Inspection on 19/06/05 for Delos Community Ltd, 34 Park Road

This inspection was carried out on 19th 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

Delos Community Ltd, 34 Park Road 11/12/09

Delos Community Ltd, 34 Park Road 19/09/07

Delos Community Ltd, 34 Park Road 17/11/05

Delos Community Ltd, 34 Park Road 04/05/04

Delos Community Ltd, 34 Park Road 03/03/04

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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 Park Road 34 Park Road Wellingbrough Northants NN8 4PW Lead Inspector Ms Sarah Jenkins Unannounced Inspection 19th June 2006 13:25p Delos Community Ltd, 34 Park Road DS0000039663.V294495.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 Park Road DS0000039663.V294495.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 Park Road DS0000039663.V294495.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Delos Community Ltd, 34 Park Road Address 34 Park Road Wellingbrough Northants NN8 4PW 01933 222532 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 Mr Simon Nicholas John Hardwicke Care Home 4 Category(ies) of Learning disability (4), Mental disorder, registration, with number excluding learning disability or dementia (4) of places Delos Community Ltd, 34 Park Road DS0000039663.V294495.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home may only admit service users aged 18-65 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 17th November 2005 Date of last inspection Brief Description of the Service: 34 Park Road is situated in a residential area close to the town centre of Wellingborough. The home is also known as “Willowtree” 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 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 ensuite facilities. The range of fees is £600- £1330 per week. Delos Community Ltd, 34 Park Road DS0000039663.V294495.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 afternoon to observe practices by staff and to meet with members. Members have Learning disabilities, and some have additional mental health needs, but members “case tracked” 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. One member was out during the Inspectors visit and another chose not to meet with the inspector being otherwise occupied. The Inspector spent just over three hours in the home, and has recently spent time in the Central offices meeting with other staff and reviewing centrally held records and Quality Audit processes. No comment cards were received from members, relatives, or visitors. Three Care professionals responded positively to the questionnaire. What the service does well: What has improved since the last inspection? Delos Community Ltd, 34 Park Road DS0000039663.V294495.R01.S.doc Version 5.2 Page 6 The management of medication was an issue identified at the last Inspection as in need of improvement, and the Registered Manager has ensured that all aspects of the handling of medications have been reviewed and refined where necessary. General ongoing improvements have been made in relation to the upkeep and maintenance of the home. The home is in the process of setting up a User advocacy group to include members in the general management of the home, for example becoming involved in staff recruitment. 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 Park Road DS0000039663.V294495.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 Park Road DS0000039663.V294495.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: A member admitted to the home within the past year spoke of general content with the processes. Records showed a comprehensive assessment and a flexible “induction” process, and policies and procedures support good practices. The organization is currently updating the Service Users Guide for each of its homes and improved user friendly documentation is being developed. Delos Community Ltd, 34 Park Road DS0000039663.V294495.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, 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 risks in pursuit of their independence. EVIDENCE: Members talked to the Inspector about the decisions they made, the things that they were supported to do, and their enjoyment of their lifestyles. They expressed general content with their care plans and felt they were properly supported in these. When the Inspector arrived one member was having individual one to one attention from staff, and the Registered Manager spoke with the inspector of the ways in which members individual needs for staff attention, were managed. Delos Community Ltd, 34 Park Road DS0000039663.V294495.R01.S.doc Version 5.2 Page 10 Members are enabled to take reasonable risks in pursuit of their independent lifestyle choices and there is good management and review of these risks. Advice was given to always evidence the date of review even when no changes to the risk assessment were necessary. In particular, policies and procedures, and risk assessments relating to members being alone in the home, or with other members unsupervised by staff, should be thoroughly revisited at very regular intervals, and this process should be fully documented. Delos Community Ltd, 34 Park Road DS0000039663.V294495.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, and 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: Discussions with members and staff and evidence in records showed the full and active lifestyles enjoyed by members. Members talked to the Inspector about their hobbies and the things that they were supported to do. They participate fully in the local community and activities include daytrips and/or holidays according to their choices. Members rights and diverse needs are respected, for example members are enabled and supported to look after their pets, and there is a resident cat. Delos Community Ltd, 34 Park Road DS0000039663.V294495.R01.S.doc Version 5.2 Page 12 Members are encouraged to maintain and develop good relationships based on mutual respect and consideration. Input from staff in relation to the preservation of harmony within the home is appropriate and professional, and based on sound observation and recording. This is properly balanced with the encouragement to lead “normal” lives, and receive “normal” feedback from others. Visitors feel warmly welcomed to the home, and are offered hospitality. Members said that they enjoyed the food provision at the home; staff said the food is good, and that they share meals with members in a family type routine. A cook is employed at the home but there is a rota’d routine of participation in the other household chores and shopping. One member has been supported to join a Healthy Eating/Lifestyle group. Delos Community Ltd, 34 Park Road DS0000039663.V294495.