Inspection on 07/12/05 for The Bungalow

This inspection was carried out on 7th December 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 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Bungalow 25/04/07

The Bungalow 01/08/05

The Bungalow 09/11/04

The Bungalow 13/04/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 Bungalow (The) The Bungalow Beech Lane Normandy Surrey GU3 2JH Lead Inspector Joseph Croft Unannounced Inspection 7th December 2005 14:30 Bungalow (The) DS0000013581.V271752.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 Bungalow (The) DS0000013581.V271752.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. Bungalow (The) DS0000013581.V271752.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bungalow (The) Address The Bungalow Beech Lane Normandy Surrey GU3 2JH 01483 810115 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) Care Solutions Limited Ms Stella Nwaubani Care Home 5 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (1), Physical disability (4) of places Bungalow (The) DS0000013581.V271752.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the category learning disability (LD), up to 4 (four) may have a additional physical disability (PD) and 1 (one) may be over 65 years LD(E). The age/age range of the persons to be accommodated will be: 35-64 YEARS & 1 OVER 65 YEARS OF AGE 1st August 2005 Date of last inspection Brief Description of the Service: The home is registered to Care Solutions Limited and is one of a number of Residential Care Homes administered by the company. The home is registered to accommodate a maximum of five residents, four of whom are aged between thirty-five and sixty four years and one aged over sixty-five years. The residents have learning and physical disabilities. The home is a detached single story building situated in a quiet road. Local facilities and amenities are close by. The home provides a caring and supportive service to people with profound disabilities and encourages its residents in adult education and independence training within the limitations of their disabilities. Bungalow (The) DS0000013581.V271752.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection of the year 2005 – 2006. It will be necessary to view both inspection reports for 2005 – 2006 to obtain a full understanding of the extent to which the home meets The National Minimum Standards for Younger Adults. This unannounced inspection took place over three hours with two inspectors, and involved examination of four key standards. In depth discussions took place with registered manager. The inspection included sampling of policies, procedures, records, care plans, menus, duty rota and training records. The findings of the inspection were positive. Staff were observed to be interacting with service users in a positive manner, and attending to their individual needs in a caring way. The home offers a variety of meals to service users, and provides a different meal if they do not like the food on offer. Clear daily recordings are maintained of all food that service users consume. Evidence was viewed that staff receive training which is appropriate to their role, and regular updated training is provided. Medication records sampled evidenced clear recordings, and medication held in the home balanced with those recorded on the MAR sheets. Due to the service users’ profound learning and communication difficulties, it was not possible to ascertain their views and opinions. Service users were observed to be appropriately cared for, with staff attending and supporting individuals as and when required. Part of this inspection included an investigation into a complaint received by the Commission For Social Care Inspection Surrey Local Office. Copies of the report are available at the Commission For Social Care Inspection Surrey Local Office and at the home on request. What the service does well: The home provides a clean, tidy and safe environment for service users to live in. Accurate records of medication and menus are maintained. Service user’s Bungalow (The) DS0000013581.V271752.R01.S.doc Version 5.0 Page 6 medical profiles include a list of prescribed medication and the possible side effects service users may be exposed to. There are clear guidelines for staff to follow when a service user displays signs and symptoms of these side effects. Staff training records evidenced that staff receive the appropriate training, and future training is currently being booked. 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. Bungalow (The) DS0000013581.V271752.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 Bungalow (The) DS0000013581.V271752.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): EVIDENCE: These key standards were assessed at the previous inspection. Bungalow (The) DS0000013581.V271752.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): 7 The home has regard to assisting service users to make decisions about their lives. EVIDENCE: The manager stated that residents are provided with the opportunity to make decisions, but due to their low levels of understanding and communication needs, this can be difficult at times. However, the home uses the widget picture symbols, which enable the service users to have a better understanding of choices offered to them. Service users attend meetings both inside and outside of the home. Service users attend house and staff meetings. Records of service users meetings were evidenced, and topics discussed included diets, service users needs, and lost property. The manager stated that staff make decisions for service users, which is recorded in their care plans. The manager stated that all service users have an advocate who visits the home on a regular basis. Advocates offer positive support to all service users, and are invited to attend their reviews. Bungalow (The) DS0000013581.V271752.R01.S.doc Version 5.0 Page 10 The manager stated that the service users are not able to manage their own finances, and that all but one service user have their money managed by their parents. Bungalow (The) DS0000013581.V271752.