Inspection on 10/10/06 for The Bungalow [Taunton]

This inspection was carried out on 10th October 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 [Taunton] 02/02/06

The Bungalow [Taunton] 30/09/05

The Bungalow [Taunton] 18/03/05

The Bungalow [Taunton] 28/09/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 The Bungalow 2 Ilminster Road Taunton Somerset TA1 2DR Lead Inspector Loli Ruiz Unannounced Inspection 10th October 2006 10:50 The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 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 DS0000039965.V312621.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 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 DS0000039965.V312621.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Bungalow Address 2 Ilminster Road Taunton Somerset TA1 2DR 01823 327050 01823 352994 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) Home First & Foremost Ltd has recently changed to Voyage Care Ltd and is applying for changing its registration and that of the responsible individual. Mrs Susan Elizabeth Perry Mrs Emma-Jane Mary Lewes Care Home 6 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 6 persons in categories LD and PD Date of last inspection 02/02/06 Brief Description of the Service: The Bungalow is situated on the outskirts of Taunton. Accommodation comprises of two lounges, a dining room, kitchen and six service user rooms with en suite facilities. The home has been decorated and furnished to a high standard. Appropriate adaptations have been provided to meet service users needs. The Bungalow is registered with the Commission for Social Care Inspection to provide care for up to six service users who have a learning and physical disability. The Registered Managers are Mrs Susan Perry and Mrs Emma Lewes who job share the role. The name of the registered provider has recently changed to Voyage Care Ltd and the company is applying for a change of registration details, including that of the responsible individual who no longer is S. Ball but Stephen Rees. The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out as part of the planned annual programme of inspection. The previous inspection was also unannounced and took place on 2nd February 2006. On the day of inspection there were five service users residing at the home and one was in hospital. During the course of the inspection service users and staff were spoken with. Care practice was also observed, records examined and a tour of the premises was made. What the service does well: What has improved since the last inspection? What they could do better: Copies of service users contracts should be available in the home. The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 6 Care plans should be reviewed and agreed with the service user (or their main representative) at six monthly intervals to fully meet NMS 5. The competencies of staff involved with medication should be checked against pharmacy triggers at least at six monthly intervals. Where a service user has no family members or outside representatives, an independent advocate should be sought that can represent the service user’s best interests. Small touches, such as properly laid tables, would make the dining room less functional and more homely, and also aid the learning of life skills at meal times. Some service users may be able to assist with this task even in small ways. 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 DS0000039965.V312621.R01.S.doc Version 5.2 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 DS0000039965.V312621.R01.S.doc Version 5.2 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): 1,2,3,4,5 Service users and their families are provided with appropriate information to make a decision regarding admission to the home. An assessment is completed to ensure that the home will be able to meet the service users identified needs. The service user’s guide is incorporated in care records and mentions a formal contract. A copy of the contract was not included with the person’s care notes as it should be. EVIDENCE: Service users at the bungalow could not engage in discussion with the inspector but senior staff on duty described the admission process of the newest service user last year. They described comprehensive information about the person being received and visits made to the person and by the service user to the home before admission. The service user had settled well and appeared content in the home. The care records of this person evidenced good assessment of need, contemporaneous community care documentation and input from other relevant professionals. The inspector looked at three care records. These included a comprehensive service user’s guide. The existence of a formal contract with each service user was confirmed by the guide, which also gave instructions about how to access The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 9 a copy. Copies of individual contracts, kept at head office, should be available in the home for ease of reference. The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 10 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): 6,7,8,9,10 An individual plan of care is developed for each service user, in cooperation with all relevant persons and formally reviewed once a year. Key workers prepare monthly summaries that reflect any changes, however, the service user representative/s should be formally involved at least twice a year to fully meet standard 6. Service users are supported in making decisions over their lives and the home is looking at ways to further develop practice in this area. Areas of risk are identified and assessed and appropriate