This inspection was carried out on 11th December 2009.
It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
Annual service review
Name of Service: Delos Community Ltd, 34 Park Road The quality rating for this care home is: The rating was made on: two star good service 1 9 0 9 2 0 0 7 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Judith Roan Date of this annual service review: 0 3 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 34 Park Road Wellingbrough Northants NN8 4PW 01933222532 01933677881 simonhardwicke@delos.org.uk www.delos.org.uk Delos Community Limited Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Conditions of registration: Category(ies) : learning disability mental disorder, excluding learning disability or dementia Conditions of registration: 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 The home may only admit service users aged 18-65 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: The registered manager has left and an acting manager has been appointed. 1 9 0 9 2 0 0 7 Number of places (if applicable): Under 65 Over 65 4 4 0 0 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service 34 Park Road is situated in a residential area close to the town centre of Wellingborough. The home is one of four registered homes within easy walking distance of each other supported by a Head Office and Day Centre in separate
Annual Service Review Page 2 of 6 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 four 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 en-suite facilities. Further information about the home, including the most recent inspection report can be obtained from the Registered Manager. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included: The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment tool that focuses on how well outcomes are being met for people using the service. It has also provided us with numerical information about the service. Information we have about how the service has managed any concerns or complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their AQAA when we asked for it. It was clear and detailed giving us all the information we asked for. The homes manager continues to let us know about things that have happened since our last key inspection and this shows that they have managed issues well. The manager states within the AQAA that people using the service and their advocates are consulted in many ways to gain their views about the quality of the service. Members have annual questionnaires to fill in asking for their views and opinions of the service they receive. The members are supported to fill them in either by the Quality assurance manager or with family members. The questionnaires are presented in a service user friendly format. The results are presented in graphs as a whole and passed to the registered manager, The registered manager then follows up any issues. In addition, a members (service users) forum called hear- say has been up and running since November 2008, which is chaired and run by the members, with our Quality assurance manager acting as facilitator. The hear-say meetings have been a great success to date. The AQAA also confirms that Each member has an Essential lifestyle plan. All staff members use a person centred approach at all times. Staff members support members to update, review and follow their plans on a regular basis. Equality and dignity is interwoven into all the aspects of the service from direct communication, support plans, activities, dietary requirements and staff approaches. The AQAA states that The home has an equal opportunities policy in place .Equality and diversity training is part of our training programme. Each member is treated as an individual and any issues regarding race, sex, gender, disability, religion or belief are incorporated into their care plans and person centred plans. All of the staff team are familiar with these. Members are offered a range of activities suitable to their age and interests. Activities are planned taking into consideration individuals ages and disabilities. Two members currently attend church. They are able to attend independently but if they did require support they would be supported to do so. The service provides good information within a service users guide which is an Annual Service Review Page 4 of 6 accessible format. There is also an accessible complaints procedure. The organisation has introduced a suggestions and Grumbles book that has been put in place to enable members to have their views recorded. People using the service are supported to develop practical life skills, through access to educational courses, work placements and taking part in leisure activities in the community. There is regular contact with families and support with friendship of peers. Regular reviews of their health care needs, staff awareness and training in safeguarding procedures with robust internal financial checks protect people using the service. Staff receive regular training and there is a continuous development plan in place. The manager recognises the need to keep up to date with changes in Mental Health legislation and the introduction of the Mental Capacity Act and Deprivation of Liberty guidance within the law. The data provided within the AQAA confirms that six of the three staff working at the home hold National Vocational Qualifications (NVQ) in care at level 2 or above with the remaining three working towards their NVQs. The registered manager is reflective about the service and states the following when asked what the service does well. We feel that we provide a homely, community based service that offers a good quality service and is responsive to the needs of our members. What are we going to do as a result of this annual service review? The next inspection of this service will be based on the Fees and Frequency Regulations 2007 and the assessment of risk of the service. Further clarity will become evident as the new registration and inspection system under the Health and Social Care Act 2008 is confirmed. Annual Service Review Page 5 of 6 Reader Information
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