Inspection on 02/02/06 for The Bungalow

This inspection was carried out on 2nd February 2006.

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 13/07/07

The Bungalow 22/11/06

The Bungalow 30/06/05

The Bungalow 19/01/05

The Bungalow 15/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 The Bungalow 150a Crabble Hill Dover Kent CT17 0SE Lead Inspector Joe Harris Unannounced Inspection 1:00 2 February 2006 nd The Bungalow DS0000023248.V263000.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 DS0000023248.V263000.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 DS0000023248.V263000.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Bungalow Address 150a Crabble Hill Dover Kent CT17 0SE 01304 825739 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) Robinia Care South East Ltd Mrs Julie Ann Staveley Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Bungalow DS0000023248.V263000.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users are restricted to three (3) service users with learning disabilities between 18 and 65 years of age. Service users are restricted to One (1) service user LD/OP whose DOB is 13/04/1940. 30th June 2005 Date of last inspection Brief Description of the Service: The Bungalow is part of the larger Company of Robinia Care, who specialise, in this area of Kent, in care of people with learning disability. The Bungalow is situated in the grounds of Hillbrow, which also provides care and support to adults with mild to moderate learning disabilities. Both homes are managed by the same registered manager but are inspected separately. The Bungalow is intended to provide support for more independently skilled service users and also for service users who benefit from living in a smaller home. It is also suitable for service users with some mobility difficulties but is not currently adapted for wheelchair use. Service users are involved in all aspects of their daily living. The home is situated on the outskirts of Dover in a residential area near to amenities with easy access to the main bus route/train station to the town. The home also has the use of a car for shopping, outings or visits to the service users’ families. The Bungalow DS0000023248.V263000.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 2nd February 2006 and commenced at around 1pm. The inspection lasted for around 1.5 hours with much of the relevant documentation relating to the home having been viewed during the inspection of Hillbrow during the same morning. A discussion was held with the service user present at the time of the visit and the staff member and registered manager. The inspector was also able to talk to a visiting therapist who was involved in an arts and craft session with the resident. A tour of the premises was undertaken and some documentation relating to the day-to-day running of the home was viewed, including menus, fire safety and accident logs amongst other things. What the service does well: What has improved since the last inspection? The home continues to provide a positive environment for service users to develop their independent skills. There were no recommendations at the previous inspection and the home is developing its service according to individually assessed needs. The Bungalow DS0000023248.V263000.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 DS0000023248.V263000.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 DS0000023248.V263000.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): 1, 2, 3, 4 and 5. There are satisfactory levels of information provided to prospective service users about the service. Individual needs and aspirations are assessed and the home ensures that these will be met. Prospective residents can spend time in the home prior to moving in. A written contract is provided. EVIDENCE: The home has developed both a statement of purpose and a service user guide, which contain all relevant information in accessible formats. A copy of both documents are available on request and new and prospective service users are given a copy of the service users guide. There is a good process of assessment in place. The home is a small service and focuses on enabling service users to become more independent. Therefore the majority of residents who move in have lived in the main home, Hillbrow, set in the same grounds and are well known to the service. Any potential move is discussed with the service users, care manager and significant others and, as a result, a gradual and increasing level of visits and time spent at the home can be arranged dependent on the needs and wishes of the service users involved. Where a referral is considered from outside the organisation, the registered manager ensures that adequate information is obtained including background information, joint care management assessments and all other relevant information. When a service user chooses to move there is a three-month settling-in period to ensure that the individuals needs can be further assessed and met. The home has a stable staff team and they are provided with good levels of training and staff development. The service has reportedly established good The Bungalow DS0000023248.V263000.R01.S.doc Version 5.0 Page 9 links with local community learning disability services and there is evidence of input and advice being given where required. There is a clear and comprehensive statement of terms and conditions of residence addressing all necessary information. Individual copies of the signed contract are kept on file. The Bungalow DS0000023248.V263000.R01.S.doc Version 5.0 Page 10 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, 9 and 10. An individual plan is developed for each service user. The home has a good process of risk assessment and management. Information is kept in a confidential manner. EVIDENCE: All individual plans viewed contained good levels of information addressing the holistic needs of the service users. Service users are encouraged to be involved in the planning process and goal setting. The plans are regularly reviewed and updated on an on going basis. There is a key worker system in place. The home has robust risk management processes assessing potential risks and giving clear guidance for staff to minimise risks. The risk assessment process aims to enable service users to become as independent as possible taking responsible risks. Any restrictions in place are clearly recorded and discussed with relevant professionals. There is a missing persons procedure in place. All written information regarding service users is kept securely and in a confidential manner. There are polices and procedures governing confidentiality in place and this issue is also discussed with staff through the induction programme. The Bungalow DS0000023248.V263000.