Inspection on 17/10/05 for Wade Bungalow Residential Home

This inspection was carried out on 17th October 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wade Bungalow Residential Home 04/08/06

Wade Bungalow Residential Home 21/02/06

Wade Bungalow Residential Home 18/01/05

Wade Bungalow Residential Home 23/08/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Wade Bungalow Residential Home Wade Bungalow Residential Home The Pightle Needham Market Suffolk IP6 8AQ Lead Inspector Deborah Seddon Announced Inspection 12 17 October 2005 th Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wade Bungalow Residential Home DS0000024518.V258745.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 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. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Wade Bungalow Residential Home Address Wade Bungalow Residential Home The Pightle Needham Market Suffolk IP6 8AQ 01449 722681 01449 723762 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) Royal Society of Mentally Handicapped Children and Adults Post Vacant Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2005 Brief Description of the Service: Wade Bungalow was opened in 1992 for four service users with a learning disability. There are currently three service users at the bungalow. The bungalow is spacious, with four bedrooms, two bathrooms and one toilet. There are three communal rooms; one large sitting room, a music room and a smaller sitting room with access to the rear garden. The kitchen is also in the dining area and a separate utility area is provided. There are gardens on three sides of the building with padlocked gates controlling access to the front. There is an office, which contains a bed for staff undertaking sleeping in duties. Wade Bungalow is situated in a cul-de-sac close to the centre of Needham Market and is close to shops, pubs. Churches and other local amenities. Local transport is within easy access for routes to Ipswich, Stowmarket and Bury St Edmunds. The property is owned and structurally maintained by Sanctuary Housing Association and Mencap provides the direct care. A manager and seven support workers staff the bungalow. Shift patterns are primarily based around the needs of the service users. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and started at 12 mid-day. It took place over six and half hours during a weekday. Time was spent with the manager and three staff. The service manager for Wade Bungalow visited the home to meet with the inspector. A tour of the premises was made and a number of records were examined including those relating to service users, staff and a selection of policies and procedures. There are currently only three service users living at the bungalow. The inspector spent time with one service user who was at home during the day. The two other service users returned from day care services separately between 4.30pm and 5-30pm and were spoken with individually by the inspector. A total of 2 relatives and two service users comment cards were received prior to the inspection. All were generally positive about the service provided, however, relatives stated they did not have access to the latest inspection reports from the commission for social care inspection (CSCI) What the service does well: What has improved since the last inspection? What they could do better: The home has clear policies and procedures in place for the reporting of allegations of abuse, however staff spoken with were not aware of the procedure to follow in the event that an allegation of abuse is made. Files showed that staff had not had recent refresher training in the protection of vulnerable adults. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 6 The complaints procedure and the protection of vulnerable adults policies both require updating to have the correct name of the commission for social care inspection (CSCI) instead of the national care standards commission (NCSC). Staff who have been given designated roles and responsibilities should have the appropriate level of training to ensure they have the knowledge and skills to carry out their duties. Risk assessments and data sheets need to be accessible to all staff when using cleaning products so that they have the necessary information about their use and any harmful aspects of the product. 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. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 5 Prospective Service users can expect to have detailed information about the home before making a decision about where they live and to have a written licence and tenancy agreement between themselves and the home. EVIDENCE: The home has a statement of purpose and service user guide; these are both well presented and offer a lot of detailed information for prospective service users. The service user guide is offered in different formats on request. The service user guide seen made reference to the complaint system informing the service user a copy of the complaints procedure was attached, however no copy was attached. The manager included a copy during the inspection. There have been no admissions to the bungalow since the last inspection and it was therefore not possible to inspect standards 2, 3, and 4. Two of the care plans looked at had a licence and tenancy agreement with sanctuary housing. The agreements consisted of a picture and word format, which had been discussed and agreed, and signed and dated by the service users. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Service users can expect that their care plan will identify their needs and that they will be supported to make decisions. Residents can expect that their behavioural management plans and risk assessments will identify where they require support. EVIDENCE: Two care plans were inspected. A personal details sheet had been completed with each service user and was in picture and written format. Each care plan had a detailed assessment identifying the service users needs and what support was required to enable the service user to maintain their independence. These assessments were signed and agreed by the service user and each had evidence that they were being reviewed on a regular basis. The aims and objectives for each of the service users had been agreed and evidence was seen throughout the care plan and during the inspection that service users were being supported to meet these. It was noted that two of the residents had requested to go horse riding at a recent residents meeting. This had been identified as a goal in their care plan and action was being taken to find out about facilities available. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 10 Other objectives stated that service users wanted to be involved in the running of the home; one service user had chosen to maintain the garden. This included purchasing and planting bulbs for the spring, and watering and removing the dying heads of established plants. Another service user who attended the Stowmarket resource centre had obtained a certificate of achievement for recycling and had chosen to be responsible for the household recycling. Each of the service users have very detailed risk assessments and behavioural management plans in place to minimise the identified risks and hazards when undertaking daily routines such as using public transport and preparing meals. Evidence was seen that all risk assessments were being reviewed on a regular basis. Informal service user meetings are held on a regular basis; the manager explained that structured meetings cause the service users anxiety. Minutes of several meetings held were seen and topics discussed involved the use of advocates. The role of an advocate was explained to the service users and one service user agreed that they would like to have an advocate. Another resident already has an appointed advocate. Service users were informed that an inspector from the commission for social care inspection (CSCI) would be visiting the home to carry out an inspection; one service user requested to meet with the inspector. Other topics discussed ranged from future activities to service users involvement in the running of the home. Service users are supported to manage their finances, each of the service users have a savings bank account. Evidence was seen on the care plans that relatives are the appointees for the service user. Staff have minimal involvement in the handling of service users money and all transactions of payments from the service users accounts are made by direct debit. Two of the three service users choose not to hold their money, however the third service user kept theirs in a purse. Small amounts of money, which are in a locked safe, are held in the home for the service users. Each service user has a financial folder and written records of all transactions are maintained. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 17 Service users can expect that they will be supported to take part in appropriate activities within the local community and have the opportunity to mix with other adults. EVIDENCE: One service user was at home during the inspection and was supported by a member of staff to walk into the town and feed the ducks. When they returned they spent time in the kitchen making cakes and preparing diner. Two of the service users attend the Stowmarket resource centre on a daily basis, with the exception of weekends. Evidence was seen in the service users bedrooms that certificates of achievement had been obtained at the resource centre for learning practical skills such as recycling and the environment, preparing vegetables and listening. One of the service users had a Riding for the disabled endeavour award. Evidence was seen in the service users care plans and confirmed through discussion with the service users of activities available. One of the service Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 12 users had been shopping to purchase a card and voucher for a relative’s birthday before returning to the bungalow after day care. Another service user spoken to informed the inspector that they would be going to Gateway club that evening, but later changed their mind and went to the pub for a drink instead. They also told the inspector that they regularly attended a Target club where they play cards. They also liked to go out in the village to a variety of pubs one of which had a jazz club. The service user showed the inspector a leaflet of forthcoming jazz events. They also regularly attended a Catholic Church service two nights a week. Another service user spoken with informed the inspector that the fish tank in the sitting room was theirs and that they are responsible for feeding and taking care of the fish. There were photographs on the mantelpiece of the service user with a relative taken at an air museum. The service user told the inspector that they regularly visit air shows and had recently been to Wattisham. They also spoke of going to visit a relative at the coming weekend and would be going to a football match and church and swimming at local leisure pool. All three service users had had a summer holiday individually supported by staff. Two had gone to a place called Saxstead near Framlingham and had stayed in a log cabin, which had a Jacuzzi hot tub. One of the service users told the inspector they had enjoyed their holiday and wanted to go to the Norfolk Broads next year on a boat. The other service user had enjoyed a holiday at Centre Parcs. Food was seen being prepared by a staff member with service user involvement. A casserole was being prepared for the evening meal; fresh meat and vegetables were being used. The cooked casserole looked appealing and one service user told the inspector they enjoyed the food. The chocolate and jam cakes that had been made earlier in the day were the dessert with ice cream or service users could chose a yogurt. The service users make choices regarding the menus on a weekly basis; taking it in turns to choose the evening meal. Menus seen provided a range of meals three times a day, including a packed lunch for one service user who chose not to have a cooked meal at the resource centre. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 21 Service users can expect to have their personal and physical needs met as identified by them and according to their assessment plans. Service users can also expect to have good access to healthcare services. EVIDENCE: Each service user has a support plan which identifies their needs and what support they require. The plans include detailed instructions on their preferences, likes and dislikes and are linked into their behaviour management plans. Behavioural management plans are in place for each service user, which focus on their positive behaviour to reduce anxiety, in order for the service users to enjoy a better quality of life. One service user had received input from the intensive support team, a community-based service, which specialises in behaviour management. A full assessment of the service user had been undertaken identifying triggers for their unpredictable and negative behaviour and on how staff need to respond. All incidents are recorded and the service users behaviour monitored. The service users plan seen identified actions to follow for their morning routine. The plan is quite specific of the procedures that staff must follow to reduce the service users anxiety when they get up and the assistance that the service user needs to get dressed. A similar routine exists when the service user returns from day care. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 14 Each care plan has a section, which monitors the service users health and well -being. Records are kept of visits to the general practitioner (GP) and other health professionals. All service users are registered and have access to the doctor’s surgery in Needham Market. One service user receives physiotherapy to help improve their mobility and it was documented in their care plan that the physiotherapist had visited them at Wade Bungalow in September 2005. The inspector spoke to three staff during the inspection and they demonstrated a good knowledge and understanding of the needs of each of the service users. Service users are included when making a choice of key worker and new staff. One service user who chooses not to access day care facilities is supported at the home with one to one staff support. The service user was involved in the recruitment of two staff to rotate their hours to provide a consistency and continuity in their daytime activities. One care plan seen had details of service users wishes in the event of their death. The issues around what would happen to their bodies when they died had been explained and discussed with the service user and recorded in their care plan. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 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 the following standard(s): 22, 23 The home has a clear policy and procedure in place for making complaints and dealing with allegations or suspicions of abuse, however staff need to have training to ensure that they are aware of the procedures involved in reporting abuse. EVIDENCE: No complaints had been received since the last inspection. The home has a comprehensive complaints procedure, which is included in the service users guide. The complaints procedure is accessible in different formats on request such as audiotapes. A requirement made at the last inspection in January 2005 was for the complaints procedure to be updated with the commission for social care inspection (CSCI) name, address and telephone number, this still needs to be amended to replace the name of the national care standards commission (NCSC). This also applies to the protection of vulnerable adults policy. The manager telephoned Mencap head office during the inspection and they have agreed to change the name and redistribute the policy to all Mencap services. The organisation’s policy and procedure are very clear and detailed on staff’s responsibility to report allegations or suspicions of abuse, which includes informing the local authority vulnerable adult protection committee and commission for social care inspection (CSCI). Discussions with staff during the inspection highlighted that they were not clear on whom they should contact in the absence of the manager other than the duty manager. Further discussion with the manager identified that there had not been recent formal training in the protection of vulnerable adults, other than the course work associated with induction and foundation training and national vocational qualifications (NVQ). Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 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 the following standard(s): 24, 25, 26, 27, 28, 30 Service users can expect to live in a welcoming and well-maintained environment, which provides a good range of personal and communal space. EVIDENCE: The home is a purpose built bungalow and is designed for people who have learning difficulties and who can at times present behaviours that challenge. The bungalow has a homely feel and had a calm relaxed atmosphere on the day of the inspection. It offers good-sized accommodation with enough communal and private space for service users to spend time on their own or be involved in a group activity. There are three sitting areas which are well furnished and provided a range of seating. All lounges were equipped with entertainment including television and music systems. Service users have their own rooms, which had been decorated and personalised to suit their individual needs and lifestyle. One service user showed the inspector their room and showed them their collection of music tapes and their notice board with certificates and leaflets about activities. Another service user’s room had an Ipswich Town football club theme and the third bedroom was nicely decorated in matching colours and had a large collection of soft toys. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 17 The bungalow has enclosed gardens with a patio area for barbeques in the summer months. Money had been raised for an awning to be fitted over the doors leading to the patio to provide a shaded seating area. The garden has a swinging garden bench which two of the service users enjoy using. The home has one bathroom and one shower with two separate toilets however the sink in the toilet near to the office had a stain caused by a leaking tap and needs replacing. All areas of the home seen were tidy and clean and fresh. The laundry room was well ordered and all cleaning products were locked away. Staff spoken with talked of one service user who was sometimes incontinent. The inspector asked the staff about sluicing facilities and the management of infection control, when handling soiled linen they would soak or rinse the soiled items before putting them in the washing machine. The washing machine did not have a sluicing cycle. During the inspection the services manager visited the home and joined in the conversation about how the home managed the control of infection. The manager was informed that they could purchase a new washing machine with a sluicing element and made telephone enquiries to obtain quotes. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 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 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, 35, 36 Service users can expect to be cared for by a staff team who are supervised, supported and available in sufficient numbers to meet service users needs. However cannot expect to be protected from abuse until all staff have received training in protection of vulnerable adults and cannot expect to have their health and safety protected until staff receive appropriate training for their designated roles and responsibilities. EVIDENCE: Each member of staff is issued with a job description and role definition, which clearly sets out their roles and responsibilities. Some of the staff have been identified to take on additional responsibilities such as health and safety and managing the rota, these responsibilities are reflected in the job description. The home benefits from being part of a large organisation, which has developed its’ own induction and foundation learning programme for all new staff in line with the sector skills council for social care (TOPPS) training. Three staff files were inspected; each had a training and development plan for basic training and additional training supporting their ongoing development. However, staff files showed that staff had not received recent formal training in the protection of vulnerable adults. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 19 In addition to the core training two staff have achieved national vocational qualifications (NVQ) at level 3 and one member of staff is working towards completion. Two staff have enrolled to undertake NVQs level 2 and 3. Four members of staff have completed the Mencap induction programme and five have completed the foundation. Evidence was seen that one member of staff is working towards completion of their foundation programme. One member of staff has been designated as the peer practice supervisor for cascading unisafe practice techniques in deflecting and secure holds. They hold in house training sessions at staff meetings to ensure staff apply the techniques set by unisafe. Staff records show that the staff team are trained in health and safety matters. Training is provided in first aid, moving and handling, foot health, control of substances hazardous to health (COSHH) unisafe techniques, and administration of medication. One member of staff had been designated to take responsibility for health and safety within the home. However other than basic health and safety training they had not had additional training to ensure that they had the information and knowledge about the management of health and safety and to ensure that the home complies with legislation. Wade Bungalow has 7 contracted support workers supported by a bank of Mencap relief workers. The rota was seen and showed that there are two members of staff on duty on the early and late shifts with a member of staff sleeping in at night. One member of staff is employed to provide day care for one service user Monday to Friday. At weekends a third member of staff may be rostered depending on activities arranged. There had been no new contracted staff employed since the last inspection in January 2005, however the staff files seen demonstrated that the home had the necessary checks in place for the safe recruitment of staff. All three files looked at had records of the staffs criminal records bureau check (CRB) and relevant documents. Staff spoken to felt that they were supported by the manager and received regular supervision. Staff files confirmed this and all three staff files seen had an annual performance and development appraisal setting out objectives for the coming year. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 20 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, 42 Service users can expect to live in a home that is effectively managed and is run in their best interests by an experienced management and supported staff team. EVIDENCE: The bungalow has a service user vacancy. The manager and staff discussed their concerns over the impact of a fourth service user moving into the home and the dynamics within the group, and felt that this would be very unsettling for the current service users. The home has maintained a stable staff team, which has also had a positive impact on the continuity and consistency of approach with service users. The manager of the home has ten years experience of working in care and was appointed as the manager at Wade Bungalow in January 2005. They have developed a good relationship with the service users and staff. Staff spoken to found the manager to be open and honest and very approachable. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 21 Service users are involved in regular meetings and have their views taken into account with the management of the home. Lay visitors employed by Mencap also visit the home on a regular basis and meet with service users without staff present to obtain their views. The lay visitors produce reports, which are in a picture format and show items discussed which are around living standards and service users overall feelings about the home. This information is feedback to Mencap. The laundry room had a list of cleaning products used within the home. The list referred to risk assessments, however these are located in the managers office and need to be accessible for staff to be aware of information on the data sheets about the use and harmful aspects of the product. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 22 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 X X X 3 Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X 2 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 3 2 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wade Bungalow Residential Home Score 3 3 X 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X 2 x DS0000024518.V258745.R01.S.doc Version 5.0 Page 23 YES Are there any outstanding requirements from the last inspection? 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 YA22 Regulation 22 (7) (a) Requirement Timescale for action 25/11/05 2 YA23 13 (6) 3 YA23 13 (6) 4 YA30 13 (3) The complaints procedure in the service user guide must be updated to include the CSCI name instead of NCSC. The adult protection policy and 25/11/05 procedure must be changed to reflect the name of the CSCI and not the NCSC All staff must receive adult 25/01/06 protection training and guidance on the procedure for referring allegations of abuse. Arrangements must be made to 17/10/05 prevent the spread of infection in the home. 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 YA32 Good Practice Recommendations Staff should have training to ensure they have the skills, knowledge and experience for the job they are expected to do. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 24 2 YA42 Risk assessments for the safe storage and disposal of cleaning materials, including spillages should be made available to all staff. Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Wade Bungalow Residential Home DS0000024518.V258745.R01.S.doc Version 5.0 Page 26 - 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!