Inspection on 11/01/06 for Piper House

This inspection was carried out on 11th January 2006.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Piper House 17/09/07

Piper House 24/10/06

Piper House 27/06/05

Piper House 31/01/05

Piper House 30/08/04

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 Piper House 2B St Mark`s Road London W11 1RQ Lead Inspector Peter Montgomery Unannounced Inspection 11th January 2006 10:30 Piper House DS0000035201.V277636.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 Piper House DS0000035201.V277636.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. Piper House DS0000035201.V277636.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Piper House Address 2B St Mark`s Road London W11 1RQ 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 7361 2401 MICHAEL.DOWNEY@RBLC.GOV.UK Royal Borough of Kensington & Chelsea Michael Anthony Downey Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Piper House DS0000035201.V277636.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th June 2005 Brief Description of the Service: Piper House is a care home for 12 people with learning disabilities, situated in a residential area of North Kensington with good access to transport and shops. The proprietors are The Royal Borough of Kensington and Chelsea. Six service users are accommodated in flat B on the ground floor, which is adapted for people with limited mobility. Six people, who are more independent live in flat C on the first floor. Each flat comprises of 6 individual bedrooms, a lounge, kitchen/dining area and bathroom and wc. The office and staff sleep-in rooms are combined. Externally, there is a patio and garden area to the front of the building. Piper House DS0000035201.V277636.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on Wednesday 11th. January 2006. Individual and communal areas were viewed, and both the people who live in the home and staff on duty were spoken to. Service user, staff and communal records were reviewed and this was used to inform the report. What the service does well: 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. Piper House DS0000035201.V277636.R01.S.doc Version 5.1 Page 6 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 Piper House DS0000035201.V277636.R01.S.doc Version 5.1 Page 7 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): 1,2,3 The homes Statement of Purpose and Service user Guide is well written and provides information in a variety of formats for users to be aware of the services available. People who use the service have their needs appropriately assessed. EVIDENCE: The Statement of Purpose and Service User Guide are reviewed and updated regularly, both are appropriately detailed and address the stated objectives clearly. Records and individual assessment information demonstrated staff apply the aims consistently, and - although no one has been admitted into the home for some time - a detailed assessment of how their needs would be met is completed and individual contracts retained. All service users had visited the home before moving in and stated they were satisfied with the facilities. Individuals spoken to all stated they considered their needs were being met, and they were satisfied with their care. Piper House DS0000035201.V277636.R01.S.doc Version 5.1 Page 8 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 Individual plans of care for each resident are clear and comprehensive and provide staff with the information need to meet individual needs. The full participation of residents and their advocates is encouraged so that plans reflect as accurately as possible the needs and wishes of the residents themselves. EVIDENCE: Records for service users were looked at and all demonstrated that there was a comprehensive plan of care which set out the needs of the resident and how they were to be met by the home, there is evidence that these were being reviewed regularly in consultation with appropriate care professionals. Service users are supported to make decisions and take risks as part of their independent lifestyle, and each persons file contained an assessment of any areas where there was considered to be a risk and how these risks were to be addressed. In all instances residents and advocates had been involved in the development of the care plan. Piper House DS0000035201.V277636.R01.S.doc Version 5.1 Page 9 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): 11,12,13,14,15,16,17 Appropriate community links have been established and these support and enrich service users social and educational opportunities. Service users, particularly those with more specialised needs, benefit fully from a varied and stimulating range of activities and outings of their choice. EVIDENCE: Both service users and relatives have previously confirmed they considered the support from staff for individual community-based activities to be very good. The wide range of activities agreed with individuals are well recorded and reviewed in the detailed care planning and risk assessment records. Staff are very familiar with the needs of service users, a number of whom have lived in the home for some time. Where required service users in flat A are supported by staff to purchase provisions and cook meals, service users in flat B are more dependent on satff to purchase and prepare meals, although everyone has an excellent choice in both the time they eat, and in the