action taken to minimise hazards. Records relating to service users are stored securely. EVIDENCE: The inspector looked at three care records, including that of the person in hospital. Care records were well maintained and comprehensive. That is they included assessments, a plan of care, assessed risks, action to be taken, health and social care input, proof of access to NHS services, health and social care monitoring tools, the persons preferences with regards to their care and activities, contact with relatives and friends, daily records, monthly summaries, review notes and cash records. The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 11 The care plans were formally reviewed with the social worker and relatives once a year as their signature in the notes proved. The monthly summaries feed to this process. However they do not constitute a full review of the care plan. The national minimum standard 6.10 requires that the plan of care be reviewed with the involvement of the service user or representative at least at 6 monthly intervals. One person had no family or representatives. It would be best practice to search for an independent advocate for this person who is able to represent the person’s best interests. Observed practice showed easy and affectionate relations between service users and staff. Staff co-key work each service user so that one of them is available to the person most of the time. Staff were observed encouraging service users participation and checking out with them their preferences. Staff explained that they have now begun to receive training that will equip them to further involve service users, even if they can only do so in small ways, in the life of the home. Service user records were stored with other important records in the home’s office. The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 12 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): 11,12,13,14,15,16,17 The bungalow is working to assist service users to express self-determination and develop life skills according with the person’s abilities. Activities that are appropriate to service users individual needs are organised. Service users are supported in accessing the local community and in maintaining supportive links. Service users rights and responsibilities are respected and promoted. Service users are provided with a well-balanced diet. EVIDENCE: Staff explained that since funding was withdrawn for college courses for those who were seen as not able to improve by the education system, the home has looked at ways to compensate for this. Staff members had attended a seminar about person centred active support and were enthusiastic about involving service users to the level that they were able, in all areas of the life of the home. The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 13 There is a good range of planned leisure and social activities, outdoors and in the home. These included social events, creative, play, daily skills, exercise and therapeutic activities. Service users continue to access facilities in the local community and also in other Voyage homes. Notice boards in bedrooms provide up-to-date information of activities in photographic and sign form. Staff support service users in maintaining contact with family and friends. The majority of service users visited their relatives in their home. There was evidence of working together with relatives to enable family visits, often sharing the journey with parents when living at a distance. The home has good transport and adaptations to meet service users needs when outside the home either on day trips or visiting relatives and friends. The home caters for vulnerable adults with significant psychological and physical disabilities. Staff were observed communicating well with service users, based on personal knowledge, checking that activities met with their preferences but also were observed encouraging responsibilities, for example in respecting other’s private space. Service users approached staff in a relaxed and happy manner, as friends. Inspection of the kitchen, stores, fridge and freezer showed a well-maintained catering area. Produce is bought locally and the availability and use of fresh fruit and vegetables observed. Menus continue to be written on a weekly basis, and are flexible. Service users nutritional intake is monitored appropriately. A number of variations were observed to cater for each person’s dietary need and preferences. The meal observed was balanced, well presented and served with appropriate staff support. The atmosphere was relaxed. The dining room itself could be made more homely by laying tables in the normal manner before the meal, i.e. with table-mats or cloths, cutlery, condiments, jugs, napkins etc. The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 14 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 Service users continue to be provided with appropriate assistance to meet their personal care needs according with their own preferences, and to access health and therapeutic services. The medication area is appropriately managed. Staff involved have completed a comprehensive care of medicines course, however their competencies should be checked at least at 6 monthly intervals. Service users are well supported at a time of illness and deceased service users are remembered with warmth and their memory honoured. EVIDENCE: The care and support plans detailed the level of care and support required by each service user and staff further confirmed this during the inspection. The home had asked for a specialist review of a service user’s need due to the level of support required and lifestyle chosen. Staff