Inspection on 19/09/07 for Delos Community Ltd, 34 Park Road

This inspection was carried out on 19th September 2007.

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 17/11/05

Delos Community Ltd, 34 Park Road 19/06/05

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

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

Similar services:

Hillside

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Jubilee Villa Care Home

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Beech Lodge

8 Thorndale Road (Homefield College)

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 Sarah Jenkins Unannounced Inspection 19th September 2007 07:40 Delos Community Ltd, 34 Park Road DS0000039663.V342027.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.V342027.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.V342027.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 mikebrennan@delos.org.uk www.delos.org.uk Delos Community Limited 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) 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.V342027.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 19th June 2006 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 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 en-suite facilities. The range of fees is £500- £1380 per week. This was confirmed at the inspection by the Registered Manager. The fee is all inclusive and there are no extra charges. Further information about the home, including the most recent inspection report can be obtained from the Registered Manager. Delos Community Ltd, 34 Park Road DS0000039663.V342027.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 meeting with the two service users who were at home, and tracking the care they receive through a review of their records, discussions with the care staff and observation of care practices. The Inspector visited during the early morning 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. Two members were away from the home at the time of the Inspectors visit. The Inspector spent two and a half hours in the home, and has recently spent time in the Delos Central offices reviewing centrally held records and Quality Audit processes. Three comment cards were received from members and one from a relative, and the comments on these were taken into account as part of the overall assessment of the home. What the service does well: What has improved since the last inspection? Delos Community Ltd, 34 Park Road DS0000039663.V342027.R01.S.doc Version 5.2 Page 6 A previous recommendation that risk assessment should be updated regularly has been met. The Inspector noted that both care plans and risk assessments had all been appropriately updated. The Registered Manager and staff continue to look at what parts of the service can be developed and improved, and this commitment to good quality is evident in a number of areas. For example the Registered Manager is currently reviewing the Quality Audit system and revising members questionnaires to ensure a fuller more “in depth” survey. Staff training and supervision are recognized as important areas of development, which improve the quality of care. 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. The summary of this inspection report can be made available in other formats on request. Delos Community Ltd, 34 Park Road DS0000039663.V342027.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.V342027.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. 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 discussion with the Registered Manager and a review of the information, which is collected and evaluated pre-admission, demonstrates a professional and effective assessment process. Arrangements for preadmission visits to the home are fully flexible according to need, and the professionalism of the process leads to a gradual introduction to the home for new members, and good outcomes for all concerned. Policies and procedures support effective communication from the outset and the Service Users Guide, recently updated, is enhanced by illustration. Delos Community Ltd, 34 Park Road DS0000039663.V342027.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9, Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Members can be confident that their feelings, needs and choices are recognized as central to the care planning process and that they will be treated with respect and properly involved in the running of the home. Information on members care plans is excellent, being sufficiently detailed in all areas to protect members rights, promote best practice and ensure consistency of care. EVIDENCE: Members expressed content with the service that they receive from the home and said that they were very happy. Staff felt that members’ quality of life was exceptionally good and that members were fully supported in everything that they wished to do. Care plans were detailed in all relevant areas, prioritizing members’ views and choices and promoting best practice. They were reviewed regularly with the members, and information was made available in user friendly formats. The Delos Community Ltd, 34 Park Road DS0000039663.V342027.R01.S.doc Version 5.2 Page 10 clarity of, and easy access to the information on files enables staff to access relevant information easily. Care files and personal information are stored securely and improvements have been initiated by the Registered Manager to make this storage more discreet, thereby enhancing the homeliness of the area. Members are involved in decision-making during the weekly house meetings and were also seen to approach staff confidently to assert their needs. It was clear from observation that members felt fully confident in their environment and were able to make choices (what to do, what to eat for breakfast) without any need to refer to staff for approval or guidance. Delos Community Ltd, 34 Park Road DS0000039663.V342027.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17, Quality in this outcome area is excellent. 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. Members are very happy with their various lifestyles, which are active and stimulating, and they are fully supported by staff in achieving this. EVIDENCE: Discussions with members and staff and evidence in records showed the full and active lifestyles enjoyed by members. Members were seen to partake of the activities of their choice at the time of the inspection. They participate fully in the local community and their active lifestyles include work placements, daytrips and/or holidays according to their choices. Delos Community Ltd, 34 Park Road DS0000039663.V342027.R01.S.doc Version 5.2 Page 12 Members are part of the local community, visiting the local facilities, which are conveniently close, and can also share activities with their friends who are members in other homes owned by the organization. Members are encouraged to maintain and develop good relationships based on mutual respect and consideration. There was evidence in records of the ways in which members are fully supported to maintain contact with families and entertain their guests. 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. One member was seen to be enjoying and benefiting from the comfort of caring for the cat. 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. Members’ individual needs in respect of their diets are fully recognized and respected. For example healthy eating and lifestyle habits are promoted for members, and vegetarian food is provided as needed. The inspector’s observations, records and discussions with the staff confirmed the evident good practice and the excellent outcomes for members in this area. Delos Community Ltd, 34 Park Road DS0000039663.V342027.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. 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’ individual 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. The Inspector observed the early morning routine at the home and noted that staff were fully aware of members preferred routines as identified in the care plans and were meeting these preferences. From discussion with staff and from records it was apparent that service users healthcare needs are observed and responded to appropriately, and members are supported to access healthcare professionals. Delos Community Ltd, 34 Park Road DS0000039663.V342027.R01.S.doc Version 5.2 Page 14 The Inspector discussed with the Registered Manager the very difficult judgements relating to the balance between promoting members rights to choice and privacy with regard to their healthcare, and maintaining an overview in accordance with the duty of care in a registered care home. The Inspectors judgement was that in the main this balance is well maintained at the home but potential risk areas were identified which breech best practice and the Registered Manager agreed to review and improve these areas. The medication system was well managed and the staff member administering medications at the time of the inspection had had the appropriate training, and was seen to be undertaking this duty in accordance with the homes procedures. The Registered Manager is currently reviewing the medication records with a view to simplifying the filing of and access to information. Delos Community Ltd, 34 Park Road DS0000039663.V342027.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Staff were aware of abuse issues and informed the Inspector that they are due to receive their update training on this in December. The Registered Manager said that no formal complaints have been received by the home since the last Inspection. Most concerns and complaints are dealt with at very early stages through the members meetings, which are supported by staff. The Commission for Social Care Inspection have not received any complaints about the home since the last inspection. 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. Delos Community Ltd, 34 Park Road DS0000039663.V342027.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 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 communal areas of the home were seen to be comfortable, homely and clean. There is a pleasant garden area, which is being developed by a staff member, alongside members to enable them to grow some of their own vegetables and herbs. The Registered Manager confirmed that the overview and response to all maintenance issues at the home was good. This was recently inspected in relation to another home in the group at Delos central office with the staff member responsible for all the homes maintenance. Delos Community Ltd