Inspection on 09/11/05 for Portishead House, 5

This inspection was carried out on 9th November 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 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

Portishead House, 5 05/12/08

Portishead House, 5 14/12/06

Portishead House, 5 15/04/05

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 Westbourne Park Estate London W2 5UP Lead Inspector Wynne Price-Rees Unannounced Inspection 9th November 2005 10:30 Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 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 Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 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. Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Portishead House, 5 Address Westbourne Park Estate London W2 5UP 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 7243 0697 020 7221 3959 chichi@mungos.org St Mungo Association Mrs Chinwe Ukamaka Nzekwe Care Home 14 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (14) of places Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th April 2005 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 Councils Social Services Department. The property is owned by Paddington Churches Housing Association. The home is staffed and the care is provided by St Mungos 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 DS0000010864.V257910.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A well run home that the residents spoken with said provided a good service that met their needs in a friendly and supportive way. Three files were case tracked as part of the inspection that took place over three hours. A number of residents were out during the inspection. What the service does well: What has improved since the last inspection? What they could do better: One of the risk assessments of the case files sampled was not up to date. Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 Page 6 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. Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 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 Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 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 the following standard(s): Standard two was inspected and met. Prospective residents’ needs and aspirations are fully assessed. EVIDENCE: The case files sampled that full written assessments are carried out prior to a resident entering the home. Residents confirmed they had received written information and been given the opportunity to visit the home and meet staff and other residents prior to moving in. Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 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 the following standard(s): Standards six, seven, eight, nine and ten were inspected. Of these six, seven, eight and ten were met whilst standard nine was not met. The residents’ know their needs and goals are reflected in their care plans, they are supported to make decisions, participate in all aspects of life in the home and appropriate confidences kept. On one file the risk assessment was not current. EVIDENCE: The three care plans sampled were up to date, goal focused with regular reviews by key workers and residents and underpinned and enabled by risk assessments, although in one instance the six monthly risk assessment review had not been carried out in July 2005. A resident confirmed they fully participated in their care planning and review. They felt supported to make their own decisions and residents participated in the running of the home through the weekly house meetings where forthcoming meals, activities, complaints and grievances were discussed. There are also two whiteboards near the entrance to highlight maintenance issues or make other comments if a resident does not wish to do so during the meetings. Residents also felt that appropriate confidences are kept. There is a written confidentiality policy that staff are aware of and care plans are kept in a lockable facility. Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 Page 10 Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 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 the following standard(s): Standards eleven, twelve, thirteen and fourteen were inspected and met. Residents have the opportunity for personal development and take part in appropriate activities of their choice including within the local community. EVIDENCE: The residents undergo a number of group and individual activities of their choice. The group activities are decided democratically by vote and generally another proposed activity would take place the following week. This week they are either going to play pool or go bowling. This will be decided during the weekly residents’ meeting. The residents’ also have a football team although they have not played for a few weeks due to some injuries. They also make use of the local gym and swimming pool individually. An entry in one care plan stated that the resident wasn’t interested in any activities. However, a later review entry identified the resident was interested in attending the gym and two visits had subsequently been made, once with their key worker and once alone. A list of other activities had also been identified. Last weekend a bingo session took place with prizes to make attendance more attractive. The residents also go to the cinema either individually or in groups. One resident is currently on holiday for a week in Holland and this is their third trip to Europe this year. Other residents chose to go on holiday to the Isle of Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 Page 12 Wight, as a group, this year. A number of residents are in employment, attending college courses or work related training classes. Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 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 the following standard(s): Standard twenty was inspected and met. Residents’ are supported to retain, administer and control their medication as appropriate. Otherwise they are administered and recorded by staff. EVIDENCE: The medication files for all residents were checked and found to be very efficiently kept with clear information about the self-administering level that each was resident was currently at, procedures and boundaries for these levels and GP authorisation to move up a level with all aspects counter-signed. All medication administered by staff was clearly recorded with no gaps and correct use of symbols. Only staff trained to do so administer medication. Annual health checks are also undertaken. Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 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 the following standard(s): Standard twenty-two was inspected and met. The residents’ feel their views are listened to and acted upon. EVIDENCE: There is a thorough written complaints procedure that residents’ confirm they have access to and are happy to use. This includes the opportunity to air any disputes or grievances during the weekly residents’ meetings and there is access to complaint forms adjacent to the home’s entrance. There have been three complaints recorded since the last inspection all have of which have been fully documented and resolved. The residents’ spoken with felt comfortable using the complaints system. Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 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 the following standard(s): Standards twenty-four, twenty-five, twenty-six and thirty were inspected and met. The home is homely, comfortable, clean, hygienic and safe. Bedrooms suit needs, lifestyles and promote independence. EVIDENCE: The communal areas and bedrooms have been redecorated since the last inspection with residents’ choosing their own colour schemes. It is subsequently much lighter and a nicer environment to live in with paintings purchased for communal area walls and new sofas that are due for delivery the week after the inspection. The residents’ are also selecting new flooring and have received £400 each to make purchases for their bedrooms. A number of new beds were delivered, prior to the inspection and one resident is going with their key worker to buy a rug and pictures from a specialist shop that reflects their cultural background. The communal kitchen has also been refurbished. A building tour found the home to be clean and hygienic. The fire fighting equipment was checked in September 2005. Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was not inspected. EVIDENCE: This section was not inspected. Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard thirty-seven was inspected and met. The residents’ benefit from a well-run home. EVIDENCE: The Care Manager was previously the Deputy Manager for three years, has many years experience in the health care field, holds the NVQ level 4 accreditation and is a qualified NVQ Assessor. Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 Page 18 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 X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Portishead House, 5 Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000010864.V257910.R01.S.doc Version 5.0 Page 19 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 YA9 Regulation 12 & 14 Requirement All files must contain up to date, regularly reviewed risk assessments. Timescale for action 01/12/05 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 Portishead House, 5 DS0000010864.V257910.R01.S.doc Version 5.0 Page 20 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 DS0000010864.V257910.R01.S.doc Version 5.0 Page 21 - 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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