Inspection on 05/10/05 for The Bungalow Residential Home

This inspection was carried out on 5th October 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 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 23/08/06

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 5th October 2005 09:00 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.V254712.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 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.V254712.R01.S.doc Version 5.0 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.V254712.R01.S.doc Version 5.0 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. 21st April 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.V254712.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the home’s second of two annual inspections for the inspection year 2005 to 2006. The inspection took place over three and a half hours. The inspection included discussion with residents, a tour of the premises, inspection of care and other records maintained at the home and discussion with management and staff. The home was well-managed and residents were living in a clean and comfortable environment. Residents 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? Residents spoke very positively about the improvement in the range of activities and outings that has occurred over recent months. A review of residents care records has been conducted since the last inspection. The new system is well organised and includes more detailed care plans and risk assessments. The Bungalow Residential Home DS0000062979.V254712.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Bungalow Residential Home DS0000062979.V254712.R01.S.doc Version 5.0 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.V254712.R01.S.doc Version 5.0 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): 1,2,3,4,5. Standard 6 does not apply to this service Information provided and pre admission procedures operated by the home enable prospective residents and their supporters to make informed choices as regards the suitability of the home to meet the prospective resident’s needs. EVIDENCE: The home provides written information that is readily available to all potential and existing residents and their families. Inspection of these documents revealed that they have recently been updated and accurately reflect the facilities and services provided by the home. Residents spoken to found the information easy to understand and were of the view that they fairly reflected the service provided. Inspection of the contract of terms and conditions issued to residents by the home indicated that this document was appropriate. Inspection of care records revealed that all prospective resident’s undergo a formal pre-admission assessment that is conducted by the home manager. Records of assessment revealed that all the relevant activities of daily life were The Bungalow Residential Home DS0000062979.V254712.R01.S.doc Version 5.0 Page 9 assessed appropriately and any areas of need in were clearly identified. Such assessments help to ensure that the home only admits residents whose personal care needs can be met appropriately. Discussion with residents and inspection of care records indicated that the care and accommodation provided at the home was meeting residents assessed needs. Prospective residents are actively encouraged to undertake pre admission visits to the home where possible. Discussion with residents revealed that they had been able to come to the home for trial visits prior to their admission. They felt this was most useful because it made them take more in control of their own lives as well as enabling them to make an informed choice regarding their future. Further discussion with residents also indicated that the home was meeting their needs appropriately. Comments were made by residents such ‘ they understand what needs to be done to help me’, ‘I know I am in the right place because I am happy here’. Resident’s relatives spoken to also expressed the view that the home was appropriately meeting the needs of their family member. The Bungalow Residential Home DS0000062979.V254712.R01.S.doc Version 5.0 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. The health and personal care needs of residents continue to be assessed and addressed appropriately. The arrangements for the management of resident’s medicines were appropriate and staff were observed to interact and assist residents sensitively and appropriately during the inspection. EVIDENCE: The system for maintaining residents care records has been substantially reviewed and modified by the manager since the last inspection. The health care records of 4 residents were inspected on this occasion. These were found to contain 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 and were formally evaluated at least monthly. Appropriate risk assessments, that seek to protect resident’s health and safety, were also recorded in respect of mobility, moving and handling, and nutrition (including weight monitoring) and other relevant areas. These were also formally evaluated at least monthly The Bungalow Residential Home DS0000062979.V254712.R01.S.doc Version 5.0 Page 11 Inspection revealed that the arrangements for resident’s medicines were secure and appropriately documented. These arrangements are operated by senior staff at the home all of who have undergone recent training in the management and administration of medicines. Discussion with residents indicated that staff at the home treat them with respect and seek to maintain resident’s dignity and privacy particularly when personal care is being provided. Examples of such comments are ‘ the staff always speak nicely to me’, ‘they care for me properly here’, ‘ I can go to the lounge or stay in my room as I choose’, ‘my family are able to visit me at any time’. Residents also indicated, and this was supported in discussion with staff and inspection of care records, that residents are enabled to access health care services appropriately. All residents were registered with a local GP. The Bungalow Residential Home DS0000062979.V254712.R01.S.doc Version 5.0 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. The home enables residents to exercise as much personal freedom and choice as possible. The routines of daily living appear to be as flexible as is possible in a residential home setting. Menus were varied, balanced and offered choice. Dining areas within the home were clean, and comfortably furnished. A programme of activities was prominently displayed in the home. EVIDENCE: Discussion with resident’s revealed they were happy with the personal choices and freedom they were able to exercise. They were also satisfied with the activities provided stating that the range of activities and outings available had significantly improved in recent months. The home maintains a record of all activities provided. It is also noted that the activities programme is discussed at resident’s