Inspection on 19/12/05 for The Bungalow

This inspection was carried out on 19th December 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Bungalow 29/06/07

The Bungalow 27/06/06

The Bungalow 08/09/05

The Bungalow 04/01/05

The Bungalow 01/09/04

The Bungalow 26/01/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 The Bungalow Plains Farm Close Ardleigh Colchester Essex CO7 7QX Lead Inspector Ray Finney Final Announced Inspection 19th December 2005 09:30 The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 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 DS0000017956.V274507.R01.S.doc Version 5.1 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 DS0000017956.V274507.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Bungalow Address Plains Farm Close Ardleigh Colchester Essex CO7 7QX 01206 852010 01206 843661 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) Mr Rohan Vasantha Kumara Dias Mrs Velamba Dias Ms Sally-Ann Edwards Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home accommodates six people with learning disabilities who may also have physical disabilities 8th September 2005 Date of last inspection Brief Description of the Service: The Bungalow is a large detached property situated a few miles from the centre of Colchester. There are parking facilities to the front of the Bungalow and a patio and gardens to the side and rear. The property has been adapted to accommodate 6 adults with learning disabilities, who may also have physical disabilities. The service supports service users to live in an ordinary home environment that reflects their individual needs. The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the inspection year 2005 to 2006 and took place on 19th December 2005 for a total of 3 hours. A total of 13 standards were examined during the inspection with 12 being met and one being partially met. During the visit the inspector looked around the home and spoke with service users and members of staff. The inspection also included observations of interactions between service users and staff and evidence gathered from samples of records. On the day of the inspection the atmosphere in the home was relaxed and welcoming, Christmas decorations had been put up and service users were happy. What the service does well: What has improved since the last inspection? What they could do better: A Quality Assurance process had been put in place but there had been no returns of the questionnaires that were sent out. The home would benefit from exploring other ways of getting the views of service users and using the information to underpin the home’s development plan. The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 Page 6 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 DS0000017956.V274507.R01.S.doc Version 5.1 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 DS0000017956.V274507.R01.S.doc Version 5.1 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): 2 and 5 The home ensured service users were admitted on the basis of a full assessment. An individual contract between the home and each service user was in place. EVIDENCE: Information from the manager and records examined showed a comprehensive pre-admission assessment for service users was completed. The manager said that families were involved in the assessment process. Evidence was also seen of the involvement of other professionals such as Occupational Therapists and Community Nursing Services. Any potential restrictions or infringements of rights that may have been identified in the assessment process were documented in the service users’ care plans. Since the last inspection some progress had been made with signing contracts on behalf of service users who did not have the capacity to sign themselves. One contract examined had been signed by relatives and the manager informed the inspector that one service user now had the support of an advocate. The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 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): 7 Service users were supported to make decisions about their lives. EVIDENCE: The manager informed the inspector that service users received support around making decisions from parents or from an advocate. One service user used a ‘communication board’ to indicate needs and wishes and to help with communicating decisions. At the time of the inspection there were no service users who had the capacity to manage their own finances. The manager said that some service users have relatives as appointees and the registered individual is appointee for others. Limitations on choice or infringements of rights were documented and risk assessments and management strategies were in place in service user plans. The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 Page 10 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): 13 and 17 The home ensured that service users were part of the local community. Service users were offered a nutritious, varied and well-balanced diet that promoted their health and wellbeing. EVIDENCE: Although the home is situated close to main trunk roads and only a few miles from the town centre, there were few local facilities nearby. Service users were supported to use the local pub. To enable service users to be part of and participate in the local community, there was evidence of a comprehensive programme of activities. Service users went shopping and swimming in Colchester. The manager said that they were making more use of public transport. Evidence seen showed that staffing levels were good so that service users could receive the appropriate level of support required to use public facilities. The manager informed the inspector that all service users were on the electoral register and those who wished to do so were supported to vote. Meals in the home were provided in a homely and individual manner. Service users chose what they wanted to eat and when. The manager said that The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 Page 11 mealtimes were flexible according to individuals’ needs, wishes and whatever activities were planned. Service users helped themselves