Inspection on 28/11/05 for The Bungalow

This inspection was carried out on 28th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Bungalow 04/09/06

The Bungalow 13/09/05

The Bungalow 03/02/05

The Bungalow 26/07/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 The Bungalow The Bungalow Rear Of Lyon Court, Lyon Park Ave Wembley Middlesex HA0 4DN Lead Inspector Julie Schofield Unannounced Inspection 28th November 2005 4:20 The Bungalow DS0000017464.V269191.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 DS0000017464.V269191.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 DS0000017464.V269191.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Bungalow Address The Bungalow Rear Of Lyon Court, Lyon Park Ave Wembley Middlesex HA0 4DN 020 8902 3443 020 8903 9860 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) Residential Care Services Ltd DR FRANK ERIBO Mr Gilbert Seri-Tohoully Care Home 4 Category(ies) of Learning disability (4) registration, with number of places The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th September 2005 Brief Description of the Service: The Bungalow is a care home providing personal care to 4 adults with learning disabilities. At the time of the inspection there were no vacancies. The bungalow is in a residential part of Wembley, close to Ealing Road and with easy access to the shops on Wembley High Road. There are bus routes along Ealing Road and there are underground stations relatively near by (Wembley Central and Alperton). The property is set behind the houses and flats on Lyon Park Avenue and access is along a pathway, which is sufficient in width for a car to drive along. There are wrought iron gates at the end of the pathway and the parking area at the front of the property is behind the gates. The off street parking area can accommodate approximately 4 cars. The bungalow consists of an open plan lounge and dining area, another open plan area, a bathroom, 4 bedrooms (2 of which are ensuite), a kitchen and an office. The laundry room is situated in a separate building, to the side of the bungalow. There is a large garden at the rear of the property, with a large patio area. The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 2 visits. The first visit started at 4.20 pm and ended at 6.10 pm. The manager was off duty during the inspection. A partial site inspection took place and case records were inspected. The Inspector spoke to the staff on duty and with the residents who were able to give feedback. A second visit took place when the manager was on duty. This visit started at 3.05 pm and finished at 4.30 pm. The Inspector would like to thank the manager, staff and residents who took part in the inspection. What the service does well: What has improved since the last inspection? The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 6 Since the last inspection in September 2005 the statutory requirement that review meetings take place on a regular basis, at least six monthly, has been implemented and each resident has had a recent review meeting. The resident confirmed that the statutory requirement of checking likes and dislikes on a regular basis has resulted in a choice of meals that he enjoys. The marks that were on the wall near the residents’ bedrooms have been removed. What they could do better: Within the home the seat cushions on the dining room chairs need cleaning, covering or replacing. A curtain rail needs securing to the wall in one of the bedrooms and a fire screen needs to be placed in front of a fireplace in one of the bedrooms. Remedial work identified for the maintenance of the electrical installation must be dealt with promptly and confirmation of this kept on file. All staff working in the home need training in the protection of vulnerable adults. Any staff that have first aid certificates that were valid for 3 years and have since expired need to undertake further training. For one resident the wearing of a baby’s bib must be replaced by a more suitable method of protecting clothing from excessive saliva. Visitors to the home must always be able to easily announce their presence and the bell by the iron gates has to be in working order at all times. A satisfactory enhanced CRB disclosure must be obtained prior to a member of staff taking up employment in the home. The annual development plan must draw on the feedback obtained through quality assurance systems so that the plan can demonstrate that the service evolves and adapts to meet the needs of the residents. The plan must also demonstrate that the service meets the aims and objectives set out in the home’s Statement of Purpose. Please contact the provider for advice of actions taken in response to this The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 8 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 DS0000017464.V269191.R01.S.doc Version 5.0 Page 9 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): No new residents have been admitted to the home since the setting up of the NCSC or the CSCI. EVIDENCE: The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 Reviewing care plans on a regular basis ensures that changes in the needs of residents are identified and addressed and that the quality of the service provided is maintained. Standards 7 and 9 were inspected during the previous inspection in September 2005. EVIDENCE: A statutory requirement was identified during the last inspection that review meetings take place on a regular basis, at least six monthly. One of the residents’ review meetings had been overdue. The senior member of staff on duty is the key worker for the resident concerned and demonstrated that this meeting had now taken place, earlier in November. The dates of the last review meeting for each of the other residents were checked and reviews had taken place recently. The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 14, 16, 17 Residents have