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Inspection on 28/07/05 for The Bungalow

Also see our care home review for The Bungalow for more information

This inspection was carried out on 28th July 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides care to service users in pleasant surroundings and care and support is given to enable service users to live fulfilling and meaningful lives. There is an effective care planning system in place and each service users has a key worker who assists individual service users to be actively involved in this process. Service users are supported to access the local community and to undertake leisure pursuits of their choice and all service users attend the local day service, which is run by Hampshire Autistic Society. The home offers a good standard of accommodation for service users and staff have a pleasant working environment.

What has improved since the last inspection?

Policies and procedures have been updated and requirements made at the last inspection have been addressed. The homes statement of purpose has been amended and a policy on cross gender care has been developed, the requirement that information and documents required to be kept at the home regarding those staff employed was not inspected on this occasion. The home has employed a deputy manager on a permanent basis and risk assessments have been amended to give clearer information to staff.

What the care home could do better:

No issues were identified as needing improvement on this occasion.

CARE HOME ADULTS 18-65 The Bungalow Anglesey Lodge Anglesey Road Alverstoke, Gosport Hampshire PO12 2DX Lead Inspector Mick Gough Unannounced 28 July 2005 - 11:00am 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 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 Stationary 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 H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Bungalow Address Anglesey Lodge Anglesey Road Alverstoke Gosport Hamshire PO12 2DX 023 9258 6311 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Hampshire Autistic Society Mrs Joanne Frances Young CRH 5 Category(ies) of LD - Learning disability (5) registration, with number of places The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users must be at least 18 years of age. Date of last inspection 19 January 2005 Brief Description of the Service: The Bungalow is situated in the grounds of Anglesey Lodge and is surrounded by pleasant grounds. The home is a large bungalow, which is registered with the Commission for Social Care Inspection to provide support and accommodation for 5 younger adults in the learning disability category.The service users at the Bungalow are accommodated in single rooms and the home is close to a local bus route, which give access to the towns of Gosport and Fareham where there are a range of shops and facilities.There is a large fitted kitchen, with a large lounge/dining room, which provides communal space in excess of the National Minimum Standards (NMS). The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection was carried out on the 28 July 2005. The registered manager and her deputy assisted the inspector throughout. The inspection was carried out over 2.5 hours and during the inspection it was possible to discuss issues with the homes manager, to tour the premises and to view records, it was not possible to speak with service users or staff as they were attending day service and not available. At the time of the inspection only 4 service users were living at the home, one service user is currently undergoing treatment and assessment away from the home. It should be noted that the inspector intends to plan the next inspection of the home at a suitable date and time so that he will have the opportunity to meet and speak with service users and staff. What the service does well: What has improved since the last inspection? What they could do better: No issues were identified as needing improvement on this occasion. The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 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 standard(s) 1 Prospective service users are given the information they need to make an informed choice about the home to enable them to decide if they would like to move in. EVIDENCE: The homes statement of purpose contained all of the information required in the National Minimum Standards and a copy of the statement of purpose, together with the Service Users Guide is kept at the home and copies are available to service users or their family on request. The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 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 standard(s) 6 & 10 Service users assessed needs and personal goals are reflected in their individual plan of care and service users can be confidant that information about them is handled appropriately and that their confidences are kept. EVIDENCE: Care plans were inspected for 2 service users and these were comprehensive documents and were clear and easy to follow, they contained all relevant information and formal reviews were carried out at six monthly intervals and review notes were kept on file. Key workers carry our reviews of care plans on a monthly basis and then write up a monthly report, which is kept on file. The home has a policy on confidentiality and this is fully explained to staff during the induction process. The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 15 & 16 The homes visiting policy supports service users to maintain family links and friendships both inside and outside the home and service users rights are respected. Relationships with family are appropriate and sexuality/sexual relationships are respected. . The daily routines and house rules promote independence, individual choice and freedom of movement, subject to restrictions agreed in the individual Plan. EVIDENCE: Visitors to the home are welcome at any time and the home has a visiting policy, which gives clear information. There are appropriate policies and procedures in place with regards to sexuality/sexual relationships. The home has a number of policies and procedures, which reflect