Inspection on 28/06/06 for Lapworth Court, 17

This inspection was carried out on 28th June 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lapworth Court, 17 09/05/07

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 09/07/2008.

CARE HOME ADULTS 18-65 Lapworth Court, 17 Chichester Road London W2 6PJ Lead Inspector Wynne Price-Rees Unannounced Inspection 28th June 2006 10:00 Lapworth Court, 17 DS0000010886.V292297.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 Lapworth Court, 17 DS0000010886.V292297.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. Lapworth Court, 17 DS0000010886.V292297.R01.S.doc Version 5.1 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 Southside Partnership Miss Harpreet Ghatora Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Lapworth Court, 17 DS0000010886.V292297.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th March 2006 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. The care is provided by Southside Partnership 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. A very good standard of accommodation is provided and each person living in the home has her own bed sitting room. The Kitchen, bathrooms and toilets are shared. Lapworth Court, 17 DS0000010886.V292297.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over three and a half hours during which all three residents had their files case tracked and two were spoken with. An advocate visiting the home was also spoken with. During the inspection the home was staffed by agency staff as the team were attending a briefing elsewhere.The inspection was focused on resident participation, in all aspects where possible. What the service does well: What has improved since the last inspection? What they could do better: There are still a number of areas that require improvement, primarily surrounding the physical environment that is in a poor condition and requires redecoration throughout. These requirements are repeated from the two previous inspections and have not been addressed. There are further requirements made in this area at the current inspection. Lapworth Court, 17 DS0000010886.V292297.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. Lapworth Court, 17 DS0000010886.V292297.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 Lapworth Court, 17 DS0000010886.V292297.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): 2 & 3. The quality outcome for this area was good and arrived at by an inspection visit. Needs are fully assessed prior to entry to the home and met. EVIDENCE: No one has moved in since the last inspection and there is documentary evidence that the home’s written assessment procedure was met prior to the last resident moving in. At the last inspection two requirements were made regarding one resident who expressed a wish to move elsewhere. The home has worked with the resident regarding this and during the inspection they said that they no longer wished to move on. The resident’s advocate visited during the inspection and said that this is changeable depending on mood and perhaps more pro-active work could be done by the staff team regarding this. Lapworth Court, 17 DS0000010886.V292297.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9. The quality outcome for this area was good and arrived at by an inspection visit. The care plans reflect assessed needs and goals, residents are empowered to make their own decisions and supported to take acceptable risks. EVIDENCE: All three residents’ care plans were case tracked and found to contain up to date goals that were numbered and encouraged life skill and interest development underpinned by risk assessments. The risk assessments and care plans were regularly reviewed and fed by the daily care plans. The numbered daily plans corresponded to the short and long term goals stated. Person centred planning is taking place that charts aspirations, dreams and wants including whom a resident wants involved, support needed and action plan. A resident asked said they were involved in their own care planning and gave examples of goals set and corresponding activities that were taking place. The residents spoken with confirmed that they choose what they want to do and when they want to do it. Residents meetings take place weekly and are used as a forum for making suggestions and discussing problems or grievances. Lapworth Court, 17 DS0000010886.V292297.R01.S.doc Version 5.1 Page 10 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): 12, 13, 15, 16 & 17. The quality outcome for this area was good. This was arrived at by an inspection visit. Clients take part in appropriate activities, are part of the local community, encouraged to form and maintain relationships and their rights are respected. They enjoy a healthy and varied diet. EVIDENCE: The residents have a busy and fulfilling lifestyle that makes use of amenities within the local community such as parks, shops, restaurants and cafes. They also attend the PIP project a number of times per week where they said they have a number of friends who they socialise with. One resident has a friend locally that they visit and family links are maintained with a resident visiting family in Hackney as well as maintaining contact with their children by phone. A resident is undertaking travel training with a view to going independently to the CST day centre they attend three times per week and they go out with their sister each Sunday. Residents said they enjoy going out with staff, particularly to Whiteleys and also go to the bank and head office. During the inspection day an advocate visited to take a resident out One resident has completed a college course and said they were now looking for work. They said they weren’t sure what they would like to do and were Lapworth Court, 17 DS0000010886.V292297.R01.S.doc Version 5.1 Page 11 undergoing an assessment with staff to see what would be the most suitable and of interest to them. The home’s house rules are based on health, safety and respect for others and their property. Each resident has a key. The residents said they enjoyed cooking their own food each evening and were supported to do so. They planned meals during the residents’ meetings. Meals and tasks surrounding them such as washing up and clearing plates are incorporated within the care plans to promote independent living. The care plans also encompass nutrition and promotion of healthy living. One resident is diabetic and their diet closely monitored whilst still giving them the opportunity to choose the meals they wish within a healthy environment. Lapworth Court, 17 DS0000010886.V292297.