the use of community facilities, which provide opportunities for stimulation and enjoyment. The residents’ quality of life is promoted by the provision of an annual holiday. The resident’s right of choice, privacy and freedom of movement are respected. Residents are offered a balanced and varied diet, which contributes towards their wellbeing. Standards 12 and 15 were inspected during the previous inspection in September 2005. EVIDENCE: Residents have access to the company’s transport and they also use minicabs and public transport. Residents confirmed that they used local shops and markets, leisure centres, pubs, cinema, church, library and restaurants etc. The manager confirmed that the names of residents are entered on the electoral roll and that residents have voted at elections. One of the residents recognises and names a well-known politician when the resident sees this person on the news. The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 12 Two of the residents said that they had enjoyed the recent holiday to Minehead and one said that they had particularly liked the beach. They were pleased with the accommodation on holiday and with the facilities of the place where they stayed. Photographs of the holiday were available. Residents were looking forward to the end of year party, which is organised by the company. A discussion took place regarding the choices that residents make in their dayto-day lives. Residents can choose when to get up in the morning or go to bed at night, although this is influenced by day centre attendance. It was observed that residents choose how they relax in the home, either in their rooms or in the communal areas. One of the residents chose to go out into the garden during the inspection, although staff ensured that the resident was appropriately dressed for the cold weather. Staff said that when residents help staff with shopping in the supermarket they chose items and put these in the trolley. Residents are encouraged to make choices when personal shopping is carried out. Residents are encouraged to be as independent as possible by involving residents in the daily routines of the home. It was noted that residents help to lay the table, they are encouraged to clear away their plates after finishing a meal, they take their own laundry basket to the laundry room, they are encouraged to make their own bed etc. The level of involvement by the resident will depend on their individual skills and abilities. A discussion took place about providing or not providing a key to the resident. One of the residents said that they had a key to their room and produced this. The case file of a resident who is not provided with a key was inspected. There was a risk assessment in respect of this and evidence that the decision was reviewed on an annual basis. A statutory requirement was identified during the last inspection that what the resident likes and dislikes eating is checked on a regular basis and recorded on the case file. The senior member of staff confirmed that a discussion had taken place with the resident, who had commented that he did not like one of the meals on the menu. It had been agreed that although the resident said that he did not like a particular type of fish the resident would be offered the choice of an alternative meal if any type of fish was on the menu. The resident confirmed that alternatives were offered to him and that he was now satisfied with the menu. Before the meal was prepared during the inspection the menu was discussed with residents and one resident requested an alternative meal, which was later served. The menu was inspected and it was varied and balanced. Residents said that they enjoyed the meal served. A resident confirmed that residents had a choice of dining together or having a meal in their room, which he sometimes liked to do. The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Independence is encouraged by providing personal support to a resident, according to their level of need. A resident did not wear clothing that protected their dignity and privacy. Standards 19 and 20 were inspected during the previous inspection in September 2005. EVIDENCE: The support provided to residents with personal care tasks varies from direct assistance to encouraging and prompting. It was noted that assistance is offered discreetly. All residents are male and the majority of staff working in the home are male. There is evidence on case files that residents have access to specialist support e.g. speech therapists. The home operates a system of key workers and 2 residents are able to name their key worker. Residents were pleased with the support given by staff. One of the residents has a problem with excessive saliva. During the first inspection visit this resident was wearing a baby’s bib when seated in the lounge area and when they went into the garden. This compromised the dignity of the resident in front of other residents and visitors. The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 The rights of residents are protected by a clear and simple complaints procedure. An adult protection policy and protection of vulnerable adults training for staff contribute towards the safety of residents. There is a policy in place and all members of staff must undertake training. EVIDENCE: A copy of the complaints procedure was on display in the home. The simple procedure included timescales for each stage of the procedure and referred complainants to the directors of the company, if the home’s manager could not resolve matters. Information regarding access to other agencies e.g. the CSCI was included, with the address and telephone number of the local office. The manager said that no complaints have been recorded since the last inspection. Two residents said that if they had any complaints they could speak to some one in the home. It is recommended that a referral be made for