Inspection on 25/04/07 for The Bungalow

This inspection was carried out on 25th April 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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Bungalow 07/12/05

The Bungalow 01/08/05

The Bungalow 09/11/04

The Bungalow 13/04/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 Bungalow (The) The Bungalow Beech Lane Normandy Surrey GU3 2JH Lead Inspector Joseph Croft Unannounced Inspection 25th April 2007 10:00 Bungalow (The) DS0000013581.V333112.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 Bungalow (The) DS0000013581.V333112.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. Bungalow (The) DS0000013581.V333112.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bungalow (The) Address The Bungalow Beech Lane Normandy Surrey GU3 2JH 01483 810115 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) manager.burroughs@careuk.com Care UK Community Partnerships Limited Ms Stella Nwaubani Care Home 5 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (1), Physical disability (4) of places Bungalow (The) DS0000013581.V333112.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: 35-64 YEARS & 1 OVER 65 YEARS OF AGE 7th December 2005 Date of last inspection Brief Description of the Service: The home is registered to Care Solutions Limited and is one of a number of Residential Care Homes administered by the company. The home is registered to accommodate a maximum of five residents, four of whom are aged between thirty-five and sixty-four years and one aged over sixty-five years. The residents have learning and physical disabilities. The home is a detached single story building situated in a quiet road. Local facilities and amenities are close by. The home provides a caring and supportive service to people with profound disabilities and encourages its residents in adult education and independence training within the limitations of their disabilities. The weekly fees for the home are £1656. Bungalow (The) DS0000013581.V333112.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection (CSCI) undertook an unannounced site visit on the 25th April 2007 using the new ‘Inspecting for Better Lives’ (IBL) process. This visit was undertaken by Regulation Inspector Mr Joe Croft and took over six hours, commencing at 10:00 and concluding at 15:30. On arrival at the care home the Inspector was informed that there were only two bank staff on duty. The manager and senior staff were absent from the home. The home was inadequately staffed, and this issue has been addressed through a letter of serious concerns to the organisation. The manager did arrive at the care home approximately one hour after a telephone discussion between the area manager and the Inspector. The inspection process included a tour of the premises and sampling of residents’ care plans and risk assessments. Other documents sampled included the staff duty rota, menu, residents’ monies, policies and procedures and records of medication. The Inspector had discussions with the manager and two members of staff on duty. Due to the service users’ profound learning and communication difficulties, it was not possible to ascertain their views and opinions. Service users were observed to be appropriately cared for, with staff attending and supporting individuals as and when required. The pre-inspection questionnaire completed by the home has been used as a source of evidence in this report. Comment cards were sent to service users, their families and other associated professionals, which unfortunately have not been returned to the Commission For Social Care Inspection at the time of writing this report. The inspector would like to thank the manager, staff and service users for their cooperation during this visit. What the service does well: Assessment documentation is in place to ensure the individual needs of service users can be met. Care plans and risk assessments are in place that ensures service users’ needs are met. Service users are encouraged by staff to participate in a range of activities both within the home and the local community. A balanced diet is provided. Service users are protected by the home’s storage, administration and recording of medication procedures. Physical and health care are offered in such a way as to promote service users’ privacy and dignity. The home has a satisfactory complaints system that enables service users and their families to raise concerns. Staff having knowledge, training and an understanding of adult protection issues protect Bungalow (The) DS0000013581.V333112.R01.S.doc Version 5.2 Page 6 service users. On the day of the site visit the home was clean, tidy and free from offensive odours. 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. Bungalow (The) DS0000013581.V333112.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 Bungalow (The) DS0000013581.V333112.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): Standard 2 was assessed. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Assessment documentation is in place to ensure the individual needs of service users can be met. EVIDENCE: The home uses the Care UK Community Partnerships Limited Policy and Procedure that gives guidelines on the pre-admissions process to be followed for all prospective service users. The manager informed the inspector that the admissions procedure includes obtaining an assessment of needs and introduction visits to the home. This provides prospective service users the opportunity to meet the staff, residents and view the bedroom they will use. As part of the case tracking process, the pre-admission assessment for the last service user admitted to the home was viewed. This included information in regard to mobility, personal care, health, education and finance. The inspector was not able to ascertain the views of this service user due to their profound learning and communication difficulties. Bungalow (The) DS0000013581.V333112.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): Standards 6, 7 and 9 were assessed. