Inspection on 27/06/05 for Piper House

This inspection was carried out on 27th June 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 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 11/01/06

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 Marks Road LONDON W11 1RQ Lead Inspector Peter Montgomery Unannounced 27 June 2005 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. PIPER HOUSE G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Piper House Address 2B St Marks Road, London W11 1RQ 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 7361 2401 Jean.Daintith@rbkc.gov.uk Royal Borough of Kensington & Chelsea Michael Anthony Downey Care 12 Category(ies) of Learning Disability (12) registration, with number of places PIPER HOUSE G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31 January 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 G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on Monday 27th. June 2005. 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 G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection PIPER HOUSE G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 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 standard(s) 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 very detailed and address the homes core objectives clearly. Records and individual assessment information demonstrated staff apply the aims consistently, and - although no one has been admitted into the home for over two years – individuals are admitted into the home with a detailed assessment of how their needs can or may be met in compliance with this objective. A number of people were spoken to, and all indicated they considered their needs were being met. All had visited the home before moving in and were satisfied with the facilities. PIPER HOUSE G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 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 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 relatives is encouraged so that plans reflect as accurately as possible the needs and wishes of the residents themselves. EVIDENCE: The records for three residents in each flat were looked at and each 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 relatives had been involved in the development of the careplan. In addition to the well developed and consistent care planning process, staff are also to be commended for the innovative addition to written information in care plans through the introduction of symbols to help service users understand and agree their own objectives, and activities planned. PIPER HOUSE G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 Page 9 PIPER HOUSE G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 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 standard(s) 12,13,15,16,17. Links with the community are good and 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: Feedback from service users and relatives have indicated that they considered activities, outings and support from staff for community based activities to be very good. The wide range of educational and leisure activities, which are agreed with individuals are well recorded and reviewed in the detailed care planning and risk assessment records. Meal planning, particularly in the variety and quality of the food, demonstrated choice and that residents likes and dislikes are determined in menu planning. All service users have lived in the home for a number of years and staff are familiar with their individual preferences. Residents have commented how much they enjoyed the food in the home. PIPER HOUSE G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 Page 11 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) 18,19,20. 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, this is evident from the positive feedback from service users and the clearly positive relationships, which have been formed between staff and service user. Feedback from both residents and relatives is very positive regarding the commitment of the home to residents wellbeing. Records confirmed that residents are seen by dentists, opticians, chiropodists, district nurses and doctors on a planned basis, and as their needs dictate. Medication is also regularly reviewed and is detailed in the care plans and risk assessments. Currently no one self administers oral medication, although a number of people self administer topical preparations. PIPER HOUSE G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 Page 12 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) 22,23 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. Service users stated they felt able to make complaints and raise issues if they needed to, and were confident their concerns would be addressed appropriately. Policies require staff to ensure users of the service are fully informed and consulted of any issues affecting their well being. PIPER HOUSE G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 Page 13 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) 24,30 Residents at Piper House enjoy an attractive and comfortable living environment, with good standards of cleanliness and hygiene adding considerably to their quality of life. EVIDENCE: Flat C has completed, and Flat B is completing a programme of redecoration and refurbishment, including new units in the kitchen. Some floor coverings have been replaced and new furniture and equipment has been purchased. One residents room was viewed which demonstrated personal choice in the décor and levels of equipment. Service users bedrooms are not entered without the permission of the occupant, and staff clearly respected the privacy and wishes of all persons in the home. Throughout the inspection the home was found to be clean and hygienic. Comments from users of the service demonstrated they considered a very good standard was achieved in this area. PIPER HOUSE G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 Page 14 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) 32,33,35 Residents benefit from a committed and experienced team of staff at the home who have the skills and training to meet their needs. EVIDENCE: Positive feedback about the staff at the home was received from service users, this is evidenced in the comments that the home provides a supportive environment where individuals are able to make choices. Most staff at the home have worked there for a number of years and have built up a good knowledge and understanding of the needs of each resident. 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, administering medication, dementia awareness and first aid. Six staff are currently undertaking NVQ Level 2 training, and one support worker has completed NVQ level 3, resulting in residents receiving a good standard of support and care from the staff at the home. PIPER HOUSE G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 Page 15 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) 39,42 The manager is supported well by senior staff in providing clear leadership throughout the home, with all staff demonstrating an awareness of their roles and responsibilities. EVIDENCE: The manager and staff team work closely to achieve high standards for the home, and feedback from users of the service was very positive. A high standard of service delivery is maintained through regular quality action group monthly meetings with representatives from each flat, and visits from external advocates to determine the views, preferences and satisfaction levels of service users. The results of this information is shared and is used to improve practice. 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 run responsibly with essential checks being made and acted on. PIPER HOUSE G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 Page 16 PIPER HOUSE G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 x 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 PIPER HOUSE Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 Page 18 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 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. 1. Refer to Standard Good Practice Recommendations PIPER HOUSE G60-G09 S35201 PIPER HOUSE UIV235116 210605 STAGE 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Hammmersmith 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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