The Bungalow

Updated 27 May 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one Inspector.

Service and service type

The Bungalow is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement dependent on their registration with us. The Bungalow is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced

What we did before inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with one person about their experience of the care provided. We spent time observing people and the interactions between staff and people. We spoke with six staff, including registered manager, team leader and support staff. We spoke with one professional who was involved in the care of the person.

We reviewed a range of records. This included one person’s care and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed. We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.

Updated 27 May 2022

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

The Bungalow is a residential care home providing personal care to one person at the time of the inspection. The service can support up to two people.

People’s experience of using this service and what we found

Right Support

Staff did not always support the person to reduce the risk of the spread of infection. Staff did not wear appropriate personal protective equipment (PPE).

Staff supported the person to have maximum possible choice, , to be independent and have control over their own life. They were supported by staff to pursue their interests.

Staff supported the person to play an active role in maintaining their own health and wellbeing. Staff enabled them to access specialist health and social care support, and medicines were reviewed regularly to achieve the best possible health outcomes.

Staff supported the person to take part in activities and pursue their interests in their local area.

Staff focused on the persons strengths and promoted their independence. Staff understood how to support the person, so they offered the least restrictive options and the management regularly reviewed lessons learnt with the staff and implemented training and development where they felt this was needed.

Right Care

The person supported received kind and compassionate care. Staff protected and respected their privacy and dignity. They understood and responded to their individual needs.

Staff understood how to protect the person from poor care and abuse. The service worked well with other agencies to do so. However, we found that not all staff had training on how to recognise and report abuse. Staff were adequately trained to meet the persons needs and to keep them safe.

Care and support plans reflected the person’s needs and this promoted their wellbeing and enjoyment of life. However, further consideration is required to ensure the persons long term goals and aspirations are documented.

Right culture

The management team had quality assurance systems in place to enhance the support provided. Actions were documented and improvements implemented. The provider was involved in supporting the home and was aware of the improvements and actions identified, however there was not any formal checking by the provider.

Staff understood best practice in relation to supporting people with a learning disability and autism.

The person and those important to them, were involved in planning their care, although they felt that at times the provider did not offer consistent communication. Staff felt they were able to be open to the management and suggest improvements within the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 13 August 2020 and this is the first inspection.

Why we inspected

We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.