Inspection on 07/03/06 for The Bungalow

This inspection was carried out on 7th March 2006.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Bungalow 14/11/08

The Bungalow 08/09/08

The Bungalow 26/09/06

The Bungalow 22/08/05

The Bungalow 12/11/04

The Bungalow 24/05/04

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Insight - Eastchurch

Southfields

Thorndene

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 Dennes Lane Lydd Kent TN29 9PU Lead Inspector Chris Randall Unannounced Inspection 7th March 2006 09:35 The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 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 DS0000023184.V266825.R01.S.doc Version 5.1 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 DS0000023184.V266825.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Bungalow Address Dennes Lane Lydd Kent TN29 9PU 01797 321612 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) Parkcare Homes (No2) Ltd Ms Janet Clayton Care Home 4 Category(ies) of Learning disability (4) registration, with number of places The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd August 2005 Brief Description of the Service: ‘The Bungalow’ is registered to provide accommodation for up to 4 adults with a learning disability and admits clients with low dependencies. The home is owned by Parkcare Homes (No 2) Ltd. The registered manager is Mrs Janet Clayton, however an acting manager Mr. Ian Shoebridge is currently managing the home. The home is situated in a detached bungalow with four single bedrooms. Other accommodation includes a large open plan lounge/dining room, a kitchen, a utility room, a shower room, a bathroom, and a conservatory/smoking room. The gardens are well maintained with patio and lawn, there is also an additional area with chickens, geese and ducks. The Bungalow is situated in a quiet lane on the outskirts of Lydd. Services available in Lydd include a library, pubs, and café’s, a selection of shops, a golf club, and Lydd Airport is close by. There is a regular bus service from Lydd to Folkestone The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. 3.93 hours were spent in the home and additional time was spent in preparation and report writing. As the majority of standards had been inspected at the last announced inspection this visit concentrated on checking the requirements and recommendations from that report, and considering the standards not covered during that inspection. The inspection consisted of a tour of the home, talking to the acting manager, the clients, and the staff on duty, observation of the interaction between staff and clients, witnessing medication administration, and examination of various records. The acting manager has only been in post for a short while and is actively working to address any shortfalls in standards. Currently there are 3 clients living at The Bungalow and there is one vacancy. What the service does well: What has improved since the last inspection? Many of the requirements and recommendations made on the last report have already been actioned, and others are in the process of being attended to. The atmosphere in the home has improved considerably since the client whose needs and actions were impacting on clients and staff has moved. Clients now have access to all records kept about them and are involved in their regular reviews, although currently they are not signing them. The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 6 Medication practices have improved. The home has changed to the monitored dosage system and now has printed MAR sheets; homely remedies are now authorised by the doctor; medication reviews have taken place; staff are following the homes medication procedure; and the managers checks on the competency of staff administering medication are now recorded. A system of recording medication taken in and out of the home, including home visits, has been devised but is not yet in full operation Incidents, which are detrimental to clients and or staff are now recorded on care plans to enable a clear management strategy to address any unacceptable behaviour and ensure protection for both clients and staff. However not all incidents are being reported to CSCI. Care plans are being continually improved and now include goals and guides for clients and staff. Clients are involved in the review of their care plans but this still needs to be evidenced. Professional advice has been sought from the continence advisor and from other professionals as needed. What they could do better: It is important that CSCI are notified of any significant events that affect the well being of the clients or the running of the home. Although medication practices have improved considerably since the last inspection it is still important that ‘as required’ medication is clearly documented on the medication sheets; that all written instructions on the medication sheets are signed and dated; and all medication taken out of the home (including for home visits) is recorded, including the amount of medication taken out and returned. The current statement of purpose, and service user guide is out of date and needs to be revised to reflect the current registration for 4 clients. The homes quality assurance system still needs to be expanded to include consultation with professionals involved in the home. Although documentation is in place for regular staff supervision these are not yet happening. At the last inspection it was recommended that the clients should have a written structured programme of activities in place, although the acting manager has now devised a format for this programme this is not yet in use. The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 7 Clients are involved in the review of their care but currently there is no written evidence of this and it is recommended that clients be asked to sign the review sheet to indicate their agreement. 