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, 13, 15, 16 and 17. There are opportunities for personal development and a range of therapeutic and recreational activities available. Visitors are welcomed into the home and individual rights are respected. A healthy, balanced diet is provided. EVIDENCE: Due to the focus on independent living skills the home offers support to enable residents opportunities for personal development in and outside of the home. Two of the service users in particular spend most of the days out of the home involved in college courses and work experience. Service users are also encouraged to participate in daily tasks such as cooking, cleaning and shopping amongst other things. The home offers a good range of activities taking into account individual choices and preferences. One resident was involved in a 1:1 arts and craft session at the time of the visit. Residents have the opportunity to go on regular trips out as well as visits to the swimming pool, sports centre and other local amenities. The main home has visiting entertainers and residents can participate in these events. Visitors are welcomed into the home at any reasonable time and there is adequate space for people to meet in private should they wish to do so. The home maintains good contact with relatives and relevant professionals. The Bungalow DS0000023248.V263000.R01.S.doc Version 5.0 Page 12 Menu records were viewed, which demonstrate that a healthy and balanced diet is offered. Any special dietary needs are catered for and the advice of dieticians sought should the need arise. The dining area is comfortable and a good size and meals are taken in a relaxed and unhurried atmosphere. A choice of menu is offered at each mealtime. Residents are able to be involved in the planning and preparation of meals according to need and ability. The staff in the home respect the rights of each individual and a personcentred approach is adopted. There are rules and expectations to promote communal living. Service users participate in housekeeping tasks and the upkeep of the bedrooms. There is unrestricted access throughout all the communal areas of the home and garden. The Bungalow DS0000023248.V263000.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. Personal support is provided by staff in a sensitive and dignified manner. EVIDENCE: Personal support provided for residents is clearly documented in the support plans and staff have a good knowledge of the residents in the home. Some service users require minimal assistance, but prompting where necessary. Routines are determined by individual residents unless there is a clear and assessed impact on care needs. Service users are free to choose when they get up and go to bed for example. Specialist health and social care support is ensured where necessary including input from community learning disability teams and general healthcare practitioners. The Bungalow DS0000023248.V263000.R01.S.doc Version 5.0 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): 22 and 23 There is an adequate complaints process in place. Service users are protected from forms of abuse. EVIDENCE: The home has a clear and effective complaints procedure in place, of which service users and relatives are made aware. The home aims to deal with complaints on an informal basis in the first instance and procedures are well documented. The home has clear policies and procedures in place aimed at protecting service users from potential abuse. Systems are in place to record and document any incidence of abuse should it occur and procedures for reporting such incidents are also in place. The registered manager is aware of legislation and responsibilities regarding the Protection Of Vulnerable Adults. Staff are provided with guidance and training relating to adult protection and demonstrated good levels of awareness. Policies and procedures regarding service users finances are clear and adhered to. The Bungalow DS0000023248.V263000.R01.S.doc Version 5.0 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. The premises are homely, comfortable and safe. The home is clean and hygienic. EVIDENCE: The service is located in a secluded position away from the main road leading into the town of Dover, which is approximately ¾ mile away. There is regular bus route passing the home and good transport links from the town. The house is a bungalow set at the back of the main house, Hillbrow, with it’s own garden and parking area. The home has been attractively decorated throughout with good quality furniture and fittings. There is a large lounge/dining area that has a homely feel and is a comfortable communal space. All bedrooms are single occupancy and have been personalised and decorated to a high standard. The kitchen is relatively small, but functional and has adequate space to enable staff to assist service users with food preparation. The home is accessible to all service users. There is an adequate laundry area and policies and procedures are in place for the control of infection. The home was maintained to a high standard of cleanliness. The organisation employs a maintenance team, ensuring that any works required are completed in a timely fashion. The Bungalow DS0000023248.V263000.R01.S.doc Version 5.0 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): 32 and 33. There is a stable and competent staff team, with suitable numbers on duty at all times. EVIDENCE: The organisation has a positive ethos regarding staff training and development encouraging staff to work towards National Vocational Qualifications and attending a wide range of other training courses. There is a small staff team at the home, but NVQ targets are being met. A number of staff have many years of experience working with people with learning disabilities. The service user spoken to stated that, “I am well looked after” and “we all get on well together”. Adequate numbers of staff are on duty at all times. When all three residents are at home there is a minimum of two staff on duty and one staff member at other times. One staff member is on duty at night time. An on-call system is in operation and additional staff are also available in the event of an emergency. There are regular staff meetings. The Bungalow DS0000023248.V263000.R01.S.doc Version 5.0 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): 42. The home ensures that the health, safety and welfare of service users is promoted and protected. EVIDENCE: All health and safety documentation was clear and up to date. Files are well organised and all service and maintenance checks were in place. Fire logs and accident records were completed and well maintained. All staff have received the required induction and mandatory training as required, including updates and refreshers as necessary. The organisation has policies and procedures in place promoting safe working practices. Environmental risk assessments were completed and maintenance issues are addressed in a timely fashion. The Bungalow DS0000023248.V263000.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Bungalow Score 3 X X X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 3 DS0000023248.V263000.R01.S.doc Version 5.0 Page 19 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. Refer to Standard Good Practice Recommendations The Bungalow DS0000023248.V263000.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 DS0000023248.V263000.R01.S.doc Version 5.0 Page 21 - 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!