Inspection on 21/02/06 for Wade Bungalow Residential Home

This inspection was carried out on 21st February 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

Wade Bungalow Residential Home 04/08/06

Wade Bungalow Residential Home 17/10/05

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 Unannounced Inspection 21 & 27 February 2006 16:00 st th Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 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.V284387.R01.S.doc Version 5.1 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.V284387.R01.S.doc Version 5.1 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 h2002@mencap.org.uk 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 Miss Marleen Van Marcke Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th October 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.V284387.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was spread over two days starting with an unannounced visit on the 21st February on a weekday afternoon, lasting for 1 hour. The presence of the inspector caused distress to one of the service users returning from day care who found the inspection disruptive to their usual routine. The inspector telephoned the manager the following day and arranged to return to the home on the 27th February to complete the inspection. The inspection on the 27th February started at 12:00 and lasted three and half hours. The inspector focused on looking at the standards not assessed at the last inspection on the 17th October 2005. Therefore to have a true reflection of the home this report should be read in conjunction with the report from the October inspection. A number of records were examined including those relating to residents, staff, training and policies and procedures. Time was spent talking with two of the service users, the service’s manger, manager and three members of staff. What the service does well: What has improved since the last inspection? What they could do better: The current manager has been promoted within Mencap and a new manager has been appointed. The new manager will need support from the service manager and staff to help them take over their role to ensure the continuity of the service. The new manager will need to make an application for the post of registered manager to the Commission for Social Care Inspection (CSCI). Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 Page 6 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.V284387.R01.S.doc Version 5.1 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.V284387.R01.S.doc Version 5.1 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, Prospective service users can expect to be fully consulted and receive detailed information about the home before making a decision about where they live. The current service users can expect to be supported to move to supported living or remain at Wade Bungalow and be consulted on who will move into the home. EVIDENCE: There have been no changes to the occupancy at Wade Bungalow. The home is registered for four service users with learning difficulties. The complex behavioural needs of one resident have restricted the home taking in a fourth service user. The service user has been supported to manage their behaviour with very positive results. The manager, staff and incident records seen confirmed that the resident’s behaviour patterns had greatly improved. The services manager informed the inspector that Social Services and Mencap are carrying out a joint review of Wade Bungalow. Each of the residents are being re-assessed by social services to see if they would be able to move into a supported living scheme. Once this has been established Mencap intend to review Wade Bungalow with regards to the compatibility of the service users that remain living in the home. It has been difficult to assess standards 2 and 3, as there are no new needs assessments to review. However the fact that the manager has been reluctant to admit another person into the home demonstrates that they aware of the Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 Page 9 responsibility of meeting the needs of service users. Also the services manager and manager were very clear that the introduction of another service user into the home will have to be carried out sympathetically. The characteristics of the service users remaining in the home will need to be taken into account and a very gradual introduction made of any new service user. The manager confirmed that there would be a three-month trial period for any one moving into the home. The home has a detailed statement of purpose and service user guide that offers very detailed information about the home to any prospective person looking to move into Wade Bungalow. Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 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): 6,7,10, Service users can expect to have their needs assessed and have behavioural management plans which identify where they require support to protect themselves and other people living in the home. Service users can expect to be supported to make decisions and have their confidences are kept. EVIDENCE: The plan of one service was inspected to track their care and support following the anxiety and distress that the recent unannounced visit caused them. The service user has a detailed behavioural management plan in place, which focuses on their positive behaviour to minimise the number of incidents of challenging behaviour, to reduce their anxiety, and enable them and the other service users to enjoy a better quality of life. Records show that an incident report had been completed giving details of the extent of the service users anxiety and reflected how staff managed the situation. Staff had clearly followed the procedures in the service users behaviour support plan and techniques from Unisafe training to protect them and the other service users. Since the last inspection in October 2005, the number of recorded incidents has reduced significantly. Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 Page 11 The manager and staff confirmed that the service user has three to four incidents a month where they used to occur daily. Staff confirmed that the implementation of the behavioural management plan and Unisafe training have given them the skills to manage the service user’s behaviour. The intensive support team (ITS), a community-based service, specialising in behaviour management have been supporting the service user and the staff since March 2003. A full assessment of the service user had been undertaken identifying triggers for their unpredictable and negative behaviour and on how staff should respond to defer the situation. The manager said that ITS have now discharged the service user. The conclusion is that the service user is an anxious person and the staff nurse involved in the service users plan has made clear recommendations and actions for staff to support the service user in the future. The service user’s care plan covered all aspects of their health, personal and social care and gave detailed information of the level of support required to enable the service user to make future progress, which highlighted the need for the service user to have detailed routines to follow to help manage their behaviour. Service users are supported to manage their finances. A financial folder and written records of all transactions are maintained. The file of one resident showed they were in receipt of benefits including disability living allowance (DLA), income support and severe disability allowance (SDA). These benefits are paid directly into their bank account and direct debits set up for payment of fees to the home. Residents had an assessment completed on their ability and their decision on how they wished to manage their finances. These were being reviewed on a regular basis. The service users’ care plans are kept in the manager’s and staff office. Service users have access to their care plans on request to maintain the confidentiality of the other service users personal information. One service user is very interested in the contents of their care plan and demands to know what is written about them. They routinely spend time with their key worker to review their care plan. Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 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): 14,16, Service users are supported to take part in appropriate leisure activities of their choice and can expect to have their rights respected. EVIDENCE: One service user receives additional funding as a spot contract, which is an individual grant to provide the service user with one to one day care support. Evidence that this money was being spent on the service user’s day care needs was reflected in the budget forecast. The inspector meet with the service user and a member staff employed to support the service user’s day care needs. They had returned from a walk into Needham Market to the shops and had feed the ducks at the lake. The service user appeared happy and spent time with the carer, manager and inspector. The service user has limited communication skills but was very responsive and able to make themselves understood. The carer informed the inspector that the service user had “ come out of themselves” since receiving the one to one support and had learnt a few words. Two members of staff share the day care hours for the service user and have implemented an activities programme, which is reviewed with the service user on a regular basis. Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 Page 13 The service user enjoys a variety of activities, for example going swimming and having a Jacuzzi in Stowmarket, they love going to Christchurch Park in Ipswich. They also attend a beauty salon to have a pampering day including a foot massage and manicure. The service user likes spending time socially in the coffee shops in Needham Market where they are well known within the community. The two other service users attend the Stowmarket Resource Centre on a daily basis during the week. The inspector was able to observe that the daily running of the home supports service users to achieve independence, make choices and have freedom of movement around the home. Evidence was seen that service users are fully consulted in the running of the home. The manager holds service user meetings and these happen frequently as the service users determine when they will attend. Depending on the issues to be discussed the manager uses their discretion and may hold the meetings individually to avoid causing anxiety to the service users. At the most recent meeting the manager explained that they were leaving the home and that a new manager would be taking over. They also discussed with the service users that a follow up inspection had been scheduled, service users indicated they were happy to meet and talk with the inspector. Staff were observed interacting with service users and observing the service users privacy. A service user had entered the bathroom and after several minutes the staff knocked on the door to enquire if the service user needed any help. They only entered when the service user invited them to do so. Service users can lock their bedroom doors for privacy and staff have a master key to override the locks in an emergency. With the exception of other service users bedrooms service users are free to move around the home. However due to the routine followed to support one resident when returning to the home after day care the other service users are encouraged not to enter the lounge until the service user has had time to relax. The service users routine involves them entering the home through the patio doors into the lounge where a designated member of staff greets them and makes them a cup of tea to settle them into the home. However, staff said that if the service users choose to go in they would not stop them as it was their home. Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 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): 20, Service users are protected by the home’s procedure for administering medication. EVIDENCE: Standards 18, 19 and 21 were assessed at the last inspection and were found to be met. A member of staff was observed administering a service user’s medication. Medication is kept locked in the manager’s and staff office. The home uses the monitored dosage system (MDS). The medication record (MAR) charts were seen and found to contain no gaps in staff signatures. At the front of each service users MAR charts is a pen picture, describing the medication, why the service user took it and when and the possible side effects. A brief health report was included with photographic identification and the service user’s personal details. Evidence was seen that staff have received training for the administration of medication. Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 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, People living in the home can expect to be protected from abuse, neglect and self-harm by the systems that are in place and because staff have received training to raise their awareness of the forms of abuse including what to do if an allegation is made. EVIDENCE: A requirement was made at the last inspection for the home to amend the complaints procedure in the service user guide and the adult protection policy to include the contact details of the Commission for Social Care Inspection (CSCI). Amended copies were forwarded to the inspector. Another requirement was made for all staff to receive training for the protection of vulnerable adults and the guidance on the procedure for referring allegations of abuse to the appropriate people. All staff attended training on the 16th January 2006. The staff team were issued with workbooks to complete, which will be assessed and certificated by the Mencap training officer. All staff (with the exception of one who decided to leave and than decided to stay) have completed Unisafe training. The training gives staff the skills to deal with service users where physical intervention may be required. The home does not use restraint as an option although they do have a series of agreed intervention techniques. One member of staff spoken with was impressed with the Unisafe training and confirmed they had learnt valuable techniques to help them to react to an incident, identifying the triggers and knowing how to deal with a situation before it starts. They told the inspector, “I feel very safe working at the home”, “I worked up until I was nine months pregnant and at no time did I feel in danger” Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 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): 24,29,30, Service users can expect to live in a welcoming and well-maintained environment, which meets their needs and is clean and hygienic. EVIDENCE: The home is nicely decorated, comfortable, bright and cheery with no unpleasant odours. The manager informed the inspector that the lounge and hallway are being redecorated. New furniture to replace the suites in the lounge and sitting room and also new dining chairs have been ordered. Wade Bungalow is purpose built, all rooms with the exception of the sitting room lead into the hallway which runs the width of the home, providing easy access for service users to move about the home. The service users are able bodied and do not require any aids, adaptations and equipment. Only one service user with poor balance needs help when having a shower and is provided with a grab rail for assistance. At the last inspection the management of infection control was discussed regarding the handling of soiled linen. Soiled items were being soaked or rinsed before being put into the washing machine. A new washing machine with a sluicing element has been purchased and installed. Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 Page 17 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): 32,33,34,35, Service user can expect to be cared for by a staff team who are trained, supported and available in sufficient numbers to meet their needs and are protected by the home’s recruitment procedures. EVIDENCE: A recommendation made at the last inspection for the member of staff designated to take responsibility for health and safety to undertake additional training to ensure that they had the information and knowledge about the management of health and safety was not considered appropriate resources for Mencap. The manager continues to hold the responsibility for the health welfare and safety of people living and working in the home. A member of staff responsible for the monitoring of the Unisafe techniques has been given training and support to act as a mentor to the other staff and uses time at staff meetings to ensure the staff team have regular updates. Each member of staff has a logbook, which reflects that their training is being kept up to date. Regular staff meetings are held. The minutes of the last meeting in January 2006 were seen. Agenda items discussed included health related issues of the service users, security, health and safety, maintenance, house keeping, training updates and other business. Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 Page 18 Each service user has a communication section in their care plan, called ‘How I choose to communicate’. One service user uses Makaton and body language to communicate their needs. A member of staff employed to work with this service user told the inspector they had received training for communication needs of service users. Evidence was seen in their file that they had completed as part of the induction and foundation training, understanding positive communication. The staff roster was seen and reflected two members of staff had been on duty on the early and two were on the late shift with a member of staff sleeping in. An additional member of staff had worked between 9am and 3pm to support a service user’s day care needs. Staff were asked if they thought the staffing levels were appropriate to meet the needs of the service users. They felt with the current situation staffing was fine but felt that if the number of occupants increased staffing levels would need to be reviewed. Each member of staff has an individual training and development plan, which reflects training completed, and when updated training is due. Two staff files seen showed that staff had received recent training in fire safety, Control of Substances Hazardous to Health (COSHH), moving and handling, food hygiene, challenging behaviour, Unisafe re-accreditation, administration of medicines and adult protection. Both staff had completed the Mencap foundation and induction workbooks. One member of staff had commenced a National Vocational Qualification (NVQ) Level 3. Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 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 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): 37,40,41,42,43, Service users can except to live in a home that is effectively managed, financially viable and run in their best interests by an experienced management and supported staff team. EVIDENCE: The current manager, Jo Van Marcke has been promoted within Mencap. It was their last day at Wade Bungalow on the second day of the inspection. A new manager, Laurinda Woodgate has been appointed to the post. The service manager informed the inspector that the new manager has been booked to undertake the Registered Managers Award. They will also need to apply to the Commission for Social Care Inspection (CSCI) to become the registered manager. Each of the Mencap homes has been issued with an improvement action plan on how the home is to achieve higher scores. The standards are listed with detailed information on how the home is to meet the standard and what they need to do to achieve an improved score. Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 Page 20 The service’s manager discussed the external management report (EMR) for Wade Bungalow. Wade Bungalow stands alone on it’s own budget. The income and expenditure accounts seen for the year 2004 to December 2005 show that the home is on target to meet the budget forecast. The forecast for the service had made a small surplus despite only having three service users in residence and felt that this was largely attributed to additional funding being received to support one resident and the efficient management of the home by the existing manager. Mencap have an organisational business and financial plan, which includes Wade Bungalow. This was not available for inspection. The service manager will forward a copy to the Commission for Social Care Inspection (CSCI). The budget and targets are discussed at team meetings. Staff have been given the new weekly expenditure for 2005-6. These have been computerised so that staff and residents can check at any time how much money is available for food, cleaning materials, social and leisure activities and gives them ownership of the budget and day to day running of the home. The home follows a range of procedures produced by Mencap. These are accessible and held in the manager’s and staff office with the personnel records relating to staff and service users. These are kept safe and secure. Service users and staff have access to their files on request to the manager to safeguard the confidentiality of personal information held about them. The manager is responsible for the health, safety and welfare of the people living and working in the home. A recommendation from the last inspection related to the risk assessments of cleaning products used within the home. The list referred to risk assessments, which were located in the manager’s office and not accessible by staff who needed to be aware of information on the data sheets about the use and harmful aspects of the product. It was noted at this inspection that the information has been moved to the laundry room and accessible in case of an emergency situation. The new food standards legislation and the skills for care induction standards were briefly discussed with the service manager and the home’s manager. These will be looked at in more depth during the next inspection. Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 3 3 3 4 3 5 X 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 X 26 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 3 X X 3 3 3 3 Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard Good Practice Recommendations Wade Bungalow Residential Home DS0000024518.V284387.R01.S.doc Version 5.1 Page 23 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. 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