Inspection on 20/09/05 for The Bungalow

This inspection was carried out on 20th 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 08/10/07

The Bungalow 25/07/06

The Bungalow 06/03/06

The Bungalow 09/03/05

The Bungalow 04/08/04

The Bungalow 20/02/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 The Bungalow Raby Hall Road Bromborough Wirral CH63 ONN Lead Inspector Jeanette Fielding Unannounced Inspection 20th September 2005 16:10 The Bungalow DS0000019000.V253055.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 DS0000019000.V253055.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 DS0000019000.V253055.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Bungalow Address Raby Hall Road Bromborough Wirral CH63 ONN 0151 334 7510 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) siobhan.wise@wirral.autistic.org Wirral Autistic Society Mr Michael James Hatton Mrs Siobhan Anne Wise Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Bungalow DS0000019000.V253055.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th March 2005 Brief Description of the Service: The Bungalow is set within the grounds of Raby Hall and provides accommodation and personal care to three adults who have a learning disability, specifically autism. The home is set within extensive, wellmaintained grounds. The home provides each service user with a single bedroom and all the facilities expected within a smaller home, designed to provide a homely environment. The Bungalow DS0000019000.V253055.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over a period of three hours on one day and took place in the early evening after the service users had returned home from day services. The home is a well maintained, three bedroom detached bungalow set in the extensive grounds at Raby Hall. Records were found to be well maintained and up to date. The service users enjoy an active lifestyle and their individual tastes and preferences are respected by the staff. There has been no change to the staff team who work well with the service users, promoting independence where appropriate. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Bungalow DS0000019000.V253055.R01.S.doc Version 5.0 Page 6 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 DS0000019000.V253055.R01.S.doc Version 5.0 Page 7 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 Assessments were made on service users prior to their admission to the home and these assessments are reviewed on a regular basis to ensure that the service users are provided with the appropriate level of care. EVIDENCE: No new service users have been admitted to the home for several years and there are no changes planned for the home. Full assessments have been undertaken on all service users by specially trained staff. Service users, their families and other care professionals are involved with these assessments. The assessments continue to take place informally on a daily basis and six monthly for formal reviews. The Bungalow DS0000019000.V253055.R01.S.doc Version 5.0 Page 8 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, 9 Comprehensive risk assessments are undertaken on service users and appropriate action taken to remove or reduce risks to ensure the protection of service users. EVIDENCE: The care plans are reviewed six monthly or more frequently as necessary. The reviews include contributions from the service users and their family’s. They are comprehensive and include all details of the care to be given and the goals to be achieved. The achievements are recorded at each review. The service users are encouraged to make their own decisions and each care plan contains ‘Decision making consent forms’. Risk assessments are prepared in relation to daily living, and these are regularly reviewed and amended where necessary. Risk management strategies are in place to remove or reduce any potential risk to the service users. The records held in the home provide evidence that information is given to service users. The inspector spoke with the service users, however, all have limited communication skills and no information regarding the service users views of the home were obtained. The Bungalow DS0000019000.V253055.R01.S.doc Version 5.0 Page 9 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): 12, 13, 15, 16, 17 Service users enjoy an active social life appropriate to their individual preferences to enhance their lifestyle. EVIDENCE: All service users attend day services which includes education, training, life skills and domestic skills. All services are age appropriate and may include horticulture, furniture restoration and music. In house activities also take place and this includes art and craft. All service users are involved in the local community as much as possible. They use local shops, services and leisure services as much as possible. The service users assist the staff to do the shopping at the local supermarket and other local shops. All service users have strong family links. All families visit the home and two service users go home on a regular basis. These visits are planned in advance and agreed with the service users. The daily routines and house rules are discussed with service users at their regular reviews and the outcomes recorded in their care plans. These are also discussed by staff at house meetings to ensure that all staff have a consistent approach to care. The Bungalow DS0000019000.V253055.R01.S.doc Version 5.0 Page 10 Service users meetings are held to give service users greater opportunities to participate in the day-to-day running of the home. Meals are taken in the kitchen/dining room. The record of meals taken by the service users provides evidence that a nutritious, varied and balanced diet is taken. During the week, breakfast is taken at 8:00 am with lunch at 12:30 at day services. The evening meal is served between 5:30 and 6:00 pm with supper at a time of the service users choosing. Meals at the weekend tend to be more flexible to fit in with the leisure activities enjoyed by the service users. Meals out are regularly enjoyed. A selection of fresh fruit was seen in a dish in the kitchen. The Bungalow DS0000019000.V253055.R01.S.doc Version 5.0 Page 11 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 staff have a good understanding of the service users’ support needs. This is evident from the positive relationships which have been formed between the