Inspection on 09/05/07 for Lapworth Court, 17

This inspection was carried out on 9th May 2007.

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 no outstanding requirements from the previous inspection report, but made 1 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

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Chatsworth Care - Dawson House

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Chatsworth Care - Tudor Lodge

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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 9th May 2007 10:30 Lapworth Court, 17 DS0000010886.V338765.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.V338765.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.V338765.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 www.southsidepartnership.org.uk Southside Partnership Miss Harpreet Ghatora Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Lapworth Court, 17 DS0000010886.V338765.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 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. Each person living in the home has her own bed sitting room. The Kitchen, bathrooms and toilets are shared. Lapworth Court, 17 DS0000010886.V338765.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced, took place over three and a half hours on one day. During the course of the inspection care practices were observed, all residents files case tracked, other records checked and a premises tour took place. Residents and staff were also spoken with. All core standards were inspected. What the service does well: What has improved since the last inspection? What they could do better: Lapworth Court, 17 DS0000010886.V338765.R01.S.doc Version 5.2 Page 6 The resident’s bedroom requires redecoration with new carpets and curtains provided for all bedrooms. 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.V338765.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.V338765.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The resident group have been living at the home for a long period of time and no new residents have moved in since the previous key inspection. There are comprehensive assessment policies and procedures in place that staff demonstrated they understood and stated they would follow. There was documentary evidence that the home’s written assessment procedure was met prior to the last resident moving in. Lapworth Court, 17 DS0000010886.V338765.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 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All three residents’ care plans were case tracked, found to be person centred and contained comprehensive goals identified and updated by residents and staff that were underpinned by up to date, regularly reviewed risk assessments. Residents confirmed that staff support and enable them to make their own decisions and this was further evidenced by the decisions residents were making throughout the day regarding activities and tasks they wished to pursue, on and off the premises. One resident had gone shopping, had bought too many items and was being accompanied by a staff member to change some of them. Lapworth Court, 17 DS0000010886.V338765.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents confirmed that take part in activities of their choice and these are risk assessed and incorporated within the care plans. There are a variety of activities that residents have chosen individually and as a group. These include dancing classes at Hammersmith College, gardening, disco and video evenings at the Croxley Project and cinema visits at the Whiteley Centre. A number of trips have taken place including the Tate Modern and the Cartoon Museum. Residents also make good use of local amenities for shopping; pub visits and enjoys the canal side walks. One person is currently working in a day centre for the elderly where they make tea and socialise. Residents’ go to pay their own rent, do food shopping and one attends a Sunday lunch club. Residents are visited by relatives and visit them. They also go out for meals. One resident attends a day centre three times per week and interviews prospective Lapworth Court, 17 DS0000010886.V338765.R01.S.doc Version 5.2 Page 11 staff for the organisation. A resident told the inspector they have just started a new job in a café. Residents plan an individual outline menu weekly although this can change on the day if they would like something different. They are supported to purchase, prepare and cook meals if they wish. Lapworth Court, 17 DS0000010886.V338765.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Personal support is given as and when required and staff have been trained in the correct methods to follow and to respect residents’ rights to privacy and dignity as part of induction. Generally residents’ require prompts rather than personal care in areas such as hair washing. The home has an all female staff team. The residents’ are registered with GPs and have access to community based health care services. They are offered an annual health check. Staff have been trained in medication administration. The medication administration records were checked and found to be appropriately kept and up to date. Medication is in blister pack form and colour coded for different times of the day. One resident is self-medicating and records are kept of when they pick up medication from the surgery. Lapworth Court, 17 DS0000010886.V338765.R01.S.doc Version 5.2 Page 13 Lapworth Court, 17 DS0000010886.V338765.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents’ confirmed they felt their views are listened to, acted upon and this was evidenced by the care practices observed. They stated that if they had a complaint they would be comfortable talking to staff about it. There is a written complaints procedure and records are kept with outcomes. The last complaint entered in the record was made on 17th May and picked up as part of the provider’s monthly, unannounced visit. Adult protection and recognition of abuse and procedure to follow if encountered is included in core induction training and staff said they have also received training in handling aggressive behaviour by residents. Each resident has their own bank account and records of any transactions are kept. Lapworth Court, 17 DS0000010886.V338765.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A premises tour took place and found the home, comfortable, homely, safe and fit for the stated purpose. A lot of redecoration has taken place in communal areas and bedrooms although one bedroom is awaiting redecoration as part of the building schedule. The carpets in the bedrooms were worn, stained and in need of replacement. Curtains were also old and torn. The home was clean, tidy and odour free. Lapworth Court, 17 DS0000010886.V338765.R01.S.doc Version 5.2 Page 16 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 & 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a full compliment of staff and the rota demonstrated that there are enough staff on duty at all times to meet residents’ needs. All staff are either working towards or have completed the NVQ level 2 award. The organisation has a robust recruitment policy and procedure that is followed, meets the requirements of the standard and includes CRB clearance. One resident is involved in the interviewing process. Staff confirmed that annual appraisals and monthly minuted supervision take place and there are opportunities for career advancement. The organisation provides full induction training, operates a rolling training programme and there is also access to Westminster City Council training. They felt the training provided was good, focused on the people using the service and enabled them to do their jobs. Lapworth Court, 17 DS0000010886.V338765.R01.S.doc Version 5.2 Page 17 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 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Care Manager has been in post for a long period of time, is competent and qualified to fulfil 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. All accidents and incidents are recorded, copies forwarded to the CSCI and there were full up to date house risk assessments in place. The fire fighting equipment is checked annually and the last service visit was in July 2006. Hot water temperatures are also monitored regularly by an external organisation. Lapworth Court, 17 DS0000010886.V338765.R01.S.doc Version 5.2 Page 18 Lapworth Court, 17 DS0000010886.V338765.R01.S.doc Version 5.2 Page 19 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 2 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.V338765.R01.S.doc Version 5.2 Page 20 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) Requirement The resident’s bedroom must be redecorated and the carpets and curtains in all bedrooms replaced. Timescale for action 01/08/07 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.V338765.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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.V338765.R01.S.doc Version 5.2 Page 22 - 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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