to a variety of fresh fruit that was available. The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 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 the following standard(s): 18 and 20 The home ensured service users received personal support in the ways they wanted and needed. No service users retained, administered or controlled their own medication at the time of the inspection; service users were protected by the homes policies and procedures for dealing with medicines. EVIDENCE: Information was provided by the manager and a member of staff about how personal care was provided. Staff received induction training, which included understanding about privacy and dignity. Staff spoken with said times varied around getting up and going to bed according to service users’ wishes. The inspector observed technical aids being used to support service users with physical disabilities. The manager explained how service users made choices around preferences regarding personal care. Although there were no service users self-medicating at the time of the inspection, staff at the home were working with one service user towards developing competencies around self-medication. Lockable facilities for storage of medication were provided in preparation for this. The home used a monitored dose system. Records were examined and found to be in order. At the time of the inspection there were no controlled drugs in use in the home, but the manager demonstrated an awareness of the procedure around the The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 Page 13 storage and recording of controlled drugs. The manager provided evidence of an ‘open distance learning’ training package around medication, which had been completed by six members of staff. Workbooks were assessed by an outside assessor from the college. The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 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 the following standard(s): These standards were not inspected on this occasion. EVIDENCE: No evidence was examined for these standards at this inspection. The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Service users lived in a homely, comfortable and safe environment that was clean and hygienic. EVIDENCE: From observations of the premises made during the inspection, the home was safe, well maintained and provided a homely atmosphere. Overall the home was clean, fresh and free from offensive odours and the condition of the floor in the shower area had been improved since the last inspection. There were no changes in the environment since the last inspection; the standard remained good in both service users’ rooms and communal areas. Christmas decorations had been put up and the atmosphere was festive. The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 Page 16 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): 34 The home’s recruitment practices had improved to ensure the protection of service users. EVIDENCE: The manager was able to demonstrate an awareness of the importance of having a robust recruitment procedure and that Criminal Records Bureau checks were required before staff commenced employment. Staff records were examined for the most recent member of staff employed. All documentation that was required was on file, including a photograph, appropriate references and an enhanced CRB disclosure. The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 Page 17 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): 37, 39 and 40 The home was well run and had policies and procedures in place to safeguard the rights of the service users. On the whole the home was run in the best interests of the service users, although more work needed to be done on quality assurance and monitoring systems. EVIDENCE: The manager provided written evidence from a training provider that her qualifications in both management and care met with the requirements for the role of registered manager. The manager also completed the same statutory training as care staff in the home, including Health & Safety and Manual Handling. The manager was also exploring becoming a trainer for SCAPE (Safe Care and Protection in Essex) although had not at the time of the inspection enrolled on a course. The home had a quality assurance system in place. At the time of the inspection questionnaires had been sent to relatives but none had been returned. The manager said that a yearly meeting was held with relatives to The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 Page 18 get their views. The manager was in the process of preparing a newsletter and hoped to get some responses from that. The home would benefit from exploring other ways of seeking the views of service users and their representatives and ensuring the information received is collated into a report. The report should be made available to current and prospective users, their representatives and other interested parties. Since the last inspection the manager had had discussions with staff around ensuring that all policies and procedures were adhered to. The manager said that all members of staff who were smokers had been spoken with regarding the home’s policy on passive smoking and service users. The manager confirmed that staff members did not smoke when in the company of service users. The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 Page 19 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 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X 3 X 2 3 X X X The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA39 Regulation Requirement Timescale for action 31/03/06 24(1)(a)(b) The registered person must (2)(3) ensure that a quality assurance system is implemented and the information obtained is collated into a report, which is made available to service users and a copy of which is sent to the Commission for Social Care Inspection. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Bungalow DS0000017956.V274507.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 DS0000017956.V274507.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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