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 in personal and healthcare routines, and said that they were happy with the help they got to see their doctors and attend appointments. Interviews with staff demonstrated that proper emphasis is put on the principles of care (privacy, dignity, respect). Records demonstrated a good response to members needs. Community healthcare teams are appropriately accessed with or on behalf of members. Advice was given to numerically index the details of appointments sheets to guard against their loss. The Registered Manager has reviewed the medication system since the last Inspection and appropriate audit and refresher training has been implemented to better protect against any future shortfalls. Delos Community Ltd, 34 Park Road DS0000039663.V294495.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. The Registered Manager said that most concerns and complaints are dealt with at very early stages through the members meetings, which are supported by staff. There was evidence on files that one issue raised by a member is being supported and monitored and appropriate action is ongoing. The Registered Manager and the General Manager of the organization are both fully aware of this matter. Advice was given to ensure the full documentation of response to concerns raised. 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 due process followed. Staff have had training in the Protection of Vulnerable Adults. Delos Community Ltd, 34 Park Road DS0000039663.V294495.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, 26, 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 visit. The home is promptly maintained as required by the maintenance staff member for the company. Members showed pride in their house although only one wished to show the Inspector their room. It appeared that members might not have been offered a full choice of provision in their rooms as detailed in Standard 26 although the Registered Manager explained that this was done in stages as the member settled in. One member expressed a wish to the Inspector, to have additional facilities such as a bedside lamp and a key for the bedroom. Where the provision of certain items is inappropriate for Health and Safety reasons, or freedoms are restricted, this should be discussed with members and documented on their files. There are no ensuite facilities at this home. Delos Community Ltd, 34 Park Road DS0000039663.V294495.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, and 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 two staff on duty with the Registered Manager when the Inspector arrived and this was fully sufficient meet the needs of members at that time. Staff showed themselves to be competent in their roles and aware of their responsibilities. Members said that they liked the Manager and staff. In the course of recent inspections at two homes run by the same organization, one of which has the same Registered Manager, the Inspector has fully reviewed the recruitment process which is thorough, professional, supported by policies and procedures and meets the Standards. The Registered Manager is in the process of developing the members’ involvement with the recruitment of staff. 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. Delos Community Ltd, 34 Park Road DS0000039663.V294495.R01.S.doc Version 5.2 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): 37, 39, and 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: The Registered Manager promotes training and development and has continued to pursue his own development since registration. He has recently completed a relevant course of study that has enhanced his professional knowledge and skills in the specific area of working positively with problematic behaviours. There was a good level of organization within the home, and the confidentiality of records was properly safeguarded despite there being no “office” within the home. Delos Community Ltd, 34 Park Road DS0000039663.V294495.R01.S.doc Version 5.2 Page 18 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. However, policies and procedures should be better indexed to enable them to be easily accessed by staff and members. It was evident from discussion with the staff and members that the management of the home is being effectively undertaken. Staff expressed full confidence in the Registered Manager and felt that they were able to approach him with any issues or problems and they would receive a very positive response. Health and Safety is properly promoted. The Inspector advised the Registered Manager that it would be good practice to have disposable hand towels in communal areas to safeguard against the spread of any infection The Inspector was advised that this recommendation is already in process from the advice given at the recent inspection of one of the other homes. Delos Community Ltd, 34 Park Road DS0000039663.V294495.R01.S.doc Version 5.2 Page 19 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 Delos Community Ltd, 34 Park Road DS0000039663.V294495.R01.S.doc Version 5.2 Page 20 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 2 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 3 3 x 2 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 x x 3 x Delos Community Ltd, 34 Park Road DS0000039663.V294495.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 YA9 YA26 Good Practice Recommendations Care should be taken to ensure that there is evidence of the regular review of all Risk Assessments. Advice should be given to Service Users about all the choices they have in respect of the furniture and fittings in their bedrooms. Delos Community Ltd, 34 Park Road DS0000039663.V294495.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 Park Road DS0000039663.V294495.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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