Inspection on 19/09/08 for Lapworth Court, 17

This is the latest available inspection report for this service, carried out on 19th September 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lapworth Court, 17 28/06/06

Lapworth Court, 17 08/03/06

Lapworth Court, 17 03/08/05

Lapworth Court, 17 13/01/05

Lapworth Court, 17 16/08/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 05/12/2008.

CARE HOME ADULTS 18-65 Lapworth Court, 17 Chichester Road London W2 6PJ Lead Inspector Wynne Price-Rees Key Unannounced Inspection 19th September 2008 10:00 Lapworth Court, 17 DS0000010886.V371911.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 Lapworth Court, 17 DS0000010886.V371911.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. Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lapworth Court, 17 Address Chichester Road London W2 6PJ 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) 020 7266 1694 020 7266 0631 czitz@southsidepartnership.org.uk www.southsidepartnership.org.uk Southside Partnership Yetunde Esan Miss Harpreet Ghatora Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Lapworth Court, 17 DS0000010886.V371911.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: 3 09/05/07 Date of last inspection Brief Description of the Service: 17 Lapworth Court is a registered care home providing care and accommodation for three women with a learning disability/mental illness. Southside Partnership provides the care and the home has an all female staff team. The home is situated on a small estate close to the shopping and transport facilities of Warwick Avenue, Bayswater and Paddington. Each person who uses the service has her own bed sitting room. The Kitchen, bathrooms and toilets are shared. Information regarding fees charged can be obtained from the organisation. Lapworth Court, 17 DS0000010886.V371911.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. The inspection was unannounced and took three hours to complete over one day. During the course of the inspection we spoke with all three people who use the service to get their views of the service they receive. They fully took part in the inspection throughout, giving their views of the service provided and showing us around their home. We also spoke with staff, care practices were observed and policies and procedures checked. The Care Manager was present during the inspection. We inspected all key standards and the information seen was triangulated with that gathered since the previous key inspection including Regulation 37 notifications forwarded. Regulation 37 notifications inform us of any accidents or incidents that affect people who use the service. This was compared with the AQAA information returned to us by the home before the inspection. An AQAA is an annual quality assurance self-assessment carried out by the home. The files of all three people who use the service were case tracked. What the service does well: The home provides a very supportive environment that enables people who use the service to actively participate in and contribute to the local community. They make full use of the available facilities and are supported and encouraged to prepare for a return to more independent living. This is achieved through person centred care that is planned by the people who use the service, staff and enabled by risk assessments. The system encourages people to rediscover the life-skills required for independent living and builds up their confidence to use them. The people who use the service are involved in making DVD’s of themselves engaged in various activities and these are being incorporated into the person centred plans to bring them more to life. Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 Page 6 This is enabled by a supportive, encouraging staff team that is well trained and managed. People who use the service are provided with a safe, comfortable and homely environment to live in. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lapworth Court, 17 DS0000010886.V371911.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 Lapworth Court, 17 DS0000010886.V371911.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): 2. People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The needs of people who use the service are fully assessed prior to moving in and they choose if they want to move in. EVIDENCE: Whilst meeting with people who use the service during the inspection, they commented on the assessment procedure and opportunity to visit the service before deciding if they wished to move in. These comments are included in the evidence text. The people who use the service have been living at the home for a long period of time and no new people have moved in since we last visited. There are comprehensive assessment policies and procedures that staff understood and said they would follow before someone new moved in. “I visited before I moved in”. All three people who use the service were case tracked and this showed the assessment procedure was followed. Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There are comprehensive care plans with information that shows how staff support people to develop their independent living needs. People who use the service are encouraged to make decisions for themselves in a risk-assessed environment. EVIDENCE: Whilst meeting with people who use the service during the inspection, they commented about their involvement in the planning of the care and support they receive. They also commented on their opportunities to make their own decisions in a supportive environment. These comments are included in the evidence text. “I’m involved in my care plan and talk about it with staff”. All three people who use the service have care plans in place. “My plan works for me”. They are in a combination of pictorial and written formats depending what the individual person needs and prefers. Short and long term goals are identified as is action Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 Page 10 required and by whom. The plans are person centred and enabled by risk assessments. They are reviewed monthly during key-worker meetings and contributed to by individual daily logs. People who use the service attend these meetings. The risk assessments are reviewed a minimum of twice per year or as needs change. Placement monitoring reviews also take place a minimum of three times per year. There are also guidelines that show how people who use the service wish to be supported and they sign them to indicate they are correct. “I meet with the Manager”. The Care Manager has individual one to one meetings with each person who uses the service on a weekly basis. During one of these sessions a person who uses the service suggested a suggestion box might be a good idea and one is now in place. People who use the service are making DVDs of themselves carrying out various activities that are going to be used to further develop the person centred care planning and bring it to life. The eventual aim is to have the care plans as DVDs. The DVD showed one person hoovering their room while someone else was visiting the British Museum and another person was buying a goldfish from a pet shop. Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service have their preferences observed and their social, cultural, religious and recreational needs and interests met, meaning they have fulfilling lifestyles. They also receive a variety of well balanced meals geared to their individual tastes. EVIDENCE: Whilst meeting with people who use the service during the inspection, they commented about their opportunities for personal development, work, involvement in the local community, daily lives, meals, family contact and activities available to them. These comments are included in the evidence text. “I decide what I want to do”. People who use the service make good use of local amenities such as cafes, hairdressers, restaurants and the cinema. They also went to the Notting Hill Carnival that takes place nearby. “I work in a café”. “I work at St Margaret’s in Pimlico as a kitchen assistant”. Whilst people who use the service are engaged in different types of work they Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 Page 12 are also looking to try different types of work to broaden their experience. One person is looking for work as a receptionist through Westminster Employment Services whilst someone else wants to change from the café to working in a laundry. People are also taking educational courses with one person doing an NVQ in food preparation and another computer courses at Carleton Adult College. “I like the computer course the best”. One person who uses the service is also heavily involved in a local community anti-bullying campaign. Other activities include going to the Croxley Project for film nights, discos and Sunday lunch clubs where they meet their friends. People also go to music festivals. “I like Boyzone”. “I visit my mum and dad on Thursdays”. Good family contact is maintained and encouraged. “My son and daughter came here to visit me”. Cooking is part of life skill development and people who use the service take it in turns to cook for each other although they quite often eat separately. Meal choices are generally made using pictures. Everyone has their own picture board on the wall showing them doing various activities. There is a designated nutrition officer who is responsible for ensuring diets are balanced. People visited different holiday destinations this year including Disneyland Paris, Brighton, Greece and Bognor Regis. Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service have their physical and emotional health needs met. Medication administration records contained some gaps without explanation. They were generally satisfactory. EVIDENCE: Whilst meeting with people who use the service during the inspection, they commented about the emotional and health needs support they receive. Personal care is provided if required although this generally takes the shape of prompting to attend to personal hygiene. “I visit my doctor if I’m sick. Everyone is registered with a GP and they are also offered annual check ups. People who use the service have full access to community based health services and are supported to access them, by staff, as required. A dentist visited the day before the inspection. The individual’s health care needs are identified and addressed as part of the care planning system. There is a written policy and procedure regarding medication administration and only those qualified to do so administer. One person who uses the service is supported to self-medicate. No controlled drugs are kept on the premises. Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 Page 14 The MAR sheets were checked for all residents and a small number of gaps were found with no written explanation. MAR sheets are medication administration records. The Care Manager said this will be discussed and put right at the next team meeting. Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service can feel confident they are listened to and their complaints and concerns investigated with outcomes. They are safe and well protected by the home’s adult protection procedures. EVIDENCE: Whilst meeting with people who use the service during the inspection, they commented on how they feel about the way the home deals with their concerns, complaints and if they feel safe living there. The comments are included in the evidence text. “If I had a complaint I would tell staff”. “I know how to complain”. There is a written complaints policy and procedure that has now been complemented by a pictorial version to make it easier to use. The complaints recorded showed one complaint since the last inspection that was resolved with outcome recorded. “I feel safe”. There is an adult protection policy and procedure and adult protection training is included as part of staff induction and refresher training. This also covers abuse identification and what to do if encountered. Westminster City Council provides the refresher training. There was one POVA issue last year that was resolved. All staff are CRB checked prior to starting work. Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. A safe, homely and comfortable environment is provided for people who use the service to live in. Everyone has their own bed-sitting rooms and there are suitable shared areas. EVIDENCE: Whilst meeting with people who use the service during the inspection, they commented about where they live and if they felt safe, comfortable and happy there. These comments are included in the evidence text. “I like it here”. “I chose the colours in my room”. People who use the service gave us a tour of the premises and this showed the home is suitable for its stated purpose. It is comfortable, homely, clean and safe. There is a wellequipped kitchen and everyone has chosen new décor for their bedrooms since the last inspection. Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 Page 17 The upstairs bath surround was worn and needs replacement. The floors in the bathroom and shower room were grubby and worn. They require replacement so that people who use the service live in a pleasant environment. Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There are suitably trained, competent and diverse staff employed to meet the needs and wishes of people who use the service that have been properly vetted. People can be confident they are protected by the home’s robust recruitment policies and procedures. EVIDENCE: Whilst meeting with people who use the service and staff during the inspection, they commented about the staff and staffing at the home. These comments are included in the evidence text. “I love you, you’re nice to me”. Currently there are vacancies for a Deputy Manager and two fulltime project workers. These posts have been recruited to subject to CRB clearance. CRB is the Criminal Records Bureau and staff must be cleared before they can work unsupervised.. The people who use the service sat on the recruitment panel and chose the successful candidates. The candidates visited the home and were informally interviewed by people who use the service individually at a venue of their choice. One person chose a café, another the home’s office and someone else Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 Page 19 the pub. Each candidate brought a photo of themselves so that people who use the service could easily identify who is who when discussing each one. One person who uses the service has a daily task of arranging the photographs of who is on duty each day and who they want to support them for a particular activity. “Staff are nice and supportive”. The organisation provides thorough induction training and access to a rolling training programme to meet needs identified within monthly supervision and annual appraisal. They also have access to training provided by Westminster City Council. Currently 50 of staff have achieved NVQ level 2 or above. This will rise when the new staff are in post as they will be enrolled on NVQ level three after completing their probationary period. NVQ level 2 is the entry level for the organisation. NVQ is a non-vocational qualification. The staff rota demonstrated that staff ratios are adequate to meet the needs of people who use the service at all times. “Staff are there when I need them”. Extra staff are put on for planned activities such as boat trips. There is a comprehensive recruitment procedure that protects people who use the service and meets all the criteria required by the standard. This includes CRB checks, taking up references and health checks. Care practice observed including when staff were unaware we were present and conversations with people who use the service indicated the staff team are competent, efficient and also friendly. Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is well managed in the interests of those who use the service and the quality assurance system is effective. Health and safety is well managed meaning that people who use the service live in a safe environment. EVIDENCE: Whilst meeting with people who use the service and staff during the inspection, they commented about the home’s management. “The Manager is good and friendly”. The Care Manager recently completed the registration process and received their certificate the day before the inspection. They have an NVQ level 3 qualification and are working towards the NVQ level 4 management qualification. The NVQ assessor was present during the inspection. They also possess an introductory diploma in management, are a Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 Page 21 member of the Chartered Managers Institute and have experience in the care field. This includes one year as a manager, two years as a deputy manager and four years as a support worker. There is a comprehensive quality assurance system with identifiable performance indicators and checks. This is provided with information from monthly unannounced provider visits where the home’s performance is measured against the minimum standards and an annual business plan for projected planning. The last provider visit report picked up service shortfalls similar to those we found. The views of people who use the service are taken during weekly one to one meetings with the Care manager and bi-annual questionnaires. There is a designated health and safety officer. The fire alarm, call points, fire doors, emergency lighting and hot water temperatures are checked and recorded weekly. The last annual PAT test took place on 17/06/08. This is the test of any electrical goods brought into the home. The fridge and freezer temperatures are checked daily. The fire fighting equipment is tested annually with the last check on 11/07/08. Regular fire drills also take place. Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 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 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 3 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 3 X 3 X X 3 X Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 Page 23 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 YA25 Regulation 16 (1) (c) & 23 (2) (d) 13 (2) Requirement The upstairs bath surround and flooring in the bathroom and downstairs shower room replaced. The home must make sure there are no gaps in medication recording without written explanation. Timescale for action 01/01/09 2. YA20 22/09/08 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 Standard Good Practice Recommendations Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 Page 24 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 Lapworth Court, 17 DS0000010886.V371911.R01.S.doc Version 5.2 Page 25 - 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. 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