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. The quality outcome was good. This was arrived at through an inspection visit. Personal support is not provided. Physical and emotional health needs are met and medication is appropriately administered and recorded. EVIDENCE: Although personal care is not provided, residents are prompted and supported to maintain acceptable levels of personal hygiene as required and this is addressed as part of the care planning process. The residents’ are registered with GPs and have access to community based health care services. They are offered an annual health check. One resident is self-medicating and this is monitored by staff. A resident was asked if they are on medication, replied yes and showed the Inspector their blister pack medication. They also showed the Inspector where the medication administration records were kept. The records were checked for each resident and found to be correctly recorded and up to date. The staff on duty confirmed they had received training in medication administration. Lapworth Court, 17 DS0000010886.V292297.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. The quality outcome was adequate. This was arrived at by an inspection visit. Residents feel their views are acted upon and they are protected from abuse. EVIDENCE: There is a written complaints policy and procedure in place. When asked what they would do if they had a complaint or were not happy with something, residents said they would talk to the Care Manager, key-worker or in one instance, their advocate. They were unclear regarding the complaint procedure past this stage if for example they had a complaint about any of the people mentioned. The complaints book could not be located. The two agency staff said they had received training in abuse identification and action to take if encountered. The staff records for permanent staff could not be accessed. This was not an issue at the last inspection as it was identified that all staff receive adult protection training as part of induction. There is also a written adult protection policy and procedure available. The two staff on duty were also aware of the procedure regarding aggression displayed by a resident. Lapworth Court, 17 DS0000010886.V292297.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25,26,27,28 & 30. The outcome for this area is poor. This was arrived at by a premises tour. Whilst relatively homely and clean, the standard of décor is deplorable throughout and therefore not hygienic despite the efforts of staff to keep it so. EVIDENCE: During a premises tour a resident demonstrated numerous shortfalls in the décor of the home. This was illuminating as they felt it was their home and they were very animated regarding the poor conditions that they are expected to live in. These included a broken cleaning cupboard with the hinges coming off, one part of a two part oven missing with just a hole left, missing tiles, lumps out of the woodwork in communal areas, peeling paint throughout, bedroom cupboard draws missing, an old, worn, bath surround upstairs and toilet in need of redecoration. The home was clean and odour free, due to the hard work of the staff team rather than the environment they are expected to work in and residents to live in. Lapworth Court, 17 DS0000010886.V292297.R01.S.doc Version 5.1 Page 15 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, 34 & 35. The quality outcome was adequate. Residents are supported by competent and appropriately trained staff and are protected by the recruitment policy and procedure. EVIDENCE: The staff team and Care Manager were all attending a team meeting and the home was covered by agency staff on duty, who were familiar with the residents as they had worked at the home before. Observation of care practices showed they were able to carry out their duties in a competent and caring manner. The level of laughter and ambience between the residents and staff team demonstrated that the residents enjoyed the company of the staff on duty. They were conversant with the policies, procedures and home’s working practices. The home has a thorough recruitment policy and procedure that meets the requirements of the standards. It could not be ascertained if the staff vacancies had been filled as the staff on duty were not party to this information. Lapworth Court, 17 DS0000010886.V292297.R01.S.doc Version 5.1 Page 16 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, 39 & 42. The quality outcome for this area was adequate.The home is well run in the best interests of the residents, there is a thorough quality assurance system in place and the health and safety of the residents and staff is protected. EVIDENCE: The Care Manager has not changed and is competent and qualified to fulfill their role and responsibilities. There is a quality assurance system with measurable performance indicators and triggers. An annual report is produced and monthly visits on behalf of the provider are undertaken with copy of the report forwarded to the Commission. Safe working practices are followed and fire checks carried out and recorded. Lapworth Court, 17 DS0000010886.V292297.R01.S.doc Version 5.1 Page 17 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 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 1 25 1 26 1 27 1 28 1 29 X 30 1 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.V292297.R01.S.doc Version 5.1 Page 18 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard YA22 YA27 Regulation 22 23 [2] (d) Requirement The complaints book must be available for use and inspection. The downstairs toilet is in need of re-decorating. This is a repeat requirement from the last two inspections. The kitchen is in need of redecorating. This is a repeat requirement from the last two inspections. The downstairs hallway is in need of re-decorating. This is a repeat requirement from the last two inspections. The staff office is in need of redecorating. This is a repeat requirement from the last two inspections. The home must ensure that residents understand the complaints procedure fully. The home must be redecorated and new furniture provided throughout including residents’ bedrooms. The Manager must ensure that vacant positions are filled with permanent staff Timescale for action 28/09/06 01/09/06 3. YA28 23 [2] (d) 01/09/06 4. YA28 23 [2] (d) 01/09/06 5. YA28 23 [2] (d) 01/09/06 6. 7. YA22 YA24 22 & 12 (1) (a) 16 & 23 01/09/06 01/09/06 8 YA33 18 (1) (b) 08/09/06 Lapworth Court, 17 DS0000010886.V292297.R01.S.doc Version 5.1 Page 19 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.V292297.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hammersmith Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Lapworth Court, 17 DS0000010886.V292297.R01.S.doc Version 5.1 Page 21 - 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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