meetings. Residents spoke very positively in respect of the food provided at the home, flexibility of meal times, choice of meals and dining areas provided. Comments made included ‘ the food is very good here’, ‘I can choose something else to eat if I don’t like what is on the menu’. Menus were varied, balanced and provided extensive 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.V254712.R01.S.doc Version 5.0 Page 13 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. Appropriate measures have been taken to provide an environment where residents and their supporters feel comfortable with making a complaint if necessary, and to prevent residents becoming victims of abuse. These are important areas that are crucial to the protection of resident’s in a care home, many of whom are extremely vulnerable. EVIDENCE: Discussion with resident’s indicated that there was a general awareness and appropriate information provided that enabled people to make a complaint if they desired. Certainly residents and relatives spoken to expressed the view that they felt comfortable enough to raise concerns with the home’s management if they needed to and equally importantly were confident that any issues raised would be dealt with appropriately. Clearly such an approach by the home management means that the vast majority of concerns raised can be dealt with before they escalate into major issues – this can only be of benefit to residents at the home. A detailed and accessible complaints procedure was in place and prominently displayed in the home, which included details of how complainants could contact the CSCI if desired. Inspection of policies and procedures operated at the home and discussion with staff indicated that staff were aware of the importance of protecting The Bungalow Residential Home DS0000062979.V254712.R01.S.doc Version 5.0 Page 14 resident’s from potential abuse and how to communicate any concerns they may have in this area. Staff training has been provided in respect of protection of vulnerable adults. The Bungalow Residential Home DS0000062979.V254712.R01.S.doc Version 5.0 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): 19,20,21,22,23,24,25,26. The home appeared to be structurally well maintained and to provide an appropriate environment for residents to receive personal care and accommodation. EVIDENCE: The inspector was informed that a programme of redecoration and refurbishment is currently being developed to improve the environment throughout the home. However at the time of this unannounced inspection the home was found to provide a clean, free of malodour, warm, comfortable and very homely environment for residents. Residents spoke very highly in respect of the accommodation provided for them. Resident’s bedrooms, of which 6 were inspected on this occasion, were appropriately/comfortably furnished and very personalised. Residents said they were actively encouraged to personalise their rooms with their own choice of pictures, ornaments etc. They also said they could access their rooms at any time. Adequate and suitably adapted WC The Bungalow Residential Home DS0000062979.V254712.R01.S.doc Version 5.0 Page 16 and bathing/shower facilities were provided and these were easily accessible to all residents. The inspector was informed that hot water temperatures, are controlled by thermostatic mixer valves, to prevent residents sustaining burns. 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.V254712.R01.S.doc Version 5.0 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): 27,29,30. The home was providing adequate and appropriate staff to meet the needs of resident’s. Staff are subject to a recruitment process that is in need of review. 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. Random inspection of 2 recently employed staff personnel files revealed that these contained an application form (including health declaration), written references, proof of identity (including a photograph), and evidence of induction training. However 1 of the files did not reflect that a ‘POVA first’ check had been conducted and although the file did contain a CRB check this had been obtained whilst the member of staff had been employed elsewhere. The other file reflected that whilst a CRB check and ‘POVA first check had been initiated no outcome was recorded. The importance of the necessity of securing a POVA first check on all new employees prior to employment, to protect vulnerable residents was emphasized by the inspector and that such checks could only be initiated by applying for a new CRB check for the individuals The Bungalow Residential Home DS0000062979.V254712.R01.S.doc Version 5.0 Page 18 concerned. The inspector was informed by the manager that these issues would be addressed as a matter of urgency. The Bungalow Residential Home DS0000062979.V254712.R01.S.doc Version 5.0 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, 32,33,34,35,37,38. The Bungalow care home was being appropriately managed. EVIDENCE: Discussion with resident’s indicated that the home is managed in a positive and open way. The manager was said to be accessible and responsive to issues raised. Regular 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 an NVQ4 qualification in management and care. The Bungalow Residential Home DS0000062979.V254712.R01.S.doc Version 5.0 Page 20 Inspection of the arrangements to manage service users personal allowances, where these are managed by the home, found that these were secure, regularly audited and appropriately documented. However the arrangements for receiving 1 identified residents personal allowances from Social Services are in need of review. These monies need to be paid directly into a personal account for that resident and not into any other account. 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 and the fire alarm system. 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.V254712.R01.S.doc Version 5.0 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 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 2 X 3 3 The Bungalow Residential Home DS0000062979.V254712.R01.S.doc Version 5.0 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 38 29 Regulation 13 19 Requirement That the CSCI is provided with a copy of a current yearly gas safety certificate That the CSCI is informed in writing that CRB checks and POVA first checks (where relevant) have been conducted on all staff employed at the home That the CSCI is informed in writing that appropriate arrangements have been made to receive the personal allowances of residents into an appropriate account. Timescale for action 30/11/05 30/11/05 3 35 17 30/11/05 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 The Bungalow Residential Home DS0000062979.V254712.R01.S.doc Version 5.0 Page 23 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.V254712.R01.S.doc Version 5.0 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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