variety of all meals taken in the home. Service users comments have clearly demonstrated they enjoy meals and catering arrangements in the home. Piper House DS0000035201.V277636.R01.S.doc Version 5.1 Page 10 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): 18,19,20,21 The health needs of service users are well met with evidence of good multi disciplinary working taking place on a regular basis. EVIDENCE: Staff have a good understanding of service users support needs, and this is evidenced from both the positive feedback and the observed professional relationship evident between staff and service users. Records demonstrated service users are encouraged by staff to access community based health care services and supported to maintain their wellbeing – for example through diet and exercise if appropriate. Individual records also confirmed service users care needs are reviewed on a planned basis - and as their needs change, and medication is similarly reviewed with the persons G.P. Currently no one self administers oral medication. Piper House DS0000035201.V277636.R01.S.doc Version 5.1 Page 11 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 home has a robust and well-developed complaints system, there is considerable evidence that service users views are listened to and acted upon. EVIDENCE: The home has policies and procedures in place in relation to reporting and investigating complaints, and this policy is regularly updated. Policies require all staff to ensure users of the service are fully informed and consulted of any issues affecting their well being. Detailed written and oral evidence demonstrated service users are able to make complaints and raise issues if they needed to, and were confident their concerns would be addressed appropriately. Piper House DS0000035201.V277636.R01.S.doc Version 5.1 Page 12 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): 24,25,26,28,29,30 The standard of the décor within the home is adequate with evidence of improvement throughout. Overall the home provides a comfortable environment for service users. EVIDENCE: The home has recently undertaken a programme of refurbishment and updating of facilities. Both flats have been redecorated, and new carpets have been fitted in communal areas. In addition new units and work surfaces have been installed in the kitchen of flat A and similar units are are to be installed in flat B. This flat has specialist equipment and faclilites for people who have a physical dissability. Service users rooms and communal areas were visited, and facilities and décor throughout the home were considered to be of a good standard. Service users bedrooms are particularly attractive, and individual taste and choice is evident in furnishings and equipment throughout the home. Piper House DS0000035201.V277636.R01.S.doc Version 5.1 Page 13 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): 31,33,36 Service users benefit from a committed team of staff at the home, who are well supported and supervised. EVIDENCE: Staff roles and responsibilities are clearly stated, and a wide range of appropriate training opportunities are available. Very positive responses about the staff were received from service users, this was also evidenced in the comments made to the inspector. Most staff have worked there for some considerable time, and they have clearly developed a good level of knowledge and understanding of the needs of service users. Staffing levels are appropriate and ensure residents’ needs continue to be met. Staff had undertaken training in essential areas, such as food hygiene, health and safety, medication, mental health, first aid and most recently care planning. NVQ Level 2 training is being progressed for all staff, and this will be reviewed in subsequent inspections. Piper House DS0000035201.V277636.R01.S.doc Version 5.1 Page 14 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): 37,38,40,42,43 The manager is well supported by senior staff in providing clear leadership throughout the home, all staff demonstrat an awareness of their roles and responsibilities. EVIDENCE: The manager and staff continue to work well to maintaine good standards of practice in the home, feedback from service users continues to be very positive. Standards of services are monitored through monthly meetings with service users to help staff determine the views, preferences and needs of every one in the home. The results of this information is used in part to inform practice and forms part of the homes annual review. A number of records were looked at, including care plans, risk assessments, staff rosters etc. These records were detailed, up-to-date and accurate and confirmed that the home is being managed effectively. Piper House DS0000035201.V277636.R01.S.doc Version 5.1 Page 15 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 3 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 x 33 3 34 x 35 x 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 x x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 x 3 x 3 3 Piper House DS0000035201.V277636.R01.S.doc Version 5.1 Page 16 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. Standard Regulation Requirement Timescale for action 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 Piper House DS0000035201.V277636.R01.S.doc Version 5.1 Page 17 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. 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