Inspection on 30/06/05 for The Bungalow

This inspection was carried out on 30th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Bungalow 13/07/07

The Bungalow 22/11/06

The Bungalow 02/02/06

The Bungalow 19/01/05

The Bungalow 15/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 The Bungalow 150a Crabble Hill, Dover Kent CT17 0SE Lead Inspector Julie Sumner Unannounced 30/06/05 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 H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Bungalow Address 150a Crabble Hill, Dover, Kent CT17 0SE 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) 01304 825739 Robinia Care South East Ltd Mrs Julie Ann Staveley Registered care Home 3 Category(ies) of Learning Disabilities registration, with number of places The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th January 2005 Brief Description of the Service: The Bungalow is part of the larger Company of Robinia Care, who specialise, in this area of Kent, in care of people with learning disability. The Bungalow is situated in the grounds of Hillbrow, which also provides care and support to adults with mild to moderate learning disabilities. Both homes are managed by the same registered manager but are inspected separately. The Bungalow is intended to provide support for more independently skilled service users and also for service users who benefit from living in a smaller home. It is also suitable for service users with some mobility difficulties but is not currently adapted for wheelchair use. Service users are involved in all aspects of their daily living. The home is situated on the outskirts of Dover in a residential area near to amenities with easy access to the main bus route/train station to the town. The home also has the use of a car for shopping, outings or visits to the service users’ families. The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place in two parts, due to service users going out, over one day in June 2005. Two service users were in at times during the day and spent some time with the inspector individually in the middle of the day. One service user came home at tea time and joined in with a brief conversation as part of the inspection during the early evening. All service users said they were doing what they wanted and enjoyed their lifestyle in the home. One service user is out all day five days a week. She spoke about a new job opportunity that she was very pleased about and the home were supportive in their approach to her. Service users are supported to make their own decisions about how they want to spend their time and what they want to achieve and guidance is given to ensure that all goals are realistically achievable. Service users spoke about all the different activities they participate in including yoga, reflexology and massage, computer skills, art and crafts, sewing, going to social clubs, the cinema and going out with friends. Service users went out at lunch time for a picnic, a walk on the seafront and also went for a coffee. One service user is developing her independent skills and went out independently to buy bread rolls for the picnic. They both prepared the picnic with assistance. During the inspection a range of methods were used to gather information. Some of the time was spent talking to service users individually. Service user plans, risk assessments, medication administration records including other medical monitoring records were examined. Staff training and recruitment records were looked at in Hillbrow and discussed with the registered manager. Service users showed the inspector around the home and particularly the bathroom as they were so proud and pleased with it. What the service does well: There are carefully designed service user plans indicating each individual’s abilities and how they need to be supported to develop their skills for independence. All service user plans include risk assessments, which are reviewed and updated frequently to reflect where skills have been developed and if a new opportunity is being introduced. The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 Page 6 Service users said they were well looked after and felt very well. There is good monitoring of general health and well being. The home looks well maintained and is decorated and furnished to a high standard of quality. All bedrooms have been decorated and furnished to each persons’ choice and also well decorated and of good quality. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.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 H56-H05 S23248 The Bungalow V233789 280605 Stage 4.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) EVIDENCE: Not inspected at this time. The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.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, 7, 9 There are well designed service user plans that reflect individual abilities and support needed to develop independence. Service users know that their goals and aspirations will be supported by the home and that potential risks are managed. EVIDENCE: A sample of service user plans were viewed. These were organised so that it was straight forward to find information and how it linked together. Individual plans have been agreed with the service user. There was a good reflection of developing skills and how these were being supported and managed. Service users are encouraged to make their own decisions and these are talked through and planned to ensure that sufficient support is available and that the subject under discussion is realistic and achievable. Service user talked about this and there were written records of the decision making process in the service user plan. Risk assessments were clearly written with guidelines for action to be taken by staff to minimise risk and were reviewed at timely intervals. Risk assessments The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 Page 10 covered a range of different situations including individuals going out, helping prepare meals in the kitchen and generally getting around the house. The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 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 standard(s) 11, 12 Service users are given the opportunity to attend courses to further their education and develop life skills. Service users are able to choose from a variety of leisure activities in the home and in the community. EVIDENCE: Service users spoke about going to a presentation and collecting their certificates to demonstrate their achievement. Courses attended and awards achieved were in computer skills/IT and focus on numbers. There are further plans for different courses and two service users are also planning some parttime employment having been given the opportunity. The service users all have an activities timetable, including choices that are made on a day-to-day basis. There are a variety of leisure activities available to choose