Inspection on 06/12/05 for The Bungalow

This inspection was carried out on 6th December 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Bungalow 28/06/07

The Bungalow 23/02/06

The Bungalow 12/11/04

The Bungalow 14/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 The Bungalow 121 Worden Lane Leyland Preston Lancashire PR25 2BD Lead Inspector Mrs Jackie Riley Unannounced Inspection 14:00 6 December 2005 th The Bungalow DS0000040741.V255799.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 DS0000040741.V255799.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 DS0000040741.V255799.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Bungalow Address 121 Worden Lane Leyland Preston Lancashire PR25 2BD 01772 457585 01772 434973 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) Social Services Directorate Mrs Julie Ray Care Home 4 Category(ies) of Learning disability (4) registration, with number of places The Bungalow DS0000040741.V255799.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The home is registered for a maximum of four service users to include: Up to 4 service users in the category LD - Learning Disability. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. The following matters must be completed within the stated timescales:·An en-suite facility must be provided to the fourth bedroom by 31st July 2005. 12th November 2004 5. Date of last inspection Brief Description of the Service: The Bungalow is situated in a residential area of Leyland close to the town centre and associated facilities. It offers respite care for up to 4 younger adults with a learning disability and some additional physical disabilities. The home offers a friendly, domestic environment. Accommodation is in single bedrooms, with lounge areas, dining area, and adequate bathroom and toilet facilities. The grounds are open and spacious with ramped access. Service users are encouraged to become involved in community-based activities and transport is available to facilitate this. The Bungalow DS0000040741.V255799.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection at the home for the inspection year of 2005-06. It took place during a late afternoon, in order to view records and meet residents on their return from various day care centres. The inspection included checking records, discussion with two staff members and discussion with one user of the service. An inspection of the environment also took place. The home provides short-term respite care, which is flexible to meet the needs of people who use the service. What the service does well: What has improved since the last inspection? There has been improvement in providing residents with individual service contracts, which provide the terms and conditions of their stay at the home. Contracts seen were signed by both parties to make sure the contract is agreed upon for the stay at the home. A new sluicing facility is in place, following conversion of the garage into a designated office, laundry and sluice room. This is for the benefit of residents and staff. The Bungalow DS0000040741.V255799.R01.S.doc Version 5.0 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 DS0000040741.V255799.R01.S.doc Version 5.0 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 DS0000040741.V255799.R01.S.doc Version 5.0 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): Not Inspected EVIDENCE: The Bungalow DS0000040741.V255799.R01.S.doc Version 5.0 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): Not inspected EVIDENCE: The Bungalow DS0000040741.V255799.R01.S.doc Version 5.0 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 the following standard(s): 12,13,14,15,16,17, Users of the service are assisted to lead fulfilling lifestyles, which include personal support and engage in activities beyond the home. EVIDENCE: People who use the respite service are helped to achieve a good quality of life, by a motivated staff team, who take time to make sure they know the persons individual needs, likes and dislikes. One staff member said “ we have built up good relationships with the users of the service and their families so that we can give the support they need, they all have their own personalities and their likes and dislikes”. The home endeavours to go out into the community for activities chosen by users of the service, either collectively or individually. Staff commented on the use of transport for activities beyond the home, this can be expensive sometimes and therefore some events may be cost prohibitive, which has the potential in affecting the level of activity enjoyed by users of the service. Whilst transport can be booked through local authority there can be times when it is not necessarily available when wanted, due to spontaneous decisions, which cannot always be met. The Bungalow DS0000040741.V255799.R01.S.doc Version 5.0 Page 11 There was limited communication between a user of the service, however it was evident they were happy and communicated well between staff members, who new the user of the service well and were able to identify their individual needs and used various styles of communication so that their individual needs are being met. The staff team demonstrated a good knowledge of the nutritional needs of users of the service. They provide a special diet for a person with insulincontrolled diabetes, so that they can be sure their specialist nutritional needs are being met. Cooking is of a domestic nature and low key, Users of the service have their own choices and likes and dislikes recorded so that staff know how to meet their individual preferences, whilst making sure the diet is balanced. Staff responsible for producing meals holds basic food hygiene certificates, so that the users of the service are protected by staff with a good knowledge of health and hygiene practices in the preparation of food. The Bungalow DS0000040741.V255799.R01.S.doc Version 5.0 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 the following standard(s): 20 Medication is managed in a safe way for the protection of users of the service. Staff training should be certified when assessed as competent in administering medication. EVIDENCE: Medication management is taken seriously by the home, so that there are systems in place for the safekeeping and administration and recording of drugs. As users of the service do not live at the home on a permanent basis, the home has developed a system of keeping individual medication separately in two locked facilities in the office, accessible to staff responsible for drug administration. Staff training records indicated training in medication has taken place, however this should be certified when assessed as competent. Training