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service have care plans and risk assessments in place that ensures their needs are met, and are supported by staff to lead active lives. EVIDENCE: The care plan sampled on the day of the site visit was comprehensive and detailed. The manager informed the Inspector that the home had recently commenced using the key worker system. The manager has further developed the care plans that focus on service users’ likes, dislikes, choices, leisure, activities, health and keeping safe. They give clear guidance to staff how to communicate and support individual service users’ assessed needs. Annual reviews had been conducted, and monthly reviews are undertaken. During discussion, staff were able to give accurate accounts of the contents of care plans for those who they key work with. The manager informed the Inspector that service users are provided with the opportunity to make decisions, but due to their low levels of understanding and communication needs, this can be difficult at times. However, the home uses Bungalow (The) DS0000013581.V333112.R01.S.doc Version 5.2 Page 10 the widget symbols and photographs, which enables service users to have a better understanding of choices offered to them. The care file sampled as part of the case tracking process included risk assessments, which had recently been reviewed. Risk assessments gave instruction on the action to be taken when the service user has been exposed to an identified risk. Staff informed the Inspector that all service users require one to one support. Risk assessments in regard to their daily living are in place. Bungalow (The) DS0000013581.V333112.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): Standards 12, 13, 15, 16 and 17 were assessed. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service are encouraged by staff to participate in a range of activities both within the home and the local community. A healthy and balanced diet is provided for service users. EVIDENCE: Service users attend day centres. The home has a weekly activity programme that offers a wide and stimulating range of pursuits. Daily activities are provided by the home that include hydro-pool, horse riding, cooking, musical entertainers visiting each week and pottery. The home has a conservatory that is equipped with sensory lighting where service users can relax. On the day of this site visit service users were due to attend an activity at the hydro-pool, but due to the staffing situation this activity had to be cancelled. Bungalow (The) DS0000013581.V333112.R01.S.doc Version 5.2 Page 12 The manager informed the Inspector that service users are included in long term planning of activities such as annual holidays. Last year the service users had a week’s holiday in Cornwall. Service users have contact in the community and events such as barbecues are organised by the home. Staff informed the Inspector that they take service users to both the local and wider community and visit restaurants and fast food outlets. Service users are encouraged to maintain contact with relatives. The manager informed the Inspector that visitors are welcome, and residents are often taken out for the day by their relatives. The manager stated that, due to the high level of care needs, service users are with a member of staff at all times. Staff informed the Inspector they respect individuals’ privacy and dignity through knocking on bedroom doors before entering, calling residents by their preferred names and attending to their personal care needs in the privacy of their bedrooms. Letters are opened in the presence of service users, and are read to them by staff. Staff were observed to be interacting with service users in a positive manner, and addressing them by their first names. A local church leader visits the home on a regular basis, and the manager informed the Inspector that service users are able to attend church services once a month. Service users have access to all communal parts of the home, but under the supervision of staff. Staff informed the Inspector that service users are involved in appropriate household tasks that they are able to partake in, such as cleaning or helping to vacuum the carpets. Service users are always present in their bedrooms when these are being cleaned. The requirement made at the random inspection in regard to meals has been met. The menu was viewed during this site visit. Meals included meat, fish, pasta, fresh vegetables and fruit. The manager informed the Inspector that she had been in contact with a dietician at a local hospital, and Speech and Language Therapists had offered advice in regard to nutrition and eating. The home is using a menu planning pack that was recommended by the Dietician. Service users are able to choose the menu through the viewing of colour photographs of meals. Staff are responsible for cooking meals, and evidence of training in food hygiene was viewed on the training matrix maintained by the home. Staff informed the Inspector that special dietary needs are catered for. Lunchtime was observed. There were sufficient numbers of staff available to offer one to one support to service users who required this. The meal was unhurried and relaxed. Bungalow (The) DS0000013581.V333112.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): Standards 18, 19 and 20 were assessed. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service are protected by the home’s storage, administration and recording of medication procedures. Physical and health care are offered in such a way as to promote service users’ privacy and dignity. EVIDENCE: Service users’ bedtimes and waking times are flexible, depending on the day they have had. Staff informed the Inspector they are able to identify when a service user wants to go to bed through their body language. Service users are able to rise when they wake. Staff were knowledgeable about the level of support required in regard to their personal care needs. Each service user has an individual health profile that includes information in regard to his or her health care needs, nutrition, hearing, sight, emotional needs, medical history, medication and a health action plan. There are clear instructions for the actions staff must take if service users become exposed to the side effects of medication they are taking. Monthly monitoring of service users’ weight is recorded. All residents are registered with the local GP, Dentist and Optician, and access all National Health Services. Bungalow (The) DS0000013581.V333112.R01.S.doc Version 5.2 Page 14 The home uses the blister packs that are provided by the local pharmacy, and Medical Administration Record sheets (MARs) for the recording of medicines. The home maintains records of medicines received and returned to the Pharmacist. Medicines are appropriately stored in a locked metal medicine cabinet. The MAR records were viewed during the site visit, and with the exception of one missing signature, they were appropriately maintained. This was discussed with the manager who informed the Inspector that this would be addressed with the member of staff concerned. The manager informed the Inspector that service users are not able to self medicate, and no one is taking a prescribed Controlled Drug. Staff at the home follow Care UK Community Partnerships Limited Policies and Procedures in regard to medication. The manager informed the Inspector that staff who administer medication had received the appropriate training. Bungalow (The) DS0000013581.V333112.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): Standards 22 and 23 were assessed. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service have access to a satisfactory complaints system that enables residents and their families to raise concerns. Staff having knowledge, training and an understanding of adult protection issues protect service users. EVIDENCE: The home has a Complaints Policy and Procedure that includes timescales and the Commission For Social Care Inspection contact details. Copies of this document, using the widget symbols, are provided in each service user’s bedroom. During discussions, staff informed the Inspector they are able to tell when service users are unhappy through their body language and facial expressions. All concerns would be reported to the manager. The home was subject to a Protection of Vulnerable Adults investigation in 2006 that has now been concluded. The home has a Protection of Vulnerable Adults Policy and Procedure that was reviewed in March 2007. Staff spoken to were able to give an accurate account of the procedures to be followed in regard to abuse and/or suspected abuse, and stated that the Surrey Multi- Agency procedures would be followed. Evidence was viewed that all staff had received training in regard to Protection of Vulnerable Adults in 2006. It was observed that the next training in regard to this had been delayed until 2009. After discussions, the service manager agreed that refresher training would be provided on an annual basis for all staff. Bungalow (The) DS0000013581.V333112.R01.S.doc Version 5.2 Page 16 The manager informed the Inspector that a date for attending the Surrey Multi-Agency training in regard to Protection of Vulnerable Adults had been booked, but this had been cancelled. The manager is waiting for confirmation of another training date. The home has a copy of the Surrey Multi-Agency Procedures of February 2005 that is available for staff to read. Information provided in the pre-inspection questionnaire informs that the home has a Whistle Blowing Policy that is due to be reviewed in September 2007. Staff stated they had read and understood this policy. The manager informed that since the Protection of Vulnerable Adults investigation, procedures in regard to residents’ finances have been reviewed, and the home now operates a robust procedure to ensure service users’ finances are correct and accounted for. Service users have his or her own bank account. Small amounts of money are held by the home, and records of financial transactions are checked during each hand over period. Records sampled on the day of the site visit balanced with individual monies held by the home. Bungalow (The) DS0000013581.V333112.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): Standards 24 and 30 were assessed. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People using the service are provided with good communal and individual living space making it a safe and comfortable place to live. EVIDENCE: A tour of the premises was undertaken. The accommodation consists of five single bedrooms, three of which have en-suite facilities. Bedrooms had recently been decorated, were clean, tidy and included residents’ personal possessions such as photographs, televisions and radios. The communal areas were clean, however, the carpet in the lounge requires attention to a number of burn marks left by the use of an iron. The home has a conservatory and large garden to the rear of the property. The bathrooms, toilets and en-suite facilities had paper towels and liquid soap dispensers. It was observed that one toilet seat was broken and therefore requires repair or replacement. Bungalow (The) DS0000013581.V333112.R01.S.doc Version 5.2 Page 18 The manager informed the Inspector that discussions are taking place with Care UK Community Partnerships Limited in regard to altering some of the ensuite facilities to ensure the home is able to continue to meet the changing needs of service users. The home has an Infection Control Policy, and the sampling of staff training provided evidence of training in this area. On the day of the site visit the home was clean, tidy and free from offensive odours. Bungalow (The) DS0000013581.V333112.