advocacy services for residents who are unable to communicate verbally. Staff on duty confirmed that they have received protection of vulnerable adults training and a copy of the certificate of attendance at a PoVA training course was on a staff file. The newest member of staff has not received training in adult protection procedures. Staff said that they had access to the home’s adult protection procedure. The manager confirmed that the home has a copy of the local authority interagency guidelines. The manager said that no allegations or incidents of abuse have been recorded since the last inspection. The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 Residents enjoy a comfortable and “homely” living environment. Enabling residents to maintain family contact contributes towards the resident’s wellbeing and arrangements need to be in place so that visitors to the home can easily gain admittance at all times. Single bedrooms provide residents with privacy and residents are satisfied that the size of the room provides them with sufficient space in which to relax. A fireplace and a curtain rail need some minor attention to enhance the appearance of the room for the resident. Standard 30 was inspected during the previous inspection in September 2005. EVIDENCE: When the first inspection visit commenced the Inspector had to shout from outside the iron gate and attract the attention of a resident who was in the garden. This alerted the senior member of staff on duty that there was a visitor. The bell at the side of the iron gate was not working. A new bell had been fitted and was working on the second visit. A statutory requirement was identified during the last inspection that the marks on the wall near the residents’ rooms are made good and that the seat cushions of the dining chairs are cleaned. The timescale for action was the 1st December 2005. It was noted that the marks on the wall were no longer present. However on the second visit the seat covers of the dining chairs were still marked although The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 16 attempts had been made to clean 2 of the chairs. The timescale for action had now expired. It is recommended that slip on/loose covers be fitted to the seat pads of the dining chairs. Overall the home was in a good state of repair. It was comfortably decorated and furnished and provided residents with a homely environment. Two of the residents expressed satisfaction with the accommodation. A statutory requirement was identified during the last inspection that a suitable covering is provided for the fireplace in one of the residents’ bedrooms. The timescale for action was the 1st December 2005 and this had expired at the time of the second visit. The senior member of staff on duty said that the handyperson thought that it would be difficult to fix a covering to the wall containing the fireplace. It is recommended that the home purchase a freestanding screen. Two of the residents showed the Inspector their room. These rooms contained large televisions and music centres. Both residents said that they liked the size of their rooms and that they enjoyed spending time in their rooms. Each resident has their own single room and 2 of the bedrooms have en suite facilities. In one of these bedrooms the curtain rail was becoming detached from the wall. The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 17 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 There were sufficient staff on duty to meet the needs of the residents. The home’s recruitment practices did not promote and protect the safety of residents. Each file must contain evidence of a satisfactory CRB disclosure being obtained. The training programme for members of staff ensures that staff are able to meet the objectives contained in the Statement of Purpose and to meet the individual and changing needs of residents. EVIDENCE: During both inspection visits 2 members of staff were on duty. They were both working a 3pm to 10pm shift and the senior member of staff was to undertake the sleeping in but on call duties that night. The rota was available and it was noted that there were 2 members of staff on duty in the morning (before residents leave for the day centre), in the evenings and during the day at weekends. There are sufficient staff to meet the current needs of existing residents. Residents said that the staff are helpful and one resident praised his key worker as “a very good person”. Two staff files were selected by the Inspector for examination. It was noted that each file contained 2 satisfactory references, proof of ID (passport details), right to work and an application form. One file contained evidence of a satisfactory enhanced CRB disclosure. The other file was for a new member of staff and there were no details of a satisfactory enhanced CRB disclosure being obtained prior to employment in the home. The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 18 The home is one of a number of care homes within the company and the company has a training budget, with a manager who has responsibility for overseeing the training needs of the staff and developing a programme of training to meet these. The company provides induction and foundation training for new staff, using the TOPSS training package. The company also provides NVQ training, training in areas specific to the client group e.g. autism and training in safe working practices e.g. food hygiene. Records are kept of the training undertaken by each member of staff and their training needs are identified and recorded in personal development plans. The training needs analysis is developed from looking at these plans. An external company carried out an analysis for each home within the company and drew up a training plan. A copy of the training plan for The Bungalow, drawn up in November 2004, and covering the 4-year period 2005-8 was