generally satisfactory at the time of the inspection however fire doors were found propped open over the two inspections and the manager committed to seeking advice from the fire officer in relation to suitable door devices for the safety of service users. The cupboards in the laundry require relocating as they are fixed at head height and the paving area at the from of the property is a potential trip hazard as identified at the Commission For Social Care Inspection registration site visit. The ceramic tiles on the porch entrance are extremely slippery under wet weather conditions. Service certificates were examined and found satisfactory during a CSCI registration site visit on 21.05.07 and were therefore not examined on this occasion. Records of safety checks were available and it is recommended that a fire evacuation be undertaken to ensure people are familiar with the procedures following the refurbishment of the home. Staff access mandatory training in safe working practices at the required frequency and the manager has requested refresher training as required. The manager was advised to undertake a first aid risk assessment. The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 23 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 x 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 3 x x 2 x The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 24 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 YA42 Good Practice Recommendations It is recommended that the ordering and recording of medication is more closely monitored. It is strongly recommended that the manager liaise with the fire authority at the earliest convenience in relation to seeking advice on door devices to ensure service users have the freedom of movement but are not placed at risk. It is strongly recommended that maintenance works as detailed in this report is carried out as soon as possible for the safety of service users and staff. 3. YA42 The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 The Bungalow DS0000064999.V346109.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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