the house rules and routines and service users are involved in daily chores such as cleaning of own rooms and communal areas, staff support service users with these tasks and there were set routines for service users laid down. Service users are able to lock their own rooms if they wish, although staff is able to gain entry in the event of an emergency. None of the service users have a key to the front door, as all service users require staff support to leave the building. Service users receive their mail unopened and are supported by staff as required. The The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 Page 11 home has a smoking policy; one service user smokes and does so outside the building and this is detailed in his plan of care. Staff smoke outside the building and there are also policies on drugs and alcohol. The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Service users do consistently receive personal care and support in the way they prefer and require EVIDENCE: Staff support service users with personal care in private and the support that is required is well documented in individual care plans. The service aims to offer same gender care where possible and there is a policy on cross gender care. Service users are able to choose when to get up and go to bed, when to have a bath, what activities they do and when they do them and they can choose their own clothes and hairstyle with support given as and when required. The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 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 standard(s) 22 Service users views are listened to and acted upon. EVIDENCE: The home has a comprehensive corporate complaints procedure, which includes details of who would investigate complaints together with timescales. The complaints procedure also gave details of how to contact the Commission for Social Care Inspection. There is also a simple to follow “in house” complaints procedure for service users, which has pictures and symbols and this is used in conjunction with the corporate policy. The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 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 standard(s) 30 The service was clean and tidy and hygienic throughout EVIDENCE: The service was clean and tidy and no offensive odours were noted. The home has an infection control policy and all staff has received training in infection control. The utility room has washable floors and walls and is fitted out with a domestic washing machine, which can wash clothing at appropriate temperatures. The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 & 36 The home has an effective staff team with sufficient numbers and complementary skills to support service users assessed needs. Staff receive training to enable them to carry out their roles effectively and service users benefit from a well supported and supervised staff team. EVIDENCE: The home provides a minimum of 2 members of staff on duty 24 hours per day. Additional staff are on duty between 0730 – 0930 and 1600 – 2000 to meet the needs of service users. At night there is one staff member who is awake all night with one staff member who sleeps in, these staff are backed up by an on call system to provide advice and support. The homes rota gave full details of staff that actually worked. Hampshire Autistic Society employs a training co-ordinator who has arranged a training programme for staff on a rolling basis, course’s include, food hygiene, infection control, fire, first aid, report writing, person centred planning, care practices and autism awareness. Supervision is carried out at two monthly interviews, the deputy manager supervises half of the staff team and the manager supervises the other half of the team. Supervision records are held in individual staff files. It was not possible to view recruitment records at this inspection as these were kept in locked cabinets and the keys to the cabinets were unavailable. It was therefore not possible to establish if the requirement made at the last The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 Page 16 inspection with regard to staff records being kept at the home has been addressed and this issue will be followed up at the next inspection. However should the home fail to have appropriate records as described in schedule 4 of the Care Home Regulations in place at the next inspection, the Commission for Social Care Inspection would view this as a matter of serious concern The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The home is aware of its responsibilities with regard to the health, safety and welfare of staff and service users, and these are promoted and protected. EVIDENCE: The inspector looked at fire records and these were accurate and up to date with regard to training, there were also records of fire alarms test, emergency lighting and fire fighting equipment tests, it was noted that the fire fighting equipment was due for its annual test this in July and the manager will need to contact the company who carried out these tests to ensure they take place. Test certificates were in date for the homes electrical system and associated equipment and the next test dates due are: Gas Safety Certificate in April 2006, the homes Electrical Wiring is due for test in November 2005 and for Portable Electrical Equipment in June 2006. The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 Page 18 The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 Standard No 11 12 13 14 15 16 17 x x x x 3 3 x Standard No 31 32 33 34 35 36 Score x x 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME 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 x H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 Page 20 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 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. 1. Refer to Standard Good Practice Recommendations The Bungalow H54 S11674 The Bungalow V228824 280705 FINAL 240805.doc Version 1.30 Page 21 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton Hampshire SO15 1GW 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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