Care Home: The Bungalow

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What the care home does well `I`ve lived here a long time, I like it here. I like the food and my key worker`. (Comment from a resident). `I like the food and the staff helped me to buy my videos`. (Comment from a resident). Staff in the home assess and record people`s care needs in a plan that includes clear goals. The religious and cultural needs of people living in the home are well recorded and staff work with residents and their families to meet these needs. Staff work well with health care professionals to meet residents` care needs. What has improved since the last inspection? After our last inspection we made eight requirements. This time we found that seven of the requirements had been met. Care plans had been reviewed, repairs had been completed and care staff had completed their NVQ qualification training. The provider told us that a new manager had been appointed, but this person must register with the Commission as soon as possible, as the home has been without a registered manager for 2 years. What the care home could do better: The provider must make sure that the home`s new Manager applies to the Commission for registration. Managers and staff in the home must make sure that risk assessments are completed and regularly reviewed. CARE HOME ADULTS 18-65 The Bungalow Rear Of Lyon Court, Lyon Park Ave Wembley Middlesex HA0 4DN Lead Inspector Tony Lawrence Key Unannounced Inspection 9th September 2008 09:15 The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Bungalow Address Rear Of Lyon Court, Lyon Park Ave Wembley Middlesex HA0 4DN 020 8902 3443 020 8903 9860 cathy@franklynlodge.com 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) Residential Care Services Ltd DR FRANK ERIBO Care Home 4 Category(ies) of Learning disability (4) registration, with number of places The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Learning disability - Code LD The maximum number of service users who can be accommodated is: 4 4th September 2006 Date of last inspection Brief Description of the Service: The Bungalow is a registered care home providing personal care and accommodation for up to 4 adults with learning disabilities. At the time of this inspection, 4 men were living in the home. The Bungalow is in a residential part of Wembley, close to Ealing Road and with easy access to the shops on Wembley High Road. There are bus routes along Ealing Road and there are underground stations relatively near by (Wembley Central and Alperton). The property is set behind the houses and flats on Lyon Park Avenue and access is along a pathway, which is sufficient in width for a car to drive along. There are wrought iron gates at the end of the pathway and the parking area at the front of the property is behind the gates. The off street parking area can accommodate approximately 4 cars. The bungalow consists of an open plan lounge and dining area, another open plan area, a bathroom, 4 bedrooms (2 of which are ensuite), a kitchen and an office. The laundry room is situated in a separate building to the side of the bungalow, which also houses a day centre. There is a large garden at the rear of the property, with a large patio area. The weekly fees for the home can be obtained from the owner. The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This unannounced key inspection took place on Tuesday 9th September 2008 from 09:15 – 13:30. We spent time talking with one of the residents and the home’s Deputy Manager, we checked care records and saw all communal parts of the home and one person’s bedroom. We have also used information from the provider’s Annual Quality Assurance Assessment (AQAA) to write this report. What the service does well: What has improved since the last inspection? What they could do better: The provider must make sure that the home’s new Manager applies to the Commission for registration. Managers and staff in the home must make sure that risk assessments are completed and regularly reviewed. The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5. People using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides a statement of purpose that is specific to the individual home and the resident group they care for. It clearly sets out the objectives and philosophy of the service, supported by a service user’s guide. The guide details what the prospective residents can expect and potential residents have the information they need to make a choice to move into the home. EVIDENCE: ‘I’ve lived here a long time. I like it here. I like the food and my key worker’. (Comment from a resident). During this visit, we saw that the provider had developed a Statement of Purpose and a Service User Guide that included the information needed to meet these Standards. Both documents also gave potential residents and placing authorities the information they needed to make an informed choice to move into the home. We also reviewed the care and support given to two people who had lived in the home for some years. The Deputy Manager told us that there were no vacancies and there had been no recent admissions to the home. The two residents’ care plan files we checked included copies of detailed care needs The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 9 assessments that had been provided as part of the home’s referral and admission procedures. Only one of the two care plan files we checked included a copy of the provider’s contract / terms and conditions of residence. The Deputy Manager told us that the second person had been admitted 18 months ago, as an emergency respite placement. Although the placement had been reviewed, the provider should make sure that the resident is given a copy