Inspection on 30/09/05 for The Bungalow [Taunton]

This inspection was carried out on 30th 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 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] 10/10/06

The Bungalow [Taunton] 02/02/06

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 Sally Murphy Unannounced 30 September 2005 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 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 Stationary 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 D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 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 Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Voyage Limited Mrs Susan Elizabeth Perry Personal Care Home Only 6 Category(ies) of LD Learning Disability registration, with number PD Physical Disability of places The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for six persons in categories LD and PD. Date of last inspection 18th March 2005 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 Registered Provider is Voyage Ltd. The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out as part of the planned annual programme of inspection. The inspection was unannounced and carried out by one inspector over one day. The previous inspection was announced and took place on 18th March 2005. On the day of the inspection there were five service users present within the home, and one service user receiving support from staff whilst in hospital. During the course of the inspection service users, staff and the Registered Manager 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? There is an ongoing program of refurbishment and decoration within the home. A new boiler is being fitted and there are plans to upgrade the kitchen facilities. The home continues to provide a comprehensive training program for staff members. The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 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 D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 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 standard(s) 1, 2, 3 & 4. 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. EVIDENCE: The home has a Statement of Purpose and Service User Guide that provide details of the services and facilities offered at The Bungalow. An assessment of need is completed for any prospective service user. Service users and their families are invited to spend time at the home to assess the facilities provided. The Registered Managers ensure that appropriate adaptations are installed and that staff receive any necessary training, prior to a service user moving into the home. The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 8, 9 & 10. The home ensures that an individual plan is developed for each service user. Service users are supported in making decisions over their lives. Care plans are comprehensive and updated regularly. Records relating to service users are stored securely. EVIDENCE: Care plans are maintained for each service user. Two care plans were examined. Care plans were detailed and provided information regarding service users needs, daily routines and preferences. A moving and handling assessment had been completed for each service user. Care plans had been regularly reviewed and updated as required. Service users are encouraged to exercise choice regarding their daily life. There is a notice board in the hall displaying which members of staff will be on duty. Service users are able to spend time in their rooms or communal areas as they choose. Daily routines are flexible to meet service users needs’. The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 Page 10 Risk assessments had been completed for each service user. These were comprehensive and addressed a wide range of issues including the use of bed rails. The home acts as Appointee for two service users, and is in the process of being Appointee for one further person. Records are maintained of all transactions involving service users’ finances, which are supported by two staff signatures and receipts. The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 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 standard(s) 11, 12, 13, 14, 15, 16 & 17. Service users are provided with a range of activities that are appropriate to their individual needs and are supported in accessing the local community. Service users are provided with a well-balanced diet. EVIDENCE: Service users are able to participate in a wide range of activities. These include: breadmaking, cookery, walks, massage, music and horse and cart. A creative play therapist and aromatherapist also visit the home and a further member of staff supports service users with Intensive Interaction for six hours each week. Service users are also provided with regular opportunities to access the local community. This includes the use of the snoozelum, training kitchen and swimming pool at other Voyage homes. Two service users attend activities organised by the Blind Association each week. There are notice boards in some service user room providing details of the planned activities. The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 Page 12 Service users are encouraged to participate within the home, as is appropriate to their needs. Staff support service users in maintaining contact with family and friends. Visitors are welcomed. Meals are prepared on the premises by staff as part of their role. Menus are written on a weekly basis and are flexible. Service users nutritional intake is monitored appropriately. The home is aware of service users dietary preferences and needs. The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 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 standard(s) 18, 19, 20 & 21. Service users are provided with appropriate assistance to meet their personal care needs. The home supports service users in accessing healthcare services. Staff receive medications training. The home must take further action to ensure that the recording of medications follows good practice. EVIDENCE: All service users’ rooms are single occupancy. Care plans provide details of the level and type of assistance to be provided to each service user. Staff support