Inspection on 15/04/05 for Portishead House, 5

This inspection was carried out on 15th April 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

Portishead House, 5 05/12/08

Portishead House, 5 14/12/06

Portishead House, 5 09/11/05

Portishead House, 5 23/09/04

Portishead House, 5 06/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 PORTISHEAD HOUSE, 5 5 Portishead House Westbourne Park Estate LONDON W2 5UP Lead Inspector Wynne Price-Rees Announced 15 April 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. PORTISHEAD HOUSE, 5 Version 1.10 Page 3 SERVICE INFORMATION Name of service Portishead House, 5 Address 5 Portishead House, Westbourne Park Estate, London W2 5UP 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 7243 0697 020 7221 3959 St Mungo Association Nrs Chinwe Nzekwe Care Home 14 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (14) of places PORTISHEAD HOUSE, 5 Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 23 September 2004 Brief Description of the Service: Portishead House is a registered care home for 14 men with mental health problems. One place in the home is used to provide respite care for short periods. All 14 places in the home are funded by Westminster City Council’s Social Services Department. The property is owned by Paddington Churches Housing Association. The home is staffed and the care is provided by St Mungo’s Association, a voluntary organisation. The home is located on a housing estate close to the transport links and community facilities of Westbourne Park and Bayswater. The home is run as a rehabilitation project. Residents live in the home for up to three years and are supported to learn and develop the skills they need to move on to more independent accommodation. At the time of this inspection there were fourteen residents living at the home. PORTISHEAD HOUSE, 5 Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place over four hours on 15/04/05. During the inspection eight residents and two staff were spoken with and the Inspector sat in on a residents meeting during lunch. Questionnaires were returned by four residents, three relatives, three GPs and three placement officers. All were generally positive although two residents’ questionnaires ticked the box stating they did not like the food. A pre-inspection questionnaire was also returned by the home. There were seven requirements at the last inspection and all of these were met. Four residents files were case tracked and discussed with them. The Inspector was given a tour of the premises including their bedrooms. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. PORTISHEAD HOUSE, 5 Version 1.10 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 PORTISHEAD HOUSE, 5 Version 1.10 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) 1, 2, 3, 4, 5 All the outcomes were met. EVIDENCE: Residents confirmed they had been given written information and the opportunity to visit the home and meet staff and residents before deciding if the home could meet their needs and they wished to move in. This included a needs assessment they participated in. Each resident has a licence agreement that they are required to sign when moving in. One resident moved in the day before the inspection. They previously had a respite stay at the home and waited until a permanent place became available as they felt this was the home for them and their needs could be met. PORTISHEAD HOUSE, 5 Version 1.10 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, 8 & 9 All outcomes were met except eight in relation to the deletion of the staff life skills post. EVIDENCE: The Inspector sat in on the weekly residents’ meeting where everyone was given the opportunity to put forward activity suggestions including holidays, point out any repairs required and discuss where sporting equipment such as the boxing punch bag would be best situated. Everyone was asked if they had any complaints or grievances. The menu for the forthcoming week was discussed and those responsible for cooking and shopping agreed. During the discussion some residents’ stated their disappointment that the staff life skills post had been deleted as this reduced their options for preparation towards independent living and was a major part of the home’s life. Each resident had an up to date, thorough care plan that is regularly reviewed with the designated key worker and underpinned by risk assessments that enable them to fully develop their potential. PORTISHEAD HOUSE, 5 Version 1.10 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 standard(s) 12, 13, 14, 15, 16 & 17 All outcomes were met. EVIDENCE: The residents were offered a wide range of activities to participate in as well as making suggestions. They have recently formed a football team with residents from other homes in the organisation and have joined a league. Unfortunately the results have not been particularly promising and they now have a coach. A visit to an art gallery to view a photographic exhibition was suggested the day after the inspection and anyone who wished to go was invited. Three residents decided to attend. The residents felt there were sufficient activities although the range and type were reduced by the life skills post having been deleted. They make use of various local amenities as they wish including restaurants, cafes and parks. Appropriate personal, sexual and family relationships are encouraged and friends and family frequently visit or are visited. Residents were split regarding the recording of visitors with some finding it intrusive whilst others thought it important regarding security and knowing who is in their home. Staff try to keep the recording as low key as possible whilst PORTISHEAD HOUSE, 5 Version 1.10 Page 10 maintaining necessary records. The residents feel their right to make their own decisions within a risk assessed environment is observed. The residents are responsible for cooking and purchasing food, on a rotational