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 DS0000023184.V266825.R01.S.doc Version 5.1 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 DS0000023184.V266825.R01.S.doc Version 5.1 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): 1, 2, & 4 The statement of purpose and service users guide give sufficient information to help clients to make an informed choice but these documents need to be updated. Prospective clients needs are assessed and they have the opportunity of a trial visit prior to admission to the home. EVIDENCE: The homes statement of purpose and service user guide are clear and give sufficient information for a prospective service user or their representative to make an informed choice about admission to the home. However, these documents have not been changed to reflect the increase in registration to 4 clients and a recommendation has been added that they be updated. The service user guide is produced in picture format to make it more accessible and understandable to prospective clients. A copy of the latest inspection report is on display in the entrance hallway and available for clients and their families to read. The manager carries out an outline base evaluation for any prospective client prior to admission. This covers all of the prospective clients needs. The acting manager is intending to involve the team leader in helping with these needs assessments. The manager also obtains a copy of the relevant funding authority’s assessment for all clients who are care managed. The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 10 In addition to the manager visiting prospective clients in their current home or placement, the client is invited to visit the bungalow for trial visits. Initially the care manager would visit to assess the suitability of the home from their point of view. The prospective client is then invited to join in an activity and stay for a meal. This is followed by a short visit of a couple of nights at the home. The first three months of occupation are then treated as a settling in period before permanent occupancy is confirmed. The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 11 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, 8, & 9 Clients needs and personal goals are assessed and documented in their individual care plans, and are reviewed with them on a regular basis. Clients are encouraged to participate in all aspects of life in the home and are supported to take risks as part of their independent lifestyles. EVIDENCE: Each client has an individual plan of care which includes identified needs, aims for achievement, and care intervention; details of participation in activities; daily living skills; risk assessments; monthly weight chart; family contact and important dates; and a daily report. Care plans are being continually improved and now include goals and guides for clients and staff. Clients now have access to all records kept about them, and are involved in the review of their care plans. However at present the clients do not sign their reviews to indicate and provide evidence of their agreement and a recommendation has been added that this practice is implemented. As recommended on the last report clients should have a written structured programme of activities in place, a copy of this should be given to the client and a copy be kept in the care plan. The acting manager has been actively working on producing this document but The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 12 it is not yet in full use and therefore the recommendation is repeated on this report. Incidents, which are detrimental to clients and or staff are now recorded in the care plans. Professional advice, which has been sought from the continence advisor and from other professionals, is recorded in the care plan. The clients participate in the day-to-day running of the home. One client was witnessed hovering the lounge on the day of the inspection, Client comments included, “I help with the chickens, and I do gardening”, “I have done the hovering”, and “I have just tidied my room”. Clients are supported to take appropriate risks, and risk assessments are clearly documented in their individual care plans. One client commented, “I cooked a whole Sunday dinner by myself with staff just checking up on me to make sure I did not burn myself or anything”. The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 13 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): 11, 12, 13, 14, 15, & 16 Clients have the opportunity for personal development and are able to choose a variety of appropriate activities and leisure activities both at home and in the wider community. Family contact is encouraged and supported EVIDENCE: There was a recommendation on the last report that clients should have a written structured programme of activities in place, which they have agreed. The acting manager has been working on producing such a document and a electronic copy was witnessed on the day of the inspection. However, this has not yet been fully put into practice and therefore the recommendation has been repeated on this report. (This is also shown under Standard 6). Service users are able to take part in education and training. Clients commented, “I’ve done a pottery course”, “I do woodwork and metal work”, and “I’ve done a cookery course, a computer course, a mechanics course and first aid”. The acting manager explained that he was in the process of booking for one client to do an intermediate computing course. The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 14 Clients are involved in the local community. They visit the local shops, library, cafes and public houses. The home has its own 7-seater vehicle that is used to transport clients. One client said, “I am going to the library this morning then I will go to the local café for a hot chocolate”. The acting manager explained that one client goes to the local library to access the Internet. The clients undertake a variety of leisure activities. They help with the running of the house, look after the chickens and ducks, there is a T.V. and video in the lounge and equipment of their choice in their own rooms. Jigsaws are a popular pastime and clients commented, “I do jigsaws”, and “I do jigsaws as well”, and “this one is a 750 piece, I also have a 1000 piece jigsaw”. One client has a computer in his room. Outside the home they take part in various activities. A staff member commented, “we are starting to do a lot more with the