Inspection on 23/08/06 for The Bungalow Residential Home

This inspection was carried out on 23rd August 2006.

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

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

Other inspections for this house

The Bungalow Residential Home 26/07/07

The Bungalow Residential Home 05/10/05

The Bungalow Residential Home 21/04/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Bungalow Residential Home 54 Mossfield Road Farnworth Bolton Lancashire BL4 0AB Lead Inspector Mike Murphy Unannounced Inspection 23rd August 2006 09:30 X10015.doc Version 1.40 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 Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 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 Older People. 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 Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Bungalow Residential Home Address 54 Mossfield Road Farnworth Bolton Lancashire BL4 0AB 01204 794172 01204 794172 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) Mrs Margaret Lowe Mrs Margaret Lowe Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home is registered for a maximum of 18 service users to include: Up to 18 service users in the category OP (Older people who do not fall in to any other category. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 5th October 2005 2. Date of last inspection Brief Description of the Service: The Bungalow is a privately owned care home providing personal care and accommodation for up to 18 older people. The home is situated in the Bolton area of Farnworth and is within relatively easy reach of shops, pubs, bus routes and other amenities. A park is situated across the road from the home. The home is a single storey building, surrounded by attractive gardens. All bedrooms are single. The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 23rd of August 2006. The inspection took place over six hours. The inspection included discussion with residents, their relatives, a tour of the premises, inspection of care and other records maintained at the home and discussion with management and staff. The home was being appropriately managed and residents were content in their environment and appeared to be well cared for. Residents said they were supported and cared for appropriately and encouraged to make personal choices and retain as much personal independence as possible. What the service does well: What has improved since the last inspection? The requirements made in the last report have been addressed and complied with. Residents and their relatives who were spoken to said that the quality of the activities, outings and events has improved over recent months The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 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 Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4,5. Standard 6 does not apply to this service. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. No prospective residents are admitted to the home without their care and support needs being assessed appropriately. EVIDENCE: Prior to residents being admitted to the home the manager carries out an assessment of the prospective resident’s needs in consultation with the resident, their relatives and relevant health (for example doctors) and social care professionals (for example social workers). The purpose of such an assessment is to assist the prospective resident (and their relatives) in their considerations of how appropriate a placement at the home would be and enable the managere conducting the assessment if the home will be able to meet the prospective resident’s needs appropriately. A statement of purpose and service users guide is provided and contains information that assists prospective residents and their supporters to make informed choices about the suitability of the home. The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 9 Prospective residents are encouraged to make trial visits to the home prior to admission and all placements are formally reviewed around 6 weeks after admission. The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The health and personal care residents at the home receive appears to be suitable and appropriate and is meeting the expectations of residents and their relatives. EVIDENCE: The care records of three residents were inspected. These contained care plans that were initially based on the pre-admission assessment that is referred to earlier in this report. Care plans addressed the health, personal and social care needs of residents appropriately and were evaluated at least monthly. Risk assessments, that seek to protect resident’s health and safety were also in the main recorded in respect of residents skin integrity (assessing the risk of pressure sores), mobility (including the risk of potential falls and fractures, and nutrition (including weight monitoring) and other relevant areas and these were evaluated periodically. It is however strongly reccommended that these should be formally evaluated at least monthly. All residents are registered with a local GP and it was evident that all were enabled to access opticians, chiropodists, district nurses and other specialist services that individual resident’s require. Residents and relatives spoken to The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 11 (and in pre inspection questionnaire responses) were of the view that they were kept informed of all significant changes in their relation’s health. The procedures for the receipt, recording, storage, handling, administration and disposal of resident’s medicines were appropriate and safe. Staff responsible for the management of residents medicines have all received appropriate training. Medicine records had been completed properly. Discussion with residents, relatives and staff revealed that residents were treated with respect and that their right to privacy was upheld. Comments made included; ‘the staff are very nice and treat me well’, ‘I am able to choose when to get up and when to go to bed’, ‘the staff make sure you get the food you wan’t to eat’, ‘the doctors and district nurses examine all residents in their own room when they come to see our residents’. During the inspection staff were observed to treat residents with respect, protected their dignity and assisted them properly. Residents felt satisfied staff support them appropriately in trying to maximise their health and well being, and treat them decently and with respect. These are all very important areas in resident’s lives and are important measures of their satisfaction (or otherwise) of how effectively a care home is looking after them. The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The provision of leisure and social activities is of a very high standard and residents spoke very positively in respect of food provision at the home. Both are very important to the quality of life experienced by residents. EVIDENCE: Discussion with resident’s revealed they were enabled to make choices in their every day life. In particular they stated that they were able to chhose what time they got up and went to bed, whether they wish to participate in activities, to go to their rooms when they choose, where to take their meals and were aslo able to chose what they ate and drank, and are able to personalise their rooms. Many are able to go out with realtives/friends and staff and do so regularly. Residents felt that staff encouraged them to retain their independence and individuality. They were also very satisfied with the social and leisure activities provided stating that the range of activities and frequent outings available are varied, appropriate and that they are regularly The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 13 consulted at residents meetings about such activities and that they efectively decide what is good and what needs to be changed. The home maintains a record of all activities and outings provided. Residents spoke very positively in respect of the food provided at the home, flexibility of meal times, choice of meals and dining areas provided – in which new dining furniture has been provided since the last inspection. Comments about the food provided included ‘ the food is good here and we get a cooked breakfast every day’, ‘I can always request something different if what is on the menu is not suitable’. 