must be based on current legislative guidance so that staff are carrying out medication administration following current procedures. The Bungalow DS0000040741.V255799.R01.S.doc Version 5.0 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 the following standard(s): 22,23 Resident’s views are listened to and acted upon to make sure the home is operated in their best interests. There are policies and procedures in place for adult protection, however staff training in this area needs to be improved, for the protection of users of the service. EVIDENCE: Staff spoken to commented on how they gather information regarding the views of users of the service through general communication, questionnaires, regular meeting with users of the service including families, so that changes can be made to improve the service in the best interest of the users of the service, and issues can be addressed where necessary. There is a good system of communication throughout the home, so that individual and collective needs are listened to and acted upon. Adult protection issues are recognised by the home as essential for the protection of people using the service. Staff spoken to were aware of the policies and procedures, however there was little evidence all staff have had formal training in this area, including training on Lancashire County Councils document based on the Department of Health’s, ‘No Secrets’, which would equip staff with the current good practices in this area for the protection of users of the service. The Bungalow DS0000040741.V255799.R01.S.doc Version 5.0 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 the following standard(s): 24,25,27,30 The homes environment is well maintained, well equipped and comfortable for the users of the service. EVIDENCE: Observation of the home, provided evidence the home is well maintained, well decorated and furnished in a domestic style for the comfort of users of the service. Since the inspection of October 2004, a garage has been converted into an office, and a laundry and sluice room, which meets the requirements of the regulations. The change has improved access for staff to carry out laundry tasks, as well as ensuring there are appropriate sluicing facilities, which meet health and hygiene requirements. There are good adaptations for specialist bathing facilities necessary on some occasions, and which help users of the service feel comfortable when receiving personal care. There are sufficient bathroom and toilets to meet the needs of users of the service, and to ensure their privacy and dignity is upheld. The Bungalow DS0000040741.V255799.R01.S.doc Version 5.0 Page 15 The home was seen to be clean, hygienic throughout, so that it is a comfortable environment in which to stay. Individual rooms are personalised by people using them for short stay periods, so they feel a sense of belonging. The Bungalow DS0000040741.V255799.R01.S.doc Version 5.0 Page 16 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): 32,34,35,36 The staff team are competent in providing a good level of care to users of the service. There is a requirement for staff recruitment information to be available for inspection, to ensure there is evidence staff are ‘fit’ to work with a vulnerable group of people. EVIDENCE: The staff team have worked together for a long period of time, with little change occurring, so that staff know how they work and there is strong sense of value between staff members. Training is recognised as essential in the development of personal skills, which benefit the staff group and users of the service. Two care staff have achieved recognised care qualifications, with two others due to complete in the near future. As previously stated there is a requirement to make sure all care staff have up to date training in adult protection issues for the protection of users of the service. Supervision records showed there is evidence of staff members receiving individual support from management, which takes into account personal development and work practice issues. This makes sure staff feel supported whilst helping the management team learn about the individual skills and competences of staff members for the benefit of the care team and users of the service. The Bungalow DS0000040741.V255799.R01.S.doc Version 5.0 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 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 The home is well managed for the benefit of users of the service; however there must be evidence of monitoring visits to make sure the home is audited on a monthly basis. EVIDENCE: There is evidence of good systems in place, which make sure the home is run for the benefit of users of the service. Recording and reporting systems are good and provide a good audit trail. Staff said, “we’ve worked together for a long time and the manager is always there for you and we feel supported”. There is a requirement for there to be evidence of monthly monitoring visits to the home by the service manager, so that there is evidence the manager is aware of the home operations and to show how issues are dealt with, with outcomes evident. The Bungalow DS0000040741.V255799.R01.S.doc Version 5.0 Page 18 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 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X 3 X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Bungalow Score X X 2 X Standard No 37 38 39 40 41 42 43 Score 2 X X X X X X DS0000040741.V255799.R01.S.doc Version 5.0 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA37 Regulation 26 Requirement There must be evidence of monthly monitoring visits and a copy of the reports sent to CSCI (Previous timescale of 30/11/04 not met) Staff must receive certified training to confirm their competence in administering medication. Training must reflect current legislative guidance for good practice. Staff files must be available for inspection at all times to confirm the fitness of people working in the home. Timescale for action 31/01/06 2 YA20 18©(1) 31/03/06 3 YA34 19 31/01/06 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 Refer to Standard YA13 Good Practice Recommendations Transport should be freely available so that there are no constraints on users of the service who may spontaneously choose to use community facilities. DS0000040741.V255799.R01.S.doc Version 5.0 Page 20 The Bungalow Commission for Social Care Inspection Chorley Local Office Levens House Ackhurst Business Park Foxhole Road Chorley PR7 1NW 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 DS0000040741.V255799.R01.S.doc Version 5.0 Page 21 - 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. 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