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): Standards 32, 33, 34, 35 and 36 were assessed. People who use the service experience poor quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service are not fully protected by the arrangements for staffing. People who use the service are protected by the organisation’s recruitment policy and procedures, however, staff recruitment files require further information. EVIDENCE: The duty rota, included in the pre-inspection questionnaire forwarded to the Commission For Social Care Inspection, indicated that there are four staff on duty for the early shift, three for the late shift and one waking night staff and a sleep-in duty. On arrival at The Bungalow at 10:00am there were only two members of bank staff on duty who informed the inspector that the manager and senior staff were not on duty today. These staff informed the Inspector that there should have been another two members of agency staff on duty from 7:30 but they had failed to arrive. The home did not have appropriate numbers of care staff on duty to meet the assessed needs of residents. After a telephone call to the area manager of Care UK Community Partnerships Limited the manager returned to the home. An immediate requirement has been made that the registered person must ensure that suitably qualified, competent and experienced persons are working at the care home at all times Bungalow (The) DS0000013581.V333112.R01.S.doc Version 5.2 Page 20 in such numbers as is appropriate for the health and welfare needs of service users. The manager informed the Inspector that a deputy and two senior care staff have recently been recruited for the home, therefore making a staff team of nine. The manager stated that three staff have undertaken the NVQ level 2, and a further three have registered to commence NVQ training. Evidence that new staff undertake induction training that is in line with the Skills to Care Council was sampled during the site visit. Information provided in the preinspection questionnaire informed that other training undertaken by staff during the past twelve months has included Equal Opportunities, Autism, Loss and Bereavement, Medication and Risk Assessments. The home uses the Care UK Community Partnerships Limited Recruitment Policy and Procedure that was last reviewed in March 2007. The sampling of staff recruitment files evidenced application forms, two written references, Criminal Records Bureau certificates and POVA first checks. One file sampled did not have a record for a gap in employment; another had no proof of identification. The home uses an external agency to supply staff, however, the manager does not hold a record in regard to their fitness to work at the care home. A requirement in regard to these has been made. Bungalow (The) DS0000013581.V333112.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): Standards 37, 39 and 42 were assessed. People who use the service experience adequate. This judgement has been made using available evidence including a visit to this service. There was evidence of areas of good management and practice within the home; however, issues in regard to numbers of staff on duty must be addressed to ensure the safety and welfare of the service users are maintained. EVIDENCE: The registered manager has been working at the home since 2001, and has a City and Guilds in management care, and is currently undertaking the Registered Managers Award (RMA), which is due to be completed in July 2007. The manager informed the Inspector that she ensures her training in regard to management is kept up to date. Recent training undertaken has included Team Building, Planning and Developing Activities, and all the mandatory training as required. During discussions, staff informed the Inspector that the manager is good and ensures that formal supervision is conducted on a regular basis. Bungalow (The) DS0000013581.V333112.R01.S.doc Version 5.2 Page 22 The Inspector had a discussion with the manager in regard to the staffing at the home during this site visit. The manager informed the inspector that due to staff sickness agency staff were booked to cover the absenteeism this morning. The manager and other senior staff were attending training this morning. However, it is the manager’s responsibility to ensure the home is appropriately staffed at all times. The service manager informed the Inspector that annual surveys of service users’ relatives and other associated professionals are undertaken by Care UK Community Partnerships Limited, and copies of the findings of these are forwarded to the home’s manager. The service manager undertakes monthly Regulation 26 visits, and copies have been forward to the Commission For Social Care Inspection. The Inspector informed the service manager that these do not now need to be forwarded to the Commission For Social Care Inspection, but copies of the reports must continue to be maintained in the home. Service user meetings have taken place in the home, and the manager stated that service users attend the staff meetings. Evidence that all staff receive regular mandatory training was provided to the Inspector. Information provided in the pre-inspection questionnaire returned to the Commission For Social Care Inspection evidenced that health and safety records are appropriately maintained and up to date. Bungalow (The) DS0000013581.V333112.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 X 4 X 5 X 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 1 34 2 35 3 36 3 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 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Bungalow (The) DS0000013581.V333112.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. 1. Standard YA24 Regulation 23 (2) Requirement The broken toilet seat and lounge carpet must be repaired and/or replaced to ensure the home continues to be a safe and comfortable place to live. Timescale for action 25/05/07 2. YA33 18 (1) (a) 3. YA34 19 (4) (b) (i) 19 (4) 4. YA34 To ensure that at all times 25/04/07 suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. Staff recruitment files must 25/05/07 include records of gaps in employment and proof of identification. Evidence of information and 25/05/07 documents specified in Schedule 2 of The Care Homes Regulations 2001, as amended, must be obtained in regard to agency staff working at home. Bungalow (The) DS0000013581.V333112.R01.S.doc Version 5.2 Page 25 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 Bungalow (The) DS0000013581.V333112.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Bungalow (The) DS0000013581.V333112.R01.S.doc Version 5.2 Page 27 - 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!