Inspection on 08/09/05 for The Bungalow

This inspection was carried out on 8th September 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Bungalow 29/06/07

The Bungalow 27/06/06

The Bungalow 19/12/05

The Bungalow 04/01/05

The Bungalow 01/09/04

The Bungalow 26/01/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 The Bungalow Plains Farm Close Ardleigh Colchester Essex CO7 7QX Lead Inspector Ray Finney Final Unannounced Inspection 09:00 8th September 2005 The Bungalow DS0000017956.V251275.R02.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 DS0000017956.V251275.R02.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 DS0000017956.V251275.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Bungalow Address Plains Farm Close Ardleigh Colchester Essex CO7 7QX 01206 852010 01206 843661 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) Mr Rohan Vasantha Kumara Dias Mrs Velamba Dias Ms Sally-Ann Edwards Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places The Bungalow DS0000017956.V251275.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home accommodates six people with learning disabilities who may also have physical disabilities 4th January 2005 Date of last inspection Brief Description of the Service: The Bungalow is a large detached property situated a few miles from the centre of Colchester. There are parking facilities to the front of the Bungalow and a patio and gardens to the side and rear. The property has been adapted to accommodate 6 adults with learning disabilities, who may also have physical disabilities. The service supports service users to live in an ordinary home environment that reflects their individual needs. The Bungalow DS0000017956.V251275.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection took place over two days, 8th and 13th September 2005, for a total of 7 hours. The inspection process included discussions with 2 service users, 3 members of staff, one visiting health professional and the parent of a service user. The inspection also included a tour of the home, observations of interactions between service users and members of staff, evidence gathered from samples of records and a completed survey form from a relative. The atmosphere of the home during the days of the inspection was lively and welcoming and the inspector was given every co-operation from support staff, the senior support worker on 8th September and the Registered Manager, Ms Sally-Ann Edwards on 13th September. What the service does well: What has improved since the last inspection? What they could do better: Care documentation was of a variable standard. Although assessments and care plans were in place, the home would benefit from presenting the information in a more organised manner to ensure care plans are ‘user friendly’. The Bungalow DS0000017956.V251275.R02.S.doc Version 5.0 Page 6 The shower area in the bathroom was in need of attention and would benefit from replacement of sealant and grouting. A staff Training and Development programme was in place for the previous year but needs to be updated for the year 2005 – 2006. There are policies and procedures in place and a protocol for staff to sign up to show they have read and understand them. The home would benefit from ensuring all the current staff team have read and understand the policies. 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 DS0000017956.V251275.R02.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 DS0000017956.V251275.R02.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): 5 Each service user has an individual written contract/statement of terms and conditions that has been signed by the provider and the manager. EVIDENCE: A written and costed contract/statement of terms and conditions had been developed between the home and the service users. The contract had been signed by the provider and the manager. Staff and the manager stated that a meeting had been held with parents to try to reach agreement on signing the contracts. The manager had taken steps to involve an independent advocate and negotiations continue in an attempt to resolve the issue. The Bungalow DS0000017956.V251275.R02.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): 6, 8 & 9 Service users’ changing needs and personal goals are reflected in their individual plan. Service users and their representatives are consulted on and participate to the best of their abilities in all aspects of life in the home. Service users are supported to take risks as part of the independent lifestyle that is encouraged by the home. EVIDENCE: Service user records sampled show evidence of re-assessment of service users’ needs. The Manager reported on the involvement of other relevant professionals such as community nursing services and the outreach team, where appropriate, in the assessment process. There was evidence of care plan reviews and reviews of risk assessments with input from the outreach team. One of the service user files sampled showed evidence of an exercise programme with photographs of the service user and clear instructions as to the support required with the programme. The records showed evidence of a good programme of physical and sensory stimulation, with equipment to support this programme in the service user’s room. The Bungalow DS0000017956.V251275.R02.S.doc Version 5.0 Page 10 Staff spoken to gave evidence of how a service user was able to access the locked cleaning cupboard to help with household tasks. The risk had been addressed by supporting the service user to participate in a life associated skills course at college where the service user learned about COSHH and the potential dangers from cleaning products. The Bungalow DS0000017956.V251275.R02.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): 11, 12, 14, 15 & 16 The home supports service users to have opportunities for personal development. Service users are actively encouraged to engage in appropriate leisure activities of their choice and to take part in age, peer and culturally appropriate activities and to have appropriate personal and family relationships. The rights and responsibilities of service users are respected and recognised. EVIDENCE: Staff explained the range of activities that service users participate in; these activities include work, education and leisure type activities, such as college courses, swimming, gardening, cookery, life skills and Gateway Club. Those service users who were unable to attend colleges, day centres or appropriate employment, had a programme of activities both in the community and in the home. There was evidence on file of membership to British Gymnastics for one service user who goes trampolining. A service user spoken to enjoyed music and there was evidence of musical equipment and a personal CD player being used; the activity rota showed this was supported by a ‘musical expression’ class. The Bungalow DS0000017956.V251275.R02.S.doc Version 5.0 Page 12 In addition to activities outside the home, service users were encouraged to become involved with and take responsibility for daily routines within the home such as cooking and cleaning. On the day of the inspection one service user was observed ‘hoovering’ the lounge. It continued to be an issue that current service users did not have, as part of the basic contract price, the option of a minimum seven-day annual holiday, although new service users had this included. The manager stated that she has had discussions with social services around long-standing service users not being funded for a holiday, but had not made progress. The parents of a service user had also written about their concerns. The manager stated that she was attempting to ensure all service users are receiving benefits that meet their needs so that there will be adequate funding to enable those service users who wish to do so to have a holiday. Discussions with staff and a parent showed that service users rights were respected and appropriate friendship/personal relationships supported. One service user keeps a key to the bedroom and chose to keep the door of the room locked. The Bungalow DS0000017956.V251275.R02.