Inspection on 03/08/05 for Lapworth Court, 17

This inspection was carried out on 3rd August 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lapworth Court, 17 09/05/07

Lapworth Court, 17 28/06/06

Lapworth Court, 17 08/03/06

Lapworth Court, 17 13/01/05

Lapworth Court, 17 16/08/04

Similar services:

Ashlong House

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Edenvale

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Chatsworth Care - Dawson House

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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 Lapworth Court Chichester Road LONDON W2 6PL Lead Inspector Ffion Simmons Unannounced 3 August 2005 10.30am rd 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 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 Stationary 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 G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lapworth Court Address 17 Lapworth Court, Chichester Road, London W2 6PL Telephone number Fax number Email 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 Care Home 3 Category(ies) of Learning Disability (3) registration, with number of places LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 13 January 2005 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 G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place in August 2005 and lasted 5 hours. The inspector spent time talking with service users and staff and a range of records and documentation was checked as part of the inspection process. Pre-inspection questionnaire had been completed by the manager and was used as part of the evidence gathering. Four comment cards were received from service users/visitors and GP and the feedback on the whole was positive. Service users spoken with during the inspection were satisfied with the care they were receiving and felt well cared for. What the service does well: What has improved since the last inspection? All seven requirements set at the last inspection have been met. The home’s statement of purpose has been updated to outline the new management arrangements for the home. The home has developed a person centred approach to care planning, outlining the service users’ aspirations aims and wants. There was more evidence at this inspection that service users are encouraged to be more involved in directing their care and were seen, with support, to be taking more responsibility for everyday tasks. Staffing levels were considered safe on the day of this unannounced inspection, and a new permanent Deputy Manager has been employed since the last inspection. Staff development records have been set up for each staff member and will soon be implemented to identify training needs and details of training days attended. LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 6 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. LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 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 standard(s) 1, 2 The statement of purpose has been updated to reflect the new management structure. A good level of information is available for all interested parties about the home and the services it provides. The homes’ referral policy ensures that service users’ needs are fully assessed prior to them being admitted. This ensures that the placements are appropriate. EVIDENCE: The home’s statement of purpose and service user’s guide was available on the day of the inspection. The statement of purpose was checked and it was noted that this document has been updated as per the requirements of the last inspection report, to include the Management arrangements and the Manager’s qualifications. Both statement of purpose and service user’s handbook contain a good level of information available for prospective service users to make informed choices about where they would like to live. Assessments completed by the Manager were seen on the files of the two service users living at the home, outlining the service users’ strengths and needs. The original referral information for one service user was available on file and steps are being taken by the Manager to request this information from the referring agent for the second service user. There have been no new admissions to the home. The home’s admission policy includes the need for service users’ needs to be assessed prior to admission in order to decide whether the service can meet their individual needs. LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 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 standard(s) 6, 7, 9 Service users plans are person centred with evidence that service users’ wishes are sought. Plans are updated regularly, but need to reflect any action identified from review meetings to ensure consistency in care. Service users are supported to make decisions and to be more involved in directing their own care following the assessment of risk. EVIDENCE: Both service users living in the home has a care plan in place, which has been signed by the staff and service users. Since the last inspection, the home has developed a person centred approach to the care plan, outlining the service users’ aspirations aims and wants. The plans are updated monthly via review meetings/key worker sessions with service users. The inspector noted, following a multi-disciplinary review meeting, that an action plan had been put together for meeting one of the service users’ needs. This action plan had been entered into the home’s communication book but had not been incorporated into the service user’s care plan and should be done to ensure consistency of care. One of the service users spoken with was aware of the content of their care plans. LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 10 There was evidence within the key work session minutes and the care plans that service users are encouraged to make decisions about their lives. There was much more evidence at this inspection of staff supporting service users to become more involved in directing their own care and enabling them to take more responsibility for everyday tasks such as cooking and shopping and cleaning. Risk assessments were on file outlining steps for managing any identified risks and were seen to have been recently updated. There are also missing person guidelines in place, which are clear and thorough. LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 14,15,16,17 Service users engage in appropriate leisure activities and are encouraged to maintain links with family and friends. Service users are encouraged to plan and prepare healthy meals. EVIDENCE: One of the service users talked through their leisure activities plan for the summer period. This included outings such as a day trip to Brighton, boat trip on the Canal, a trip to Chessington World of Adventures and a visit to a local museum. A group outing was also arranged by Southside Partnership to Folkestone during this summer. One of the service users has also expressed an interest in going to Butlins for a short break. This is currently being arranged with the input of the service users’ key worker. Staff were observed to be supporting and encouraging service users to maintain family links. Service users are also supported and guided to make appropriate decisions regarding intimate personal relationships. Service users are made aware of their rights and responsibilities of living in the home and specific responsibilities for housekeeping are outlined in service LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 12 users’ plans. One of the service users confirmed that they can choose what they like to eat and that they are supported to cook their meals. On the day of the inspection, one of the service users was being supported to go food shopping. Service users have the input of a dietician where necessary and one of the service users’ care plan covers action points for promoting healthy eating. LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 Service users’ personal care needs are well documented and each service user has a key worker to promote continuity of care. The home has an all female staff group, ensuring same gender care is offered at all times. Service users have access to the multi-disciplinary team and receive regular health checks. EVIDENCE: Service users’ personal care needs are outlined in service users’ care plans and any associated risks identified. Service users were encouraged to discuss