members were conversant with each individual health care need such as nutrition, epilepsy, psychological and skin care. A service user with a chronic health condition was being supported in hospital in cooperation with the hospital staff and relatives. An admission to hospital protocol had been agreed for this person. The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 15 Care and support plans evidence the regular input of health care specialists and also access to periodic health checks. Body maps are used to document any skin marks noticed. The maps were attached with daily records when staff noticed them so that the situation was monitored on a daily basis and appropriate action taken. Once the skin mark was cleared the body map was signed, dated and filed in the person’s care records. Staff explained the procedures for the prevention of pressure sores, which they indicated, “ no-one has ever had”. It seems that staff report every “little mark”. The pressure sore mentioned in the last report was said to be a mark that the person has always had that does not constitute a sore or broken skin. Precautions taken to prevent pressure sores included changing posture at frequent intervals, releasing pressure, use of pressure relief cushions and mattresses as well as any prescribed cream or lotion. The inspector observed strategies adopted to protect people from self-injury. This included the provision of personal space when needed and buffer materials, such as wristbands and soft materials. The management of any challenging behaviour and physical intervention was discussed with staff and a description was provided that met good practice. This was further reinforced by the instructions provided in the care records seen. Staff members have received relevant BILD training. The medication area was inspected: MARS, storage, receipts, disposal and administration. The dates of creams and all medication are now checked at monthly intervals to ensure that medication is sent for disposal as the valid date expires. All supervisory staff completed a comprehensive medications course in 2004. They have not had updates since as they understood that this training equipped them forever. The competencies of staff however should be checked against the home’s medications policy and in consultation with the pharmacy triggers at least at 6 monthly intervals. Staff carry out some clinical procedures such as rectal administration for which they have received training. Their competencies for this should also be periodically checked by the responsible person delegating these tasks. The home is committed to support service users during illness, as evidenced during the inspection. On the afternoon of the inspection staff and service users took flowers to the grave of a person deceased some time ago, whose photograph is kept and was warmly remembered by staff at the home. This was an annual event. The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 16 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 The home has appropriate policies and procedures in place to safeguard vulnerable adults. There is a proper trail evidencing the appropriate management of service users cash. EVIDENCE: The home has a complaints procedure that provides details of external agencies that may also be contacted including CSCI. There have been no complaints received by the home or CSCI. The home has appropriate policies relating to the Protection of Vulnerable Adults and whistle blowing. Staff spoken with evidenced knowledge of the policy and knew what their responsibilities were. Cash records were inspected showing good links between service users accounts and the management of the cash kept for them by the home. The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 17 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 Service users benefit from a home that is well furnished, comfortable and safe. Private bedrooms are spacious, well furnished and equipped reflecting each individual’s needs and lifestyle. All rooms are single and have en-suit facilities with adaptations as required. Communal areas are generally homely and there is a pleasant, accessible garden. Service users benefit from a clean home. EVIDENCE: All bedrooms, communal areas and the kitchen were visited during the inspection. There was a homely atmosphere, everywhere except in the dining room. This is a conservatory or sunroom, adapted for that purpose, with few frills other than two tables and few chairs but overlooking a pleasant and wellmaintained garden. The living room and conservatory are very pleasant and comfortable. However the carpet in the living room was showing signs of wear and tear and had begun to ripple. Senior staff explained that plans are being considered for an extension and any new flooring or redecorating in that area The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 18 would not take place until any building work was completed. There is a sensory room accessed from the dining room. All bedrooms were spacious, comfortable, well decorated and furnished. Personal audiovisual equipment and many other personal individual touches made each room completely different according to each person’s taste. Bedrooms and en-suites had adaptations to meet the mobility needs of their occupants. Sleeping-in facilities are provided for staff. Radiators have been guarded and thermostatic controls fitted to hot water outlets for safety reasons. The kitchen was well organised and the home was maintained in a clean condition throughout. Protective equipment and materials were observed for the control of spread of infection. The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 