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): 19 The home ensures that the service users’ physical and emotional health needs are met. EVIDENCE: Care plans inspected contained information on healthcare needs, personal care and behaviour. Care plans were sufficiently detailed to help ensure staff carried out personal care in a manner that met service users needs and preferences. The Bungalow DS0000017956.V251275.R02.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Arrangements were in place to help protect service users from abuse, neglect and self-harm and their views were listened to and acted upon. EVIDENCE: Discussion with a relative and records examined showed that there is a comprehensive ‘concerns and complaints’ procedure in place and the home had dealt with concerns appropriately. Records examined also gave information on how to contact CSCI and there was a clear route for making complaints. The home had policies in place for the protection of vulnerable adults. The Bungalow DS0000017956.V251275.R02.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 29 & 30 Service users lived in a homely, comfortable and safe environment that was clean and hygienic. Individual bedrooms promoted independence and the toilets and bathrooms ensured sufficient privacy was available to meet service users’ needs. Specialist equipment was provided for those service users who required it. EVIDENCE: From observations made during the tour of the premises, the home was safe, well maintained and provided a homely atmosphere. Overall the home was clean, fresh and free from offensive odours, although the floor in the shower area would benefit from replacing the sealant and grouting around the lower tiles to prevent the spread of mould. Service users’ rooms were decorated to a good standard; one room that is due for re-decoration was clean, comfortable and well maintained. There was evidence in service users’ rooms of individual likes and there was evidence of photographs, posters and other personal items. Bedroom furniture was suitable to meet individual needs and lifestyle. A new specialist bed for a service user with physical disabilities was of good quality and high specification whilst retaining an ‘ordinary’ style. Communal areas were light, airy and homely. The Bungalow DS0000017956.V251275.R02.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 Service users are supported by members of staff who are competent and who receive training that is appropriate to enable them to meet the individual and joint needs of service users. A tightening up of the home’s recruitment policy and procedures would ensure greater protection for service users. EVIDENCE: Examination of staff records and discussions with members of staff and the registered manager gave evidence that staff were qualified and competent. Staff spoken with on the day of inspection stated that training was regularly made available and the home manager fully supported staff in meeting their training needs. Staff records show evidence of both statutory training and specialist training relevant to the individual needs of service users. However, the staff training plan for the current year needed to be updated. Most staff files inspected showed evidence of appropriate recruitment practices. One recent file contained inconsistencies in references received. Staff files inspected, with the exception of a newly recruited member of staff, had evidence of enhanced CRB disclosures in place; the new member of staff was on an induction period and did not work unsupervised. Progress has been made with NVQ training; a ‘rolling’ programme has commenced through an accredited provider with 2 staff currently undertaking NVQ2 with a further 2 scheduled to start and one member of staff has commenced NVQ3. The Bungalow DS0000017956.V251275.R02.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): 40 & 42 The home has policies and procedures in place to safeguard the rights and best interests of the service users and overall the health, safety and welfare of the service users are promoted and protected, but more attention could be paid by some staff to full compliance with the policies in place. EVIDENCE: There was evidence of a good standard of compliance with safe working practices around moving and handling. Equipment was well maintained and hoists had been recently serviced. Staff records examined showed evidence of training in safe handling of medication, infection control and Health & Safety. Staff were observed smoking in the garden of the home in the presence of service users. The home’s Health and Safety policy clearly indicates the possible adverse effects on health from passive smoking. The Bungalow DS0000017956.V251275.R02.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 2 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 3 X 3 2 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 2 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Bungalow Score X 3 X X Standard No 37 38 39 40 41 42 43 Score X X X 2 X 3 X DS0000017956.V251275.R02.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? No 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 YA34 Timescale for action 19(1)(b)(c) The registered person must 13/09/05 ensure that references show consistency and that appropriate CRB checks are in place before newly recruited members of staff commence induction. Regulation Requirement 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 YA5 YA30 YA40 Good Practice Recommendations The registered person should continue in the attempts to resolve the situation of unsigned contracts/statements of terms and conditions between the home and the service users or their representatives. The registered person should ensure that appropriate action is taken to restore the tiles in the shower area. The registered person should ensure that all staff have access to up-to-date copies of, and understand and apply, all policies, paying particular attention to the policy on smoking. 1 2 3 The Bungalow DS0000017956.V251275.R02.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 DS0000017956.V251275.R02.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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