of the home’s contract, so that they are aware of their rights and responsibilities. We also saw that the provider’s contract had been produced using pictures to make the information more accessible to some of the people living in the home. We recommend that this good practise is also followed when the provider reviews and updates the home’s Statement of Purpose and Service user Guide. The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. People using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The service involves individuals in the planning of care that affects their lifestyle and quality of life. Staff understand the importance of residents being supported to take control of their own lives. Individuals are encouraged to make their own decisions and choices. EVIDENCE: ‘I talk to my key worker and he helps me to write what I want to do’. (Comment from a resident). During this visit we checked the care plan files for two people living in the home. Both files included a copy of a current care plan that detailed each resident’s personal and healthcare needs. We saw that one care plan had been reviewed and updated in June 2008 and the other in September 2008. The care plans also made good use of pictures to make information easier for residents to understand. One resident told us that he talked to his care worker The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 11 about the things he wanted in his care plan and then he went to a meeting to talk about them. We saw that both of the care plans included some good goals, covering personal care, independent living skills, education and leisure activities. We saw that staff reviewed each person’s goals every day to record the level of support people needed. The Deputy Manager told us that this information was then used during review meetings to agree future goals. We saw that only one of the care plan files we reviewed included an assessment of potential risks to residents. The assessments were satisfactory, but were not dated and it was not possible to see when assessments were reviewed. To evidence that residents are cared for safely, managers and staff must make sure that risk assessments are completed for each person living in the home. Assessments must be signed and dated and regularly reviewed and updated. The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. People using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are involved in meaningful daytime activities of their own choice and according to their individual interests, diverse needs and capabilities. They have been fully involved in the planning of their lifestyle and quality of life. Residents can access and enjoy the opportunities available in their local community. Staff are committed to the principles of inclusion and promote and foster good relationships with neighbours and other members of the community. EVIDENCE: ‘I like the food and the staff helped me to buy my videos’. (Comment from a resident). ‘I go to the centre every day’. (Comment from a resident). The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 13 When we arrived at 09:15 for this unannounced visit, three residents had already left for their day services and the fourth person was waiting for transport. This person spent some time while waiting showing us around the home and talking about the care and support they received. The Deputy Manager told us that all four residents went to day services for five days each week. Three people living in the home went to day services provided by Residential Care Services Ltd, the owners of the home. The day service was run from a separate annexe adjacent to the home. The Deputy Manager told us that the home and the day service had their own transport and most of the activities provided took place in the local community. The fourth person went to a local authority day service and he told us that he enjoyed the different activities provided there. We saw that the care plans for the two residents we tracked during this visit included good information about residents’ preferred activities and access to facilities in the local community. Records showed that one person was supported to go to church every week and there were regular trips for all four residents to go shopping, visit places of interest and take part in leisure activities. One person showed us his collection of DVD’s and videos and said that he enjoyed watching them in his room. We saw that details of residents’ relatives, friends and other significant people were clearly recorded on their care plan files. Care plans also included support arrangements to enable residents to keep in contact with these people. The home’s menu was evidence that varied and nutritious meals were provided for residents. The Deputy Manager told us that the home uses halal meat to meet one resident’s cultural needs. One resident told us that he enjoyed the food provided and that he sometimes helped with the shopping and cooking. The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People receive personal and healthcare support based upon the rights of dignity, equality, fairness, autonomy and respect. Personal healthcare needs including specialist health, nursing and dietary requirements are clearly recorded in each person centred plan. The home has an efficient medication policy supported by procedures and practice guidance, which staff understand and follow. Medication records are fully completed, contain required entries, and are signed by appropriate staff. EVIDENCE: ‘My key worker helps me to see the doctor if I need to’. (Comment from a resident). The two care plans we saw during this visit detailed the residents’ personal care needs and how these would be met in the home. The plans