from that have emphasis on both educational and skill development or relaxing and social. Service users also talked about what they currently do and what they want to do next. One of the plans was viewed and activities included reflexology, going out for a meal with a friend, exercise class, The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 Page 12 shopping and art and craft. Service users went out on the day of the inspection. The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 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 standard(s) 19, 20 Service users are supported to maintain their health and wellbeing. Appropriate specialist support is accessed if a need is identified. There is an effective medication procedure. EVIDENCE: Individual health conditions are monitored well. Health care checks planned and attended are listed in the service user plan and relevant follow up appointments and referrals to specialists are made. Additional monitoring and records kept for supporting a service user with diabetes were evident and completed appropriately including blood sugar monitoring, appointments to foot clinic and eye tests. Appointments had been made to monitor medication to control epilepsy and advice had been sought to ensure that the correct support was being given by staff in the home to support challenging behaviour. Medication storage, administration procedures and records were viewed. The procedure is effective and there is a good record of incoming and outgoing prescribed medication. There are clear guidelines for the administration of insulin and all staff have training specifically for the individual before being able to administer this. The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 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 standard(s) EVIDENCE: Not inspected at this time. The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 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 standard(s) 24, 27, 30 The home is well maintained giving service users a homely and pleasant place to live. The bathroom is well furnished for individual needs and looks attractive. The home is clean and systems are in place to maintain an hygienic environment. EVIDENCE: The building is in keeping with the local community and is decorated in a homely way. The home has a planned maintenance and renewal programme. The heating and radiators have been risk assessed and covers have been provided as needed. The radiator in service users bedroom has a good quality cover. There is a spacious kitchen accessed freely by all service users. Risk assessments have been compiled with reference to this. The bathroom has been completed after several months of damp treatment and preparation. There is a waterproof surround on the wall next to the bath and an adjoining but separate walk in shower with shower seat. It looked really good and service users are very pleased with it. The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 Page 16 The home was clean and tidy and there were no unusual or offensive odours. Laundry facilities are located in the kitchen but laundry is done at different times to any food preparation. Adequate hand washing facilities are provided. There is no clinical waste and all sharps are returned to Boots. The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 Good recruitment practices ensure that service users are protected and supported effectively. A good range of training is provided and staff are confident and clear in their roles. EVIDENCE: A sample of training files and the training planning file containing the training matrix were viewed and discussed. There was evidence that all training is planned to ensure that all staff have completed new and up dated mandatory training courses as well as training identified as relevant to meeting the needs of service users living at The Bungalow. There was evidence of good recruitment practices. POVA checks had been requested and obtained and CRB disclosures had been requested. The files viewed also contained: 2 references, application form, health declaration and job specification and induction training records. New staff study the “Certificate in working with people who have learning disabilities” (Learning Disability Award Framework –LDAF) as their induction and foundation training. The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 Page 18 The home is on target to meeting 50 of the workforce achieving NVQ level 2 or above. 2 staff out of the 5 staff based at the bungalow have achieved NVQ level 3. The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 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 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) 39, 42 Service users benefit from a well run home. The systems for service user consultation are good and service users feel that their views are sought and acted upon. EVIDENCE: The registered manager is experienced in managing homes with people with learning disabilities and has achieved the Registered Manager’s Award. Staff have clear guidelines to carry out their roles and good working relationships were observed. There is an annual review plan for the home to develop the overall service provided. The Regional Manager visits the home monthly to monitor the quality and provides the home and the CSCI with a report. A representative of the company conducts an unannounced quality audit review every six months. The finance audit occurs monthly and sometimes other issues are discussed. The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 Page 20 New staff have an initial induction designed by the company which focuses on health and safety, orientation in the home and getting to know service users and staff. They then go onto study the “Certificate in working with people who have learning disabilities” (Learning Disability Award Framework –LDAF) as their induction and foundation training. Staff are trained in moving and handling, fire safety, first aid, infection control and food hygiene and strategies for supporting people with behaviour which is self harming, destructive or aggressive. Staff based in The Bungalow have medication training and additional training in administration of insulin and how to support epilepsy. Environmental risk assessments have been carried out and areas identified managed. The Bungalow H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 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 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x x x x Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Bungalow Score x x x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 Page 22 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 H56-H05 S23248 The Bungalow V233789 280605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford, Kent TN23 1HU 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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