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): 16 and 17 Service users receive a healthy balance of food at meal times, and the staff of the home respect their rights. EVIDENCE: The manager stated that, due to the high level of care needed, service users are with a member of staff at all times. Staff were observed to knock on service users bedroom doors before entering. All service users have been issued with keys to their bedrooms, the front door of the house and their mobility cars, with their names attached to the keys. Letters are opened in the presence of service users, and are read to them by staff. Staff were observed to be interacting with residents in a positive manner, and addressing them by their first names. Service users have unrestricted access to all communal parts of the home, but under the supervision of staff. The manager stated that service users are involved in appropriate household tasks that they are able to partake in, such as cleaning the cars or helping to vacuum the carpets. Service users are always present in their bedrooms when they are being cleaned. Bungalow (The) DS0000013581.V271752.R01.S.doc Version 5.0 Page 12 The menu was viewed during the inspection, and evidence was observed of a variety of food being offered. Service users are able to have a different meal to the one on offer, and evidence of this being recorded was viewed in the individual daily observation files. The manager stated that service users do not help with the cooking of food, but they are able to observe staff prepare and cook the meals from the dining room. Evidence of training in food handling and hygiene, and infection control were observed in the home’s staff training files. Service users eat their meals in the dining room where they have their seating arrangements that suit their individual needs. At the time of the inspection, service users were observed eating their evening meal. This was a relaxed and unhurried occasion, with appropriate staff sitting with service users and offering assistance as and when required. Evidence was observed that the home is attending to the nutritional needs of service users through the use of a speech and language therapist and a dietician. Evidence was viewed for one service user who was seen by the dietician on the 10/8/05 to have their nutritional needs assessed. The manager stated that referrals for this are made through the GP. Bungalow (The) DS0000013581.V271752.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): 20 The home has regard for ensuring that service users medical needs are being met. EVIDENCE: Each service user has an individual medical profile. These were sampled, and evidenced a list of all prescribed medication each service user was taking, and the side effects that staff must be aware. There are clear instructions for the action staff must take if service users become exposed to these side effects. The home use the Boots blister packs and MAR sheets for the recording of medication. These were sampled and evidence was observed that medicines held in the cabinet matched those as recorded on the MAR sheets. The manager stated that the home receives advice from the Boots pharmacy. Discussions took place with the manager in regard to one service user who had missed a dose of medication on the 23/11/05 and how this was resolved. The inspector was satisfied that the manager took appropriate action at the time of this incident. The home does not use controlled drugs. Records of medication received into the home, and returned to the pharmacist were evidenced. Bungalow (The) DS0000013581.V271752.R01.S.doc Version 5.0 Page 14 Staff receive training in the safe administration of medication, training records viewed evidenced that the next training is due in 2007. The home uses a colour-coded system on the duty rota that gives clear evidence of the training staff on duty have received. The duty rota was viewed and evidenced that there is always a member of staff on duty who has completed training in medication and first aid. No service user residing at the home is capable of self-medicating. The home uses the Care UK medical policy, which was viewed at the time of the inspection. Bungalow (The) DS0000013581.V271752.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These key standards were assessed at the previous inspection. Bungalow (The) DS0000013581.V271752.R01.S.doc Version 5.0 Page 16 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): EVIDENCE: These key standards were assessed at the previous inspection. Bungalow (The) DS0000013581.V271752.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): EVIDENCE: These key standards were assessed at the previous inspection. Bungalow (The) DS0000013581.V271752.R01.S.doc Version 5.0 Page 18 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): EVIDENCE: These key standards were assessed at the previous inspection. Bungalow (The) DS0000013581.V271752.R01.S.doc Version 5.0 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 x X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bungalow (The) Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000013581.V271752.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA9 Regulation Requirement Timescale for action 01/01/06 2. YA35 13, (4) (c) That the risk assessment regarding one of the residents must evidence the date it was reviewed. This is a requirement that was made at the previous inspection, and has only been partially met. This must now be fully complied with. 18, That staff attend Equal (1)(c)(i) Opportunities training. This is a requirement that has been carried over from the previous inspection, and must now be complied with. 01/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Bungalow (The) DS0000013581.V271752.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Bungalow (The) DS0000013581.V271752.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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