basis, as part of life skill development. They were happy with this arrangement and the quality of food provided although this varied depending on who was doing the cooking. PORTISHEAD HOUSE, 5 Version 1.10 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 All outcomes were met. EVIDENCE: The home does not provide personal care. Residents are encouraged and supported to maintain personal hygiene as part of preparation for independent living. All residents are registered with GPs and have full access to communitybased health care services as well as alternative forms of treatment such as reflexology. Emotional and physical health needs are recorded within the care plans that are regularly reviewed with the residents and everyone has an annual health check. Residents are at various stages of self-medication that is monitored and used as another stepping-stone towards independent living. The medication records were checked and found to be accurately recorded. PORTISHEAD HOUSE, 5 Version 1.10 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 Both outcomes were met. EVIDENCE: The residents felt their views are listened to as demonstrated during the weekly meeting that included the opportunity to voice complaints and concerns. They were fully aware of the complaints procedure, a written copy of which they are provided with. The procedure now incorporates staff harassment. There has been one complaint in the last six months that was a dispute between two residents and resolved using the key working system. Complaints are fully documented and responded to within twenty-eight days. Staff have all undertaken adult protection training through the organisation and are aware of what constitutes abuse and the appropriate action to take if encountered. The residents are supported to handle their own finances as part of their skills development. PORTISHEAD HOUSE, 5 Version 1.10 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, 25, 26, 27, 28 & 30 The outcomes were met except 24. The home is comfortable and hygienic although in need of a complete refurbishment. EVIDENCE: Although clean and hygienic, the home is in need of complete redecoration and refurbishment throughout including carpets, as it is looking worn and scruffy. The Care Manager said the home is scheduled for refurbishment as part of the capitol works schedule for 2005/06. This takes place on a four yearly cycle and is now due. Currently quotes are being taken to carry out the work. The Inspector was taken on a complete tour of the home. Residents are encouraged to personalise bedrooms to their own taste and an individual budget has been identified for each bedroom with the resident choosing the décor. There are sufficient numbers of toilets, bathrooms and communal areas to meet residents’ needs. The lounge accommodated residents comfortably when holding their meeting and having lunch. PORTISHEAD HOUSE, 5 Version 1.10 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 & 36 The outcomes were met. EVIDENCE: Residents spoken with said they felt very well supported by the staff and Care Manager. This was demonstrated by the caring and helpful approach adopted by staff during the inspection particularly when the residents’ meeting was taking place. Staff ensured everyone had the opportunity to have their say in a light, comfortable and humorous atmosphere. The up to date, clear recording keeping also indicated the professionalism of the staff team. Staff receive monthly personal and six weekly care plan supervision. There is a rolling training programme and staff have received core induction focused on the needs of the client group. Training needs are discussed during away days and each staff member has a training needs file. Two staff are undertaking NVQ level 2 in September and three have completed this training. PORTISHEAD HOUSE, 5 Version 1.10 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 outcomes were met. EVIDENCE: During monthly auditor visits discussions take place to identify how the policies and procedures work in relation to the residents and their needs. The annual strategic development plan has input from residents and staff to make sure the service remains client led and focused on the client group. This has measurable performance indicators and is monitored as part of the Care Manager supervision. There are also annual resident satisfaction surveys and residents views and satisfaction is at the centre of the weekly “Have your say meetings”. This is a well-managed service that residents expressed satisfaction with. Full premises risk assessments are in place to safeguard the residents and their belongings. Fire drills take place quarterly, call points are checked weekly and fire fighting equipment serviced annually. Health and safety policies and procedures are in place that staff are familiar with and they have undertaken training in this area as well as first aid and food PORTISHEAD HOUSE, 5 Version 1.10 Page 16 hygiene. Any health and safety or maintenance issues are raised at the weekly meeting. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 2 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 x 3 Standard No Standard No 31 32 Score x 3 Page 17 PORTISHEAD HOUSE, 5 Version 1.10 11 12 13 14 15 16 17 x 3 3 3 3 3 3 33 34 35 36 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x PORTISHEAD HOUSE, 5 Version 1.10 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. 2. Standard 8 24 Regulation 18 (1) (a) 23 (2) & 16 (2) Requirement Timescale for action 01/08/05 The home must re-instate the deleted staff lifeskills post. The home must be completely 31/03/06 refurbished including carpets and furniture. 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 PORTISHEAD HOUSE, 5 Version 1.10 Page 19 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 PORTISHEAD HOUSE, 5 Version 1.10 Page 20 - 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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