focussed on what each person was able to do for himself and included details of the support that each person needed. The care plan made good use of pictures to make the information easier for residents to understand and we saw evidence that residents were involved in writing their care plans and consulted about the The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 15 help and support they needed. We saw that two of the home’s four bedrooms had an ensuite shower and toilet that provided privacy for residents. The home also had a bathroom with shower for residents’ use. We saw that residents’ healthcare needs were also well recorded as part of their care plans. The plans also included information about how identified needs would be met. We saw evidence of good joint working with GP’s, speech and language therapists, psychiatrists and other clinicians. The Deputy Manager told us that a local pharmacist delivered residents’ prescribed medication each month. We saw that all medication was securely stored in a lockable cabinet in the office. We checked the Medication Administration Record (MAR) sheets for the three residents who had prescribed medication. We saw that the medication records were well completed and we saw no errors or omissions. The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The service has a complaints procedure that is clearly written and easy to understand. The home keeps a full record of complaints and this includes details of the investigation and any actions taken. Some policies and procedures for safeguarding adults are available and give guidance to those using them. EVIDENCE: Information from the provider’s Annual Quality Assurance Assessment (AQAA) was evidence that there had been no formal complaints and no safeguarding adults investigations since we last visited the home in September 2006. We saw that the home had a complaints procedure that was included in the Service User Guide that was given to each person living in the home. The procedure detailed the support available to residents and other people who were unhappy with the service provided at the Bungalow. The procedure also referred complainants to external agencies if they were unhappy with the outcome of the provider’s investigation of their concerns. The Deputy Manager showed us that the home had copies of the provider’s policy and procedures for safeguarding adults. We also saw evidence that staff working in the home had attended safeguarding adults training. We recommend that the provider obtains a copy of the local authority’s safeguarding adults procedures. The local authority is the lead agency for The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 17 safeguarding adults issues. Guidance for staff on the local procedures to be followed should be available in the home for reference. This would help to make sure that residents are cared for safely in the home. The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 28 and 30. People using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides a physical environment that is appropriate to the specific needs of the people who live there. The shared areas provide a choice of communal space with opportunities to meet relatives and friends in private. The home is well lit, clean and tidy and smells fresh. EVIDENCE: The Bungalow is in a residential part of Wembley, close to Ealing Road and with easy access to the shops on Wembley High Road. There are bus routes and underground stations relatively near by. The property is set behind the houses and flats on Lyon Park Avenue and access is along a pathway, which is sufficient in width for a car to drive along. The off street parking area in front of the home can accommodate approximately 4 cars. The bungalow consists of an open plan lounge and dining area, a bathroom, 4 bedrooms, a kitchen and an office / staff sleep in room. Two of the bedrooms have an ensuite shower and toilet. The laundry room is situated in a separate building to the The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 19 side of the bungalow, which also houses a day centre. There is a large garden at the rear of the property, with a large patio area. During this visit, one of the residents showed us around the home. We saw this person’s bedroom and all communal parts of the home. We saw that all parts of the home were clean and hygienic. The bedroom and communal areas we saw were spacious, bright, well furnished and decorated. We saw that two requirements we made after our last visit to improve the standard of accommodation had been met and residents now benefited from good standards of accommodation. The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. People using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There are enough staff available to meet the needs of the people using the service. All staff receive relevant training that is focussed on delivering improved outcomes for residents. EVIDENCE: When we arrived for this visit, the home’s Deputy Manager was on duty. Three residents had already left for their day service and one person was waiting for transport to collect him. The Deputy Manager explained that, on Monday – Friday each week, there would be no staff in the home from 10:00 – 15:00 as all four residents were at day services. We saw that arrangements were in place to make sure that staff were available during the day to support residents if they were unable to go to the day services. Two staff were available each day from 07:00 – 10:00 and 15:00 – 22:00. This level of staff cover and the back up arrangements were satisfactory to meet the needs of the four people currently living in the home. The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 21 We saw from the home’s