19 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): 31,32,33,34,34,36 Service users benefit from adequate staffing levels and from a competent and trained staff team that are well supported and supervised. Service users benefit from thorough recruitment practices. EVIDENCE: Staffing cover continue to be, usually, four staff on duty during the day and two waking staff at night. On the day of the inspection the managers were either off or engaged out of the home. There were two senior staff and two support workers on duty. One of them visited the hospital during the inspection to support one of the six service users who is hospitalised at present. Staff turnover was low but there were two full time vacancies at the time, one of them was a night post. Seniors on duty indicated that one of these vacancies had already been filled but the person had not yet started. Staff indicated that they managed to cover absences well. The inspector spoke with staff on duty. They showed a good knowledge of operations in the home, of their role and that of others. They confirmed having had statutory training and also specialist training such as LADAF, which they start having at induction, Intensive Interaction and a newly provided course: Person Centred Active Support, with one of the staff training as a trainer to The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 20 promote this in the home. Staff also confirmed that NVQ levels in the home have remained well over the 50 required and the training matrix showed that 18 of 20 staff have or have nearly completed the qualification. All seniors have NVQ III, the managers have NVQ 4 and support staff NVQ 2. Staff indicated that they were well supported by the team, that they had formal supervision usually at two monthly intervals and also annual appraisals. Staff have individual training plans. Staff files are kept locked but one of the managers was able came to the home and opened the cabinet to access the files of the two newest staff. One of the files inspected lacked the two references and CBR. This was faxed to the home by head office a little later. In addition to references and CBR/POVA, files evidenced appropriate recruitment procedures, applications, interviewing, proof of ID, induction and support time and for a new staff, training booked. The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 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): 37,38,39,40,41,42. The Registered Managers continue to provide effective leadership to the staff team. A relaxed and open atmosphere within the home continues evident. Steps are taken to seek and promote service user involvement and agreement. All records inspected were well organised and stored securely. Appropriate actions have been taken to promote the health and safety of staff and service users at the home. EVIDENCE: The Registered Managers are Mrs Susan Perry and Mrs Emma Lewes, who job share the role. Staff indicated that they benefited from the managers’ leadership and that there was an effective and mutually supportive team ethos. They worked to The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 22 assist service users to be happy in their home and aimed to help them achieve their potential. Regulation 26 visits are completed each month, and a copy religiously forwarded to CSCI. The Employers Liability Insurance and health and safety notices, such as the fire action, were displayed. Health and safety records inspected included the fire log, servicing and checking of fire equipment and systems, of gas and electricity, of portable electrical equipment, of mobile equipment (including transport) for compliance with LOLER, of water safety checks. All records seen were well organised, colour coded and up-to-date. Staff knew where to find them and indicated that their content is discussed with them at frequent intervals. The staff team is provided with regular fire safety training. A couple of gaps seen in the chart were explained by maternity leave or other absence. The fire log contained colourful and informative learning aids. There is an annual training plan for staff that covers H&S updates. The inspector was not able to discuss the home’s financial status with the managers during this visit. The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 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 3 2 3 3 3 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 4 26 3 27 4 28 3 29 4 30 3 STAFFING Standard No Score 31 3 32 4 33 3 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 X The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action 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 YA5 Good Practice Recommendations A copy of each service user contract should be available in the home. Care plans should be reviewed at least at six monthly intervals with the involvement of the service user and their representative, their dated signature showing their agreement to the plan. Where a person has no involved relatives or friends, the home should take steps to find an independent advocate who can represent the person’s best interests. Dining room tables should be properly laid for mealtimes as one would at home. Staff involved with medication should have their competencies checked against the home’s medications DS0000039965.V312621.R01.S.doc Version 5.2 Page 25 2 YA6 3 4 YA7 YA17 5 YA20 The Bungalow policy and in consultation with pharmacy triggers, at least at six monthly intervals. The Bungalow DS0000039965.V312621.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 DS0000039965.V312621.R01.S.doc Version 5.2 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!