confidential issues with staff in private. There is a key working system in place to promote continuity of support to service users. Checking service users’ personal files was evidence that service users have access to support from the multi-disciplinary team. There was evidence on file to demonstrate that service users have received the necessary health checks including a medication review. On the morning of the inspection, one of the service users were supported to attend an appointment at the GP surgery. LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 14 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 standard(s) 22 There is a clear complaints policy in place and there was evidence that complaints are taken seriously and are fully recorded and investigated. This ensures that service users’ views are listened to. EVIDENCE: The home has a complaints policy which is made available to service users. Details of how to refer a complaint to the commission are available within this policy. The complaints records were checked as part of the inspection process. Two complaints have been received within the last twelve months. These complaints are fully recorded and investigated and the outcome noted. Service users are supported to make a complaint. LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 15 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 standard(s) 24, 27, 28 & 30 The home is comfortable, safe and well located. Service users’ bedrooms are spacious and are fitted with good quality furniture. Some of the communal areas are in need of re-decorating. This would greatly improve the standard of the accommodation. The location of the washing machines should be reviewed so that soiled clothing are not carried in through the kitchen area. EVIDENCE: A tour of the building was undertaken with the assistance of one of the service users. The home is situated on a small estate close to the shopping and transport facilities of Warwick Avenue, Bayswater and Paddington. Each person living in the home has her own large bed sitting room. The Kitchen, bathrooms and toilets are shared. The accommodation is suitable for its purpose but is not accessible to service users with restricted mobility. The down stairs toilet is in need of re-decorating, so is the main hallway and kitchen. The staff office is also looking tired and is in need of re-decorating. Washing machines are situated in the kitchen. The location of the washing machines should be reviewed so that soiled articles are not carried through LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 16 areas where food is stored, prepared and cooked. clean and tidy and free from offensive odours. The home was otherwise LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34, 35 & 36 Staffing cover was adequate for meeting the needs of the service users on the day of the inspection. The staff team were approachable and helpful and interacted well with service users. To ensure service users’ safety, the home should ensure that they receive confirmation in writing from HR, that preemployment checks have been completed and are satisfactory. Service users are cared for by staff that are well supervised, who have undergone induction training, and who are encouraged to complete NVQ training. EVIDENCE: When the inspector arrived at the home, the deputy manager and a support worker was on duty in the morning, and an agency member of staff arrived at mid day. Staffing cover on the day of the inspection was therefore considered adequate. One service user was able to be supported to attend an appointment at the GP surgery in the morning and later to go for a walk in the park whilst the other service user was supported to food shopping. The staff on duty on the day of the inspection were approachable and helpful and demonstrated a good understanding of the service users’ needs. Service users seemed comfortable in the company of the staff and key working systems are in operation in the home to assist with continuation of care. LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 18 The organisation’s Human Resources department is responsible for the recruitment of new staff. Confirmation was available in the home that each staff had obtained a CRB check including their disclosure number. It was difficult to establish, however if this check was satisfactory and if a POVA check had been completed. It was also unclear if references had been completed. An immediate requirement was set during the inspection to ensure that confirmation is received from the HR department that all pre-employment checks (including CRB, POVA and reference checks) have been completed and are satisfactory. New staff who have recently commenced employment, have received induction training. Pre-inspection information indicated that the Manager is due to complete the NVQ level 4 this month and two support workers are due to commence NVQ training in the near future. Staff development records have been set up for each staff member and will soon be implemented to identify training needs and details of training days attended. LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 42 The home is well run by the current manager. All appropriate health and safety checks are completed except for regular water temperature checks, which require frequent testing. Staff are up-to-date with their training in safe working practices ensuring that the health and safety of service users are promoted and protected. EVIDENCE: Since the last inspection, a permanent manager has been recruited. The manager is currently registering with the Commission as the registered Manager and is in the process of completing the NVQ level 4 qualification in Care Management. The training records reflected that the Manager has been keeping up-to-date with relevant core training and management training. Health and safety records were checked as part of the inspection. Incidents that fall under regulation 37 are reported to the Commission as per the regulations. All appropriate health and safety checks are completed and staff receive training in safe working practices. There is also a system for identifying LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 20 when staff are due for training updates. Mixer valves are fitted to ensure that water is delivered at safe temperatures. There was evidence that an external contractor services the valves every one to two months. It is necessary, however for the water temperatures to be tested more frequently to ensure that the valves are in good working order and that water is delivered at safe temperatures. LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x 2 2 x 3 Standard No 11 12 13 14 15 16 17 x x x 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 LAPWORTH COURT Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 2 x G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 22 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. Standard 6 Regulation 14 & 15 Requirement The care plans must reflect any steps or action plans identified for meeting the needs of the service users. The downstairs toilet is in need of re-decorating. The kitchen is in need of redecorating. The downstairs hallway is in need of re-decorating. The staff office is in need of redecorating. The Manager must ensure that confirmation is received in writing from Human Resources department that all preemployment checks have been completed and are satisfactory. The Manager must ensure that water temperatures are checked weekly or more frequently if necessary. Timescale for action 1st September 2005 1st January 2006 1st January 2006 1st Januray 2006 1st Januray 2006 Immediate 2. 3. 4. 5. 6. 27 28 28 28 34 23 [2] (d) 23 [2] (d) 23 [2] (d) 23 [2] (d) 19 [4] [5] Shedule 2 7. 42 13 [4] Immediate 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 G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 23 LAPWORTH COURT 1. Standard 30 The Manager should consider re-sitting the washing machines to ensure that soiled clothing are not carried through areas where food is stored and prepared. LAPWORTH COURT G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 Page 24 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 G09 - G60 S10886 LAPWORTH COURT UIV228828 060705 STAGE 4.doc Version 1.30 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. 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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