staff rota that two staff were available from 07:00 – 22:00 each day during the weekend to support residents. One member of staff was also available in the home each night to provide support if required. Following our last inspection in September 2006 we made a requirement that 50 of staff working in the home must complete their National Vocational Qualification (NVQ) Level 2 or 3 training. During this visit, the Deputy Manager told us that he had completed his NVQ Level 4 manager’s training and three care staff had completed their NVQ Level 2 training. We also checked the home’s record of staff training and saw that staff did have access to relevant training to help them work with people living in the home. In addition to NVQ training, the Deputy Manager told us that manual handling refresher training had been arranged for 12/09/08 and fire safety training for all staff working in the home had taken place on 05/09/08. During this visit, we saw that the home’s record of Criminal Record Bureau (CRB) checks had not been updated to include staff currently working in the home. We contacted the provider who confirmed that all staff had been CRB checked, but a record of these checks must be kept in the home for inspection. The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41, 42 and 43. People using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has a consistent record of meeting relevant health and safety requirements and legislation, and closely monitoring its own practice. Records are of a good standard and are routinely completed. There is a need to register the home’s new Manager with the Commission. EVIDENCE: ‘I tell the staff about things to change and we have meetings’. (Comment from a resident). Following our last inspection in September 2006 we made a requirement that the provider must register a Manager to run the home. During this visit, the provider confirmed that a Manager had recently been appointed, but an application for registration with the Commission had not yet been submitted. The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 23 Given the length of time the home has now been without a registered Manager, the provider must make sure that an application to register the person appointed is sent to the Commission without further delay. During this visit, the home’s Deputy Manager stayed after the end of his shift and helped us to complete the inspection. The Deputy Manager demonstrated a good knowledge of the care needs of people living in the home and the ways the home was run. We would like to thank the Deputy Manager for his time and help during this visit. We checked a selection of care records during this visit, including residents’ care plans, daily care notes, health and safety records and medication records. Standards of record keeping in the home were good and all records were well maintained and up to date. We saw that health and safety records were up to date. Fire equipment and electrical items in the home had been serviced within the past 12 months; there was a good record of weekly fire alarm tests and the last fire drill was held in August 2008. There was a need to update the home’s fire safety risk assessment annually, to make sure that residents, staff and other people were protected. The Deputy Manager told us that the home’s owner visited regularly and carried out monthly checks on the day-to-day running of the home. We saw copies of monthly reports sent to the home following each monthly visit. The reports were well written and included the views of people living and working in the home. The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 24 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 X 4 X 5 3 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 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 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 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X 3 3 3 The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 25 No 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 YA9 Regulation 13 (4) Requirement To evidence that residents are cared for safely, managers and staff must make sure that risk assessments are completed for each person living in the home. Assessments must be signed and dated and regularly reviewed and updated. To show that residents are supported by suitable staff, a record of Criminal Records Bureau checks must be kept in the home. To make sure that the home is managed appropriately, the provider must make sure that an application to register the person appointed is sent to the Commission without further delay. Timescale for action 30/11/08 2. YA34 19 (1) 30/11/08 3. YA37 8 (1) 30/11/08 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 Good Practice Recommendations DS0000017464.V371703.R01.S.doc Version 5.2 Page 26 The Bungalow 1. 2. 3. Standard YA1 YA5 YA23 4. YA42 The provider should update the Statement of Purpose and Service User Guide, using pictures to make the information easier for residents to understand. One person admitted to the home 18 months ago should be given a contract that details their rights and responsibilities. Guidance for staff on the local safeguarding adults procedures to be followed should be available in the home for reference. This would help to make sure that residents are cared for safely in the home. The home’s fire safety risk assessment should be updated annually by the provider to make sure that residents, staff and other people visiting the home are safe. The Bungalow DS0000017464.V371703.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000017464.V371703.R01.S.doc Version 5.2 Page 28 - 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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