Inspection on 27/06/06 for The Bungalow

This inspection was carried out on 27th June 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also 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 19/12/05

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 Unannounced Inspection 27th June 2006 09:30 The Bungalow DS0000017956.V300256.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Bungalow DS0000017956.V300256.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Bungalow DS0000017956.V300256.R01.S.doc Version 5.2 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.V300256.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home accommodates six people with learning disabilities who may also have physical disabilities 19th December 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. Information about the service may be obtained by contacting the manager. The home charges between £918.68 and £1,696.03 a week for the service they provide. This information was given to the Commission in April 2006. The Bungalow DS0000017956.V300256.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A wide range of evidence was used to compile this report. The manager provided information in a Pre-inspection Questionnaire. Documentary evidence was examined, such as staff rotas, care plans and staff files. Surveys were sent to relatives of service users. A visit to the home took place on 27th June 2006; this included a tour of the premises, discussions with service users and the manager, a conversation with a relative and observations of interactions between service users and members of staff. On the day of the inspector’s visit the atmosphere in the home was relaxed and welcoming and the inspector was given every assistance from the registered manager, Ms Sally-Anne Edwards. What the service does well: What has improved since the last inspection? The shower area in the bathroom has had the sealant and grouting replaced. Since the last visit recruitment procedures have improved, particularly around staff records kept by the home and Criminal Record Bureau checks. A robust recruitment procedure will improve protection for service users. The Bungalow DS0000017956.V300256.R01.S.doc Version 5.2 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 DS0000017956.V300256.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Bungalow DS0000017956.V300256.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures service users are admitted on the basis of a full assessment. EVIDENCE: There has been one new service users admitted in the past year. The manager discussed the assessment process with the inspector on the day of the visit. The information and evidence provided shows that the manager has a good awareness of assessment and the documentation around the process is appropriate. The Bungalow DS0000017956.V300256.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs and goals are reflected in their Individual Plans. Service users are supported to make decisions about their lives. Service users are supported to take risks within the limitations of their capacity to understand, although some improvements could be made around systems of recording. EVIDENCE: These standards were met when last looked at and further evidence examined at this time shows that the home continues to provide a good standard of care taking individual needs and choices into account. Three service users’ files were examined and show that care plans are developed from the assessment process. A parent spoken with on the day of the inspection visit confirmed that parents’ views and the information they can The Bungalow DS0000017956.V300256.R01.S.doc Version 5.2 Page 10 provide about the service user are valued and taken into account when planning care. There is also evidence in the care plans of input from other health professionals. Service users’ plans record service users’ strengths as well as needs and contain sufficient detail to ensure staff can provide individual support in the way the service user wishes. There are charts in service users’ files to identify any restriction on choice or freedom that may be necessary and that has been identified as part of the assessment process. Risk assessments contain detailed information identifying the risk and recording measures to reduce it. However, not all risk assessments looked at had dates of when they were compiled. The Bungalow DS0000017956.V300256.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to take part in a range of age, peer and culturally related activities and are part of the local community. Service users are supported to maintain appropriate relationships. The home ensures service users’ rights are protected. Service users are offered a varied and healthy diet that they enjoy. EVIDENCE: There is an activity planner on the wall in the dining room that shows a variety of activities that service users take part in during the week. On the day of the inspection visit all but one of the service users had gone out in the morning. The service user who stayed at home had chosen to do so and was and enjoying “having the place to myself”. In house activities later in the day included listening to music and watching television; in the afternoon some The Bungalow DS0000017956.V300256.R01.S.doc Version 5.2 Page 12 service users went swimming. Service users were observed to be happy and relaxed and the atmosphere was sociable. As at the previous inspection, there was evidence of a comprehensive programme of activities to enable service users to be part of and participate in the local community. Service users go shopping and swimming in Colchester. A relative spoken with has “noticed improvements” around speech development and is pleased that the service user has made “positive friendships with others in the home”. The home encourages maintaining family links and this is well documented in the files that were examined. The manager was able to demonstrate that family links are encouraged by the home and relatives visit regularly; a relative visited and was spoken with on the day of the inspection visit. Comments received from relatives indicate an overall satisfaction with the home. Care plans examined show a focus on self-help skills such as road safety and improving communication. A service user spoken with enjoyed keeping their bedroom clean and on the day of the inspection visit was “sorting out” the room. Meals in the home are provided in a homely and individual manner. Service users choose what they want to eat and when. The manager said that mealtimes are flexible according to individuals’ needs, wishes and whatever activities they are taking part in. On the day of the inspection visit, one service user discussed what to have for lunch and was supported to prepare it. Staff spoken with said that meals are chosen individually; service users go shopping with staff and choose what they want to eat and this is recorded in the diary. The Bungalow DS0000017956.V300256.