staff and service users. EVIDENCE: Service users are each accommodated in single bedrooms which have been personalised to reflect their individuality. Staff assist service users to personalise their rooms where necessary. Personal care is given to service users in their bedroom or in the bathroom as necessary. Privacy and dignity were seen to be respected at all times. The three staff at the home each have prior responsibility for one service user as key worker. It is evident that the staff have a clear understanding of the service user they have responsibility for. The staff take the service users shopping for clothing and all service users were seen to wear clothing appropriate for their age. Service users who wear glasses were seen to have styles that suited them and it is clear that careful consideration has been given to ensuring that service users preferences have been taken into account, whilst offering support and advice to them. The documentation in the home provides evidence that the healthcare needs of the service users is met. Records are held of visits to and by GP’s. Each The Bungalow DS0000019000.V253055.R01.S.doc Version 5.0 Page 12 service user has regular checks by health professionals and a record of these are held on service users files. None of the service users administers their own medications. All medications are securely held. Records are held of all medications administered to service users and these were found to be well maintained and up to date. The Bungalow DS0000019000.V253055.R01.S.doc Version 5.0 Page 13 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 The member of staff on duty had a knowledge and understanding of Adult Protection issues which protect service users from abuse. EVIDENCE: Wirral Autistic Society has a complaints policy and procedure to be followed. A copy of the procedure is held in the home and is also detailed in the Statement of Purpose. No complaints have been received by the home or by CSCI. All staff have been given training on abuse and of the action to be taken in the event of it being suspected. The home holds the policy and procedure on this and the member of staff on duty was able to demonstrate that he was aware of the procedure to be followed. The Bungalow DS0000019000.V253055.R01.S.doc Version 5.0 Page 14 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, 30 Recent investment has significantly improved the appearance of the home creating a comfortable and safe environment for service users. EVIDENCE: The home was found to be maintained in a very good condition. The home comprises three bedrooms, a lounge, kitchen dining area, washing and bathing facilities and a staff office/sleep in room. The lounge has been redecorated since the last inspection and provides a pleasant environment for the service users. The lounge furniture is relatively new and extremely comfortable. New dining furniture has been provided in the kitchen/diner together with a new cooker. Blinds have been fitted to the home at the front of the building and now provide a good level of privacy for service users. Radiator protectors have been fitted to further ensure the safety of service users. Bedrooms are attractively decorated and it is evident that the staff have taken service users preferences into consideration when personalising the rooms. The home was found to be clean and hygienic throughout. Laundry is dealt with by the staff and service users personal clothes were seen to have been carefully laundered. The Bungalow DS0000019000.V253055.R01.S.doc Version 5.0 Page 15 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, 34, 35 Staff morale is good resulting in an enthusiastic workforce that works positively with service users to improve their quality of life. EVIDENCE: There has been no change to the staff team thereby creating a consistent level of care for the service users. The home provides one member of staff on duty at all times when the service users are in the home. Additional staff are provided by the day services to provide education, training and life skills. One member of staff holds NVQ at level 3 and one holds NVQ at level 2. The Society was able to demonstrate that a robust recruitment procedure is in place and it ensures the protection of all service users. Two references are taken together with POVA, Criminal Record Bureau checks and a comprehensive interview. The training that staff have undertaken includes medications, first aid, food hygiene, fire safety, equal opportunities, communications, deaf awareness, moving and handling and autism specific training. Details of forthcoming training events are displayed on the board in the office/staff sleeping in room. The Bungalow DS0000019000.V253055.R01.S.doc Version 5.0 Page 16 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, 42 The home is well managed and ensures that service users enjoy a high standard of living. EVIDENCE: The manager of the home holds both care and management qualifications to provide a well run home. Staff speak with each service user on a daily basis. Communication is limited with the service users but staff are fully trained to communicate with them to enable their views to be obtained. The Society holds Investors in People and is accredited by the National Autistic Society. The home was able to provide evidence that the health and safety of the staff and service users is assured. Risk assessments were seen to be in place including a lone worker assessment. A walkie-talkie telephone has been provided for the staff to enable them to call for assistance without having to use the homes’ main telephone. Staff are required to carry this with them at all times. The Bungalow DS0000019000.V253055.R01.S.doc Version 5.0 Page 17 The Bungalow DS0000019000.V253055.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 X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X X X X X 4 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 4 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Bungalow Score 3 4 3 x Standard No 37 38 39 40 41 42 43 Score 4 X 3 X X 3 X DS0000019000.V253055.R01.S.doc Version 5.0 Page 19 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. 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 DS0000019000.V253055.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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. 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