Inspection on 07/06/06 for Delos Community Ltd, 34 Finedon Road

This inspection was carried out on 7th June 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

Delos Community Ltd, 34 Finedon... 30/01/06

Delos Community Ltd, 34 Finedon... 08/09/05

Delos Community Ltd, 34 Finedon... 15/12/04

Delos Community Ltd, 34 Finedon... 01/07/04

Delos Community Ltd, 34 Finedon... 09/01/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Delos Community Ltd, 34 Finedon Road 34 Finedon Road Wellingborough Northants NN8 4EB Lead Inspector Ms Sarah Jenkins Unannounced Inspection 7th June 2006 07:45 Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.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 Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.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. Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Delos Community Ltd, 34 Finedon Road Address 34 Finedon Road Wellingborough Northants NN8 4EB 01933 225197 01933 677881 info@delos.org.uk 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) Delos Community Limited Mrs Carrie Marian Harris Care Home 7 Category(ies) of Learning disability (7), Mental disorder, registration, with number excluding learning disability or dementia (7) of places Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person falling within the category MD may be admitted to the home unless that person also falls within category LD i.e. dual disability. 30th January 2006 Date of last inspection Brief Description of the Service: 34 Finedon Road is situated in a residential area close to the town centre of Wellingborough. The home is also known as Avonlea and is one of four registered homes within easy walking distance of each other supported by a Head Office and Day Centre in separate premises. Further support services are provided within the organisation for those moving on into a more independent lifestyle. The collective facilities are known as the Delos Community where residents are known as members. The home provides personal care and support for up to seven members whose primary care need is due to having a learning disability. The environment is that of a large family house. Members have their own bedrooms but there are no ensuite facilities. The range of fees is £621- £860 per week. Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting 2 service users and tracking the care they receive through meeting with the service users, a review of their records, discussions with the care staff and observation of care practices. The Inspector visited during the early morning period to observe practices by staff and to meet with members. Members have learning disabilities, and some have additional mental health needs, but most were able to communicate effectively with the Inspector. The Inspector also undertook observations of practice and members relationships with staff to establish their content with their lifestyles and routines, where verbal communication with the inspector was more difficult. The Inspector spent four hours in the home, and a further hour and a half (approx) in the central offices of the organization, meeting with the Manager and other centralized staff and reviewing the organization’s staff records and Quality Audit processes. Seven comment cards were received from members who were supported in completing their comment cards by staff, and ten feedback cards were received from relatives and visitors. These were all positive. What the service does well: Members are well supported by staff, as individuals and as a group. The ethos of the home is to promote members rights as individuals and to ensure that they are enabled to lead active and satisfying lifestyles and where they wish, to achieve their potential for independence. The atmosphere of the home is calm and nurturing, and conducive to members’ happiness and wellbeing. The staff at the home are well supported by the organization (The Registered Owners, Delos Community), which shows a commitment to professionalism, development and good outcomes for members. Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.R01.S.doc Version 5.2 Page 6 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. Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.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 Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.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 at least once during a 12 month period. 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. Members’ admission to the home is supported through thorough and flexible processes that ensure that members will benefit from the placement and that the home can meet their needs. EVIDENCE: There have been no recent admissions to the home but processes were discussed with the Registered Manager and with staff. These evidenced that a professional and sensitive process are followed regarding preadmission assessment and admission, which leads to good outcomes for members. Policies and procedures support effective communication from the outset and the Service Users Guide, in the process of being updated, is enhanced by illustration. Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Members are enabled to enjoy a full and stimulating lifestyle with a variety of choices available to them. They are enabled to take reasonable risk in pursuit of their independence and such risks are well managed and monitored. EVIDENCE: Members talked to the Inspector about their choices within their lifestyles, often very enthusiastically, and expressed general happiness and content. Staff showed an awareness of the need to support and encourage less assertive members and were able to explain how they did this. Members’ decisions were evident within their care plans. Members are enabled to run their own meetings, and are consulted on and participate in all aspects of life at the home. There was a notable understanding and tolerance of each other’s ways, reflecting the guidance and understanding of staff. Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.R01.S.doc Version 5.2 Page 10 Risk recognition and management were well documented and regularly reviewed. Members are enabled, after a proper assessment, to develop their potential for independence within a structure that properly balances the right to take risks with the right to be protected. Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.R01.S.doc Version 5.2 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): 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. Members are very happy with their various lifestyles, which are active and stimulating. EVIDENCE: Members talked to the Inspector about the things that they were supported to do and their enjoyment of these activities They participate fully in the local community and activities include regular daytrips and/or holidays according to their choices. Members spoke of, or showed their enthusiasm for their day placements, and showed the Inspector photographs of their holidays. Members are encouraged to maintain and develop good relationships based on mutual respect and consideration. Visitors feel warmly welcomed to the home. Members were aware of their rights and responsibilities and discussed how the rota for jobs was organized and undertaken. The way in which this was done was thought by members to be fair and equal and the routine was said to work Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.R01.S.doc Version 5.2 Page 12 well. It was notable that members helped each other by, for example, offering to put on the shopping list an item asked for by a less able member. Members and staff expressed full satisfaction with the provision of food. Healthy eating patterns have been successfully implemented. Members are fully involved with choice, purchase and preparation of food according to their abilities. Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.R01.S.doc Version 5.2 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): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and healthcare support is good, and members’ physical and emotional needs are well met. EVIDENCE: Members expressed general content with the way in which they were supported and showed this in their interactions with staff during their early morning routines. Records demonstrated a good response to members needs. Community healthcare teams are appropriately accessed with or on behalf of members. Medication is very well managed and properly stored. Staff are given full information on the medications used by members, and there is a training element within many of the systems of the home. Advice was given that there should be evidence that the hand copying of prescription details onto Medication Administration Sheets has been checked by a second person to safeguard against mistakes being made. Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.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 at least once during a 12 month period. 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. Members are protected by the quality of professionalism and the observation and listening skills of staff. EVIDENCE: Members said that they could approach staff or the Manager with their problems and showed confidence that they would be listened to and taken seriously. One member has recently been supported in making a complaint to an outside agency. The quality of care which includes listening carefully to members spoken and unspoken needs is likely to pre-empt complaints being made. There is no document on premises enabling members to have their complaints written down. Formal quality concerns and complaints are held in a file at the main office. Staff said any concerns mentioned by members were discussed and dealt with through the staff handover process. There is an ethos of empowerment at the home and this is supported by a policy for staff to familiarize themselves with. There is a prompt response to issues arising. Allegations are taken seriously, and most staff have had training in the Protection of Vulnerable Adults. Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The members’ house is homely, clean, comfortable and well maintained, suiting their needs and lifestyles. EVIDENCE: The home was seen to be comfortable, homely and clean at this early morning visit. Members showed pride in their house and in their individual bedrooms and said that they had chosen the decoration and some of the furnishings. Those who showed the Inspector their rooms expressed full satisfaction with the provision. There are no ensuite facilities at this home. Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.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 at least once during a 12 month period. 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. Members are well supported by trained experienced staff. EVIDENCE: There were three staff on duty when the Inspector arrived and this was sufficient to fully meet the needs of members at that time. Staff were interviewed and showed themselves to be fully competent in their roles and aware of their responsibilities. The Inspector met with a recently recruited staff member and also discussed the recruitment process with the Registered Manager. This was found to be fully professional, properly recorded and reflected in policies and procedures. Staff training is ongoing. Staff expressed full content with the levels of training they were offered. Records on staff files were well organized, fully met the Standards and showed good levels of training and supervision of staff. A discussion with the Manager highlighted the need to ensure the suitability of staff being left in charge of the home; this was specifically in relation to the age of those individuals as the National Minimum Standards indicate that such persons should be at least 21 and this had not been met according to the information on the duty rota. Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.R01.S.doc Version 5.2 Page 17 The support system for staff on duty including lone workers at night is good including the provision of “panic buttons” to call in staff from another nearby home. Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.R01.S.doc Version 5.2 Page 18 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, 39, 40, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management of the home is effective and responsive and members thereby benefit from a well run service. EVIDENCE: There was a good level of organization within the home and access to policies and procedures was appropriate, and the confidentiality of records was safeguarded despite there being no “office” within the home. It was evident from discussion with the Registered Manager and with staff and members that the management of the home is being effectively undertaken and improvements are being implemented. A member expressed confidence that members’ views were included in improvement plans. Policies and procedures demonstrate that positive outcomes for members are the focus of the service and that the principles of good care are adhered to. Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.R01.S.doc Version 5.2 Page 19 However, policies and procedures should be better indexed to enable them to be easily accessed by staff and members. Health and Safety is properly promoted. The Inspector told the Registered Manager that it would be advisable to have disposable hand towels in communal areas to safeguard against the spread of any infection. The Registered Manager said this was already detailed on the improvement plan. Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.R01.S.doc Version 5.2 Page 20 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 x 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 4 3 3 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 2 x 2 x Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.R01.S.doc Version 5.2 Page 21 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. 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. 2. Refer to Standard YA40 YA42 Good Practice Recommendations Policies and procedures should be better indexed to enhance access. Disposable towels should be provided in communal areas to guard against the spread of infection. Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Delos Community Ltd, 34 Finedon Road DS0000039665.V294483.R01.S.doc Version 5.2 Page 23 - 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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