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures service users receive personal support in the way they require and their physical and emotional needs are met. Overall service users are protected by the home’s policies and procedures for dealing with medicines, although storage facilities for medication could be improved. EVIDENCE: The manager confirmed that personal support is provided by staff of the same gender as the service user. Rotas examined show that there is a mix of male and female staff on for the majority of the time. Staff were observed asking service users how they wanted to be helped. A relative spoken with said that the service user had made progress with previous personal care issues since moving to the home; members of staff treat the service user with respect and are always aware of preserving dignity when assisting with personal care. Care plans examined contain good details of individual’s health care needs. There are charts to record epilepsy and other diagnosed conditions. Service The Bungalow DS0000017956.V300256.R01.S.doc Version 5.2 Page 14 users’ weight is monitored monthly. Evidence was seen of input from other professionals such as the optician and G.P. Appropriate specialist equipment is available; one service user’s care plan contained good pictorial guidelines for the use of hoists and aids. Care plans contained relevant information about prescribed medication. The home operates a monitored dose system. There are no controlled drugs in use at the present time. Senior staff have completed a comprehensive course on the administration of medication and other care staff have completed a basic course provided by the supplier of the monitored dose system. Medicine Administration Record (MAR) sheets were examined on the day of the inspection visit and are completed appropriately. Medicines are stored in a lockable cabinet. However, there is not sufficient space in the cabinet to ensure monitored dose packs containing drugs are stored separately from topical medications such as ointments and eye drops. Although procedures and practices around the administration of medication are good, service users would benefit from the added security of improved storage facilities for medication. The Bungalow DS0000017956.V300256.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident their views are listened to and acted on. Arrangements are in place to help protect service users from abuse, neglect and self-harm. EVIDENCE: As stated in previous reports, the home has a comprehensive ‘Concerns and Complaints’ procedure. Records examined show that there is a clear route to follow when making a complaint. The policy also gives information on how to contact the Commission for Social Care Inspection. The record of complaints was examined at the inspection visit. A minor complaint from a member of the public has been dealt with in a timely manner; a record was examined of the actions taken and the outcome of the complaint. A relative spoken with said that any minor concerns that had been raised with the home have been dealt with promptly The home has policies in place for the protection of vulnerable adults. There have been two issues in the past year that have resulted in Protection of Vulnerable Adults referrals. In both cases the manager had investigated the issues, although the referrals were not made promptly. Discussions with the manager show that procedures have been tightened up in this area. Recommendations from strategy meetings held as a result of the PoVA referrals are being actioned promptly. All staff are now having additional training and re-visiting protection issues through a formal ‘induction’ process. The Bungalow DS0000017956.V300256.R01.S.doc Version 5.2 Page 16 The Bungalow DS0000017956.V300256.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, comfortable and safe environment. The home is clean and hygienic. EVIDENCE: A tour of the premises showed that the home is well maintained throughout. The furnishings are domestic in style. There are no offensive odours in the home and there is a good standard of cleanliness. Cleaning products are stored appropriately and the laundry facilities are clean and appropriate for the size of the home. As at previous inspections, the standard remains good in both service users’ rooms and communal areas. Outside the property the garden area is well maintained and provides a pleasant area for service users to sit in the good weather and this was seen to be well used on the day of the inspection visit. Both inside and outside areas are easily accessible for service users who use wheelchairs. Information provided in a pre-inspection questionnaire and records examined on the day of the inspection visit show that appropriate checks are being The Bungalow DS0000017956.V300256.R01.S.doc Version 5.2 Page 18 carried out on water temperatures, gas fittings, electrical fittings, emergency call systems, hoists and the tail lift for the minibus. Fire equipment has been checked within the last year and fire drills are carried out. The home has written assessments on the control of substances hazardous to health (COSHH). Staff records examined show that staff receive training on Health & Safety, Moving & Handling, Fire Safety, Food Hygiene and Infection Control. The Bungalow DS0000017956.V300256.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users are protected by the home’s recruitment policy and procedures. Staff receive appropriate training. EVIDENCE: Recruitment procedures have been tightened up since the last inspection and are now more robust. Three staff files examined, including that of the most recently recruited member of staff, all contain required documentation including application form, two written references, photograph, proof of identity and Criminal Record Bureau (CRB) checks. There was evidence of staff induction and a wide range of training including epilepsy training, abuse awareness, medication training and courses relating to Health & Safety (see evidence for standard 30). The Bungalow DS0000017956.V300256.R01.S.doc Version 5.2 Page 20 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 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is well run and had policies and procedures in place to safeguard the rights of the service users. Service users views are taken into account, however the quality assurance system needs further development to ensure the home is run in the best interests of service users. The home ensures the health, safety and welfare of service users are promoted and protected. EVIDENCE: As was documented in previous reports, the manager has provided written evidence from a training provider that her qualifications in both management and care meet with the requirements for the role of registered manager. The manager has also completed the same statutory training as care staff in the The Bungalow DS0000017956.V300256.R01.S.doc Version 5.2 Page 21 home, including Health & Safety and Manual Handling. The manager has also completed Protection of Vulnerable Adults training. There has been no progress with the quality assurance system since the last inspection visit. The home has a quality assurance system in place and questionnaires have been sent to relatives. There is a yearly meeting with relatives to get their views. As reported before, 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. Records examined during the visit showed that water temperatures are being checked regularly. Maintenance records show that fire equipment, emergency lighting, electrical wiring and hoists are in order and have been checked. The Bungalow DS0000017956.V300256.R01.S.doc Version 5.2 Page 22 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 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 3 X The Bungalow DS0000017956.V300256.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? yes 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 30/08/06 24(1)(a)(b)(2)(3) The registered person must 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. This is a repeat requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA20 Good Practice Recommendations A cabinet for the storage of medication should be provided that has sufficient space to ensure monitored dose packs containing drugs can be stored separately from topical medications. DS0000017956.V300256.R01.S.doc Version 5.2 Page 24 The Bungalow 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.V300256.R01.S.doc Version 5.2 Page 25 - 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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