service users in accessing health care services and ensure that specialist advice is sought as required. Pressure relieving equipment had been provided. A physiotherapist and chiropodist regularly visit the home. At the time of the inspection one service had recently been admitted to hospital. The Registered Managers had re-arranged duty rotas to ensure that this individual received 24 hour support from the staff team during the period away from the home. All medications are stored securely. Medication Administration Records were examined. These included a photograph of the service user. A signature had been recorded for all medications given. Staff should ensure that all hand The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 Page 14 transcribed entries include the date and quantity of medication received and are supported by two staff signatures. All prescribed creams should have an opening or discard date recorded. Out of date creams should be returned to the pharmacy. The home will provide care to service users until the end of their life whenever possible, and work closely with staff from other agencies to ensure that they are able to continue meeting their needs. The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 Page 15 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 standard(s) 22 & 23. The home has appropriate policies and procedures in place to safeguard vulnerable adults. 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 Whistleblowing. The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 Page 16 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 standard(s) 24, 25, 26, 27, 28, 29 & 30. The home has been decorated and furnished to a high standard. Adaptations have been provided as required. There is a range of communal areas available. The home was found to have a high standard of cleanliness. EVIDENCE: The Registered Managers ensure that appropriate adaptations are provided prior to any service user moving into the home. All service user rooms have en suite facilities. Bedrooms have been decorated to reflect individuals’ tastes and preferences. Communal areas comprise of two lounges, an activities room, dining room and kitchen. Sleeping-in facilities are provided for staff. There is a garden at the rear of the property that is accessible to service users. For the safety of service users radiators have been guarded and thermostatic controls fitted to hot water outlets. The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 Page 17 The laundry is tidy and well organised. The washing machine has the facility to meet disinfectant standards. The home has followed good practice in relation to infection control. The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 & 36. Staff levels are appropriate to meet service users’ needs. Staff are provided with relevant training to undertake their role. The home operates a robust recruitment procedure. Staff are provided with regular supervision. EVIDENCE: Duty rotas are maintained. At present there are generally four staff on duty during the day and two waking staff at night. Newly employed staff complete a thorough Induction programme. All staff are provided with a job description giving details of their role. Staff are provided with regular opportunities to receive training and have attended courses on Health and Safety, Food Hygiene, First Aid, Total Communication and Intensive Interaction. Staff receive regular supervision and appraisals are completed on an annual basis. The recruitment file of a recently employed member of staff was examined and found to contain the documentation required within Schedule 1 of the Care Home Regulations 2001. The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40, 41 & 42. The Registered Managers provide effective leadership to the staff team. There is a relaxed and open atmosphere within the home. Records relating to service users are 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. Both have considerable experience of providing care to service users who have a learning disability. Staff were welcoming and helpful throughout the inspection. The home has appropriate policies and procedures in place to safeguard vulnerable service users. The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 Page 20 Regulation 26 visits are completed each month and a copy forwarded to CSCI. The home displays appropriate Employers Liability Insurance. The home operates a comprehensive system of health and safety audits. Fire equipment have been tested and serviced as required. Staff are provided with regular fire safety training. Servicing records relating to gas appliances, landlord safety certificate, portable appliances and electrical hardwiring have been appropriately maintained. Hoists and assisted baths have been tested under LOLER Regulations. Risk assessments are regularly reviewed and updated appropriately following MHRA guidance. Accidents have been recorded and reported as required. The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 Page 21 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 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 4 3 3 4 4 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Bungalow Score 3 4 2 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 3 x D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 Page 22 Are there any outstanding requirements from the last inspection? na. 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 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 YA 20 Good Practice Recommendations Staff should ensure that all hand transcribed entries include the date and quantity of medication received and are supported by two staff signatures. All prescribed creams should have an opening or discard date recorded. Out of date creams should be returned to the pharmacy. The Bungalow D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Riverside Chambers Castle Street Tangier 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 D53 - D02 S39965 The Bungalow V247080 210905 Stage 4.doc Version 1.40 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. 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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