available. The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 19 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 NVQ training develops the skills and expertise of the manager to implement good working practices in the home and there is a need for the manager to complete his studies. Quality assurance systems are in place to gather feedback on the quality of the service provided. The annual development plan for the company needs to demonstrate that the service evolves and adapts to meet the needs of the residents and that it meets the aims and objectives set out in the Statement of Purpose for the home. A copy should be kept in the home for reference. The health and safety of residents is promoted and protected by staff trained in safe working practices and by systems and equipment in the home that are regularly serviced and kept in good working order. Staff need to maintain their training in first aid so that they are able to respond appropriately if a resident has an accident so training must be arranged for those whose certificates have expired. The need for remedial work to the electrical installation has been identified and for the health and safety of all those living or working in the home it must be carried out promptly. EVIDENCE: The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 20 The manager said that he has almost completed his NVQ level 4 studies and hopes to pass his portfolio for assessment by the end of March. He is also in the process of working towards an MSc in clinical psychology, although this has been put on hold while priority is given to completing the NVQ qualification. Since the last inspection he has undertaken a food management training course. There was evidence that there were systems for gathering feedback on the quality of the service. The senior member of staff on duty said that residents were able to give feedback on the quality of care received either directly to managers or proprietors, during monthly residents’ meetings and at their review meeting. Relatives of residents had the opportunity to give their feedback to managers or proprietors, at review meetings, at social events taking part in the home or the end of year party organised by the company and by recording their comments in the visitors’ book. Staff also had the opportunity of monthly staff meetings, supervision sessions, review meetings and discussions with managers or proprietors to give their feedback on the service provided in the home. The manager said that there is a company development plan but a copy was not available. It is recommended that a copy be kept in the home for reference. There was evidence on staff files of training in safe working practices including manual handling, food hygiene, infection control and first aid. However on one staff file the first aid certificate, which was valid for 3 years, had expired in May 2005. A fire risk assessment and a food hygiene risk assessment were available. There were valid certificates for the servicing of the portable electrical appliances, the fire precautionary equipment and systems and the Landlords Gas Safety Record and a satisfactory hot water bacteriological analysis. The check of the electrical installation was carried out in November 2005. Remedial work was required. The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 21 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 X X X X Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 2 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Bungalow Score 2 X X X Standard No 37 38 39 40 41 42 43 Score 2 X 2 X X 2 X DS0000017464.V269191.R01.S.doc Version 5.0 Page 22 YES 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 YA18 Regulation 12.4 Requirement That when clothing needs to be protected from excessive saliva a suitable means is used which promotes the dignity of the resident. That all staff receive training in the protection of vulnerable adults. That the bell by the gate is operational at all times so that the home is aware of the arrival of a visitor. That the seat cushions of the dining chairs are cleaned. (Previous timescale of 01 December 2005 not met). That a suitable covering is provided for the fireplace. (Previous timescale of 01 December 2005 not met). That the curtain rail is securely attached to the wall. That each staff file contains evidence of a satisfactory enhanced CRB disclosure being obtained, prior to employment in the home for new employees. That the manager achieves an NVQ level 4 qualification. That the feedback obtained from DS0000017464.V269191.R01.S.doc Timescale for action 01/02/06 2 3 YA23 YA24 13.6 16.2 01/04/06 01/02/06 4 YA24 16.2 01/03/06 5 YA25 16.2 01/03/06 6 7 YA25 YA34 23.2 19.4 01/02/06 01/03/04 8 9 YA37 YA39 9.2 24.2 01/06/06 01/04/06 Page 23 The Bungalow Version 5.0 10 11 YA42 YA42 quality assurance systems is used to plan and develop services and to formulate an annual development plan, a copy of which is forwarded to the CSCI 13.4 That first aid training is arranged for any member of staff whose 3-year certificate has expired. 13.4&23.2 That the remedial work required for the electrical installation is carried out and a letter of confirmation is obtained. 01/04/06 01/03/06 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 2 3 4 Refer to Standard YA22 YA24 YA25 YA39 Good Practice Recommendations That a referral is made for advocacy services for residents who are unable to communicate verbally. That the home purchases slip on/loose covers for the seat pads of the dining chairs. That the home purchases a freestanding screen to place in front of the fireplace. That a copy of the company’s development plan is kept in the home for reference. The Bungalow DS0000017464.V269191.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 DS0000017464.V269191.R01.S.doc Version 5.0 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. 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!