4 weekly menus are provided and are varied, balanced and provide choice. Staff served and assisted residents appropriately and sensitively with their lunch on the day of inspection. This was a hot, substantial and well presented meal. The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents (who were able to) and relatives spoken to said they felt comfortable enough to make a complaint if they felt the need and knew how to do so. Policies and procedures of the home seek to protect residents from potential abuse. EVIDENCE: The complaints procedure was prominently displayed in the entrance to the home and is contained in the service users guide issued by the home. Residents and relatives spoken to said that any concerns or worries brought to the manager’s attention are responded to quickly and rarely become formal complaints. A complaints log/incident log is maintained. Issues appear to be addressed appropriately and swiftly with an outcome recorded. The Bungalow care home operate ‘abuse and whistle blowing’ policies that seek to protect elderly persons. In addition, a copy of Bolton’s Inter agency protection procedure is held on site. Staff spoken to confirmed that they had received training and were aware of the whistle-blowing policy. Staff training records indicated that all staff receive regular training in this important area of protection of vulnerable adults. The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,24,25,26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. There have been improvements to the environment of the home. EVIDENCE: The Bungalow care home provides an appropriate setting for residents to receive personal care and accommodation. The home is situated in a residential area in the Farnworth area of Bolton. Structurally the home appears to be appropriately maintained and residents benefit from a large rear garden/patio which they can easily access. At the time of this unannounced inspection all areas of the home were clean, warm, appropriately furnished and residents were of the view that they were provided with a homely and comfortable environment. The inspector was informed that a programme of redecoration is shortly to be implemented in respect of resident’s bedrooms of which 9 were inspected on this occasion, these were appropriately/comfortably furnished and very The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 16 personalised. Residents said they were enabled and encouraged to personalise their rooms with their own choice of pictures, items of furniture, ornaments etc. They also said they could access their rooms at any time. Adequate and suitably adapted WC and bathing/shower facilities were provided and these were in the main easily accessible to all residents. However the WC opposite room 13 was in need of repair at the time of inspection. The inspector was informed that this was to be shortly repaired. Hot water temperatures, are controlled by thermostatic mixer valves, to prevent residents sustaining burns. A new gas boiler has been installed since the last inspection which it is hoped will improve the heating in bedroom 13 which has in the past been problematic. The 2 lounges and the dining room were very clean and have benefited from new easy chairs and dining furniture since the last inspection. Appropriate aids and adaptations were in place throughout the home that assist residents to maintain their safety and meet their physical needs. Individual aids and adaptations are provided following referral to the appropriate health care professional. The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staff appeared to be meeting the needs of residents appropriately and staff are subject to an appropriate recruitment procedure that is consolidated by a very well planned and implemented programme of staff. EVIDENCE: Inspection of staffing rotas provided by the home indicated that staffing provision at the home complied with the current minimum Department Of Health requirements that apply to care homes for older people. Discussion with the manager at the home indicated that they were of the view that staffing levels were appropriate to meet the dependency levels of resident’s. Over 90 of the staff employed at the home have achieved an NVQ 2 (or above) qualification in care and this is to be commended. Staff who have not already obtained such qualifications have enrolled on appropriate courses to do so. Training records and discussion with staff revealed that staff training is taken very seriously by the manager of the home and a very robust and appropriate training programme is in operation that seeks to promote the health and welfare of residents. The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 18 Random inspection of 3 recently employed staff personnel files revealed that these contained an application form (including health declaration), 2 written references, proof of identity (including a photograph), and evidence of induction training and CRB checks (including POVA first checks). However the application form currently used needs to be modified to obtain a detailed history of employment from prospective applicants and a clear request that one of the referee should be their current/last employer. These ammendements can only seek to enhance the actions already taken by the home to protect residents from potential abuse. The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The Bungalow care home view is being appropriately managed in a way that enables residents, their relatives and staff to feel to feel that they are being supported properly. EVIDENCE: Resident and relatives spoken to were of the view that the manager has adopted an open and positive approach to the management of the home. Both groups stated the manager was very accessible and approachable. And that any concerns were always taken seriously and responded to promptly. The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 20 Residents and staff meetings were held to seek the views of these groups within the home. Records of formal staff supervision were also maintained. The registered manager is very experienced in caring and has completed the Registered Managers Award. Inspection of the arrangements to manage service users personal allowances, where these are managed by the home, found that these were secure, regularly checked and appropriately documented (including receipts). The following safety/servicing certificates were inspected at the time of inspection and found to be up to date; 5 yearly electrical safety certificate, servicing of lifting equipment, servicing of fire safety equipment, the fire alarm system and gas safety in the home. A current gas safety certificate was not available for inspection. Accidents that occur in the home were appropriately recorded and appeared to have been appropriately managed. The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 2 3 x 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 3 The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 22 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 2 Standard Regulation 23(j) 23(d) Requirement Timescale for action 30/10/06 3 4 23(p) 19 and Schedule 2 OP18 That the CSCI is informed in writing that the WC opposite bedroom 13 has been repaired. That the CSCI is informed in 30/10/06 writing which bedrooms have been redecorated since the date of this inspection. That the CSCI is informed in 30/09/06 writing that the heating in room 13 is functioning appropriately That the recruitment application 30/09/06 is ammended to ensure applicants give a detailed history of past employment – including explanation of any gaps in employment. Also the application form should be ammended to make it clear that one of the 2 references required must be provided by the applicant’s current/last employer. The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 23 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 OP8 Good Practice Recommendations It is strongly reccommended that all risk assessments in residents care records should be formally evaluated at least monthly. The Bungalow Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Residential Home DS0000062979.V301753.R01.S.doc Version 5.2 Page 25 - 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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