clients and do more activities, recently we have gone to McDonalds, Bowling and pub trips”. Clients commented, “We are going out in a minute to get feed for the chickens”, “I’ve just been to McDonalds”, and “I go to Lydd and have also been to Folkestone and Hastings”. The clients go on holiday annually and one client said “we go on holiday once a year”. Clients are encouraged to maintain their links with family and friends, to make regular phone calls to them, to have visitors at The Bungalow, or to go home for short breaks. There has been an improvement to the daily routines, independence, and individual choice and freedom of movement of the clients since the last inspection. This has mainly been due to a disruptive client moving out of the home. All clients have a key to their individual bedrooms. There is a good interaction between clients and staff. All clients are aware that the only place they are allowed to smoke is in the conservatory/smoking room. The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 15 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, 19, 20, & 21 The clients receive appropriate personal support, and their physical and emotional health needs are met. The home has appropriate policies for handling the ageing, illness and death of a client. Improvements still need to be made to medication procedures to protect the clients. EVIDENCE: The home has actioned the recommendation made at the last inspection to seek specialist advice and guidance from the continence advisor. Strategies have been agreed with the client and have now been put in place to ensure that this problem is appropriately managed. Staff provide personal support to clients as needed and as agreed with the client and recorded in their care plan. Each client has a key worker who works as their advocate and a relationship of trust is built up between the client and staff member. The behaviours of one client, reported at the last inspection as having an impact on others, has now been resolved. Specialist support was obtained and the client has now moved to more appropriate accommodation. The home has changed its method of medication administration to the MDS system. Carers commented, “MDS is a much better, clearer, and safer The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 16 system”, and “we used to do a weekly stock check of medication and we had to tip out the tablets to count them, MDS is much better”. Some of the requirements made on the last report regarding medication have been met. Evidence is available that a doctor has authorised homely remedies used for clients. A review of current medication has been undertaken. The home now has printed MAR charts. Staff administering medication now follow the homes medication procedures. Competency checks of staff administering medication are now recorded. However, PRN medication is still not clearly recorded on the MAR sheet; written entries on the MAR sheets are not signed and dated; and although a system for recording the medicines taken in and out of the home is in place, this is not being properly completed as the quantities of medication is not always recorded; therefore a requirement has been added to this report covering these three issues. The home has clear policies for dealing with ageing and death. Each client has their wishes recorded in their care plan, including any special requests should they become terminally ill. The home would assess and deal with each case individually, assessing the client’s needs and the impact on the other service users before making any decision regarding caring for clients whose prognosis indicated only a short lifespan remaining. The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 17 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 Service users views are listened to and acted on and they are protected from abuse. The whistle blowing policy needs to be updated. EVIDENCE: The home has a clear complaints procedure and copies are displayed in the hallway and lounge. At present the home keeps a complaints book and there had been no complaints recorded since the last inspection. All of the clients are aware of the location of the complaints book and how to make a complaint. The acting manager is in the process of devising a better system for recording complaints and the new documentation will include actions taken and will record outcomes. The home has policies on abuse and whistle blowing. The whistle blowing policy still needs updating to reflect the correct outside route to whistle blow and this has been added as a recommendation. No staff member is employed until a satisfactory POVA first check has been received. Staff are aware of their responsibilities should they suspect that abuse was occurring. A member of staff said, “I would report it to the manager”. Staff receive training in abuse, one member of staff commented, “I am going on a POVA course next week”. There was a recent event that could have compromised the safety of one resident. The home have put strategies in place to make sure this is not be repeated. The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 18 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, 26, 27, 28, 29, & 30 Clients live in an environment which is well maintained, safe, comfortable, homely, and which meets their needs. EVIDENCE: On the day of the inspection the home was clean and well maintained. A homely and comfortable environment is provided for the clients. The communal rooms are spacious and airy with furnishings and fittings appropriate to the needs of the clients. The open plan nature of the lounge/dining area allow the space and freedom to sit in either area to do whatever they choose whilst still being able to chat to staff and their peers. In addition to the lounge/dining area the clients also have the use of a conservatory/smoking room, and the kitchen and utility areas, and all are suitable to their needs. Clients all have their individual bedrooms, which are personalised to their requirements. Two clients were pleased to show their bedrooms on the day of the inspection and a third vacant room was also viewed. Clients commented, “I like my bedroom”, “that’s my TV and video”, and “I have my own shower” The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 19 One bedroom has an en-suite shower, and there is a bathroom for general use. There are 2 toilets for use of the clients and one staff toilet. The gardens are pleasant and well kept even in late winter. The chickens and ducks are still outside and the chickens are still producing eggs, which are used in the home. The acting manager is currently seeking advice about actions he may need to take to prevent the chickens and ducks from getting bird flu. The current client group at The Bungalow do not require any special adaptations or equipment to maximise their independence. The home will need to assess what, if any, adaptations or equipment are needed when they accept new clients into the home The home is clean, hygienic and free from any offensive odours. To ensure good infection control practices are in place the acting manager is introducing a new procedure for dealing with wet or soiled linen. and has purchased red alginate sacks. The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 20 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): 34 & 36 Clients are protected by the homes robust recruitment procedures. Staff supervision needs to be commenced as planned. EVIDENCE: The homes recruitment procedures are sound. No staff member is employed in the home until a satisfactory POVA first check and 2 written references have been received. Staff are then employed under supervision and their employment is not confirmed until a satisfactory enhanced disclosure is received from CRB. All staff are issued with statements of terms and conditions of employment. Although documentation is in place for regular staff supervision the supervisions have not been happening regularly as required. However the acting manager is aware of this shortfall and has already planned to carry out regular supervisions. A recommendation has been added to ensure this takes place. Staff commented about training, “I have done NVQ3 plus First Aid, Food Hygiene and all the other courses needed”, “last year I did Fire Marshall training”, and “I am going on a POVA course next week”. The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 21 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, 38, & 39 Under the current acting management the home has an open and positive ethos. Not all notifications of significant events have been submitted to CSCI Quality assurance procedures still need to be improved to include the views of visiting professionals. EVIDENCE: The registered manager is not working in the home at present and an acting manager is currently running the home. CSCI had not been informed of this change in management and have requested information from the company regarding the situation with the registered manager. A requirement has been made that any events affecting the well being of clients or the running of the home should be reported to CSCI under Regulation 37 of the Care Homes Regulations 2001. The acting manager has achieved his NVQ Level 4 and RMA. He has worked 2 years in a management position and was previously a team leader for 2 years. The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 22 Although he has done several short-term acting manager jobs currently he is only responsible for The Bungalow The Ethos of the home under the acting manager is open and positive. He operates an open door policy, as witnessed on the day of the inspection when both clients and staff appeared comfortable at approaching him. Staff commented, “Now Ian is here the place will be alright”, “the atmosphere has improved with both staff and clients”, and “Ian is very supportive, since he has been here I have learned more”. A recommendation was made on the last, and previous, reports that the homes quality assurance systems should be expanded to include gaining the views of professionals involved in the home. This has still not been implemented and a further recommendation has been added to this report. The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 23 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 Standard No Score 1 2 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X 3 3 X LIFESTYLES Standard No Score 11 2 12 3 13 3 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 3 1 3 2 X X X X The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 24 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 YA20 Regulation 13 (2) Requirement Instructions regarding PRN medication must be clearly indicated on the MAR sheets, in the form shown on the prescription. (Previous timescale of 22/09/05 not met) All written entries on the MAR sheets should be signed and dated All medication taken in and out of the home, including home visits, must be recorded with quantities clearly indicated (Previous timescale of 30/08/05 not met) Any events affecting the well being of clients or the running of the home should be reported to CSCI within 24 hours Timescale for action 31/03/06 2 YA37 37 10/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000023184.V266825.R01.S.doc Version 5.1 Page 25 The Bungalow 1 2 3 Standard YA1 YA6 YA6 YA11 4 5 6 YA23 YA36 YA39 The statement of purpose and service user guide should be updated to reflect the increase in registration to 4 clients. Reviews of care plans should be signed by the clients to indicate their agreement to the review Clients should have a written structured programme of activities in place, which they have agreed and are able to have a copy and this is kept under review (as already planned) The whistle blowing policy should be reviewed to reflect the correct outside route to whistle blow. Regular staff supervision should be commenced as planned. The homes quality assurance procedures should be expanded to include the comments of visiting professionals (brought forward from previous inspections) The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Kent and Medway Area Office 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. Extracts may not be used or reproduced without the express permission of CSCI The Bungalow DS0000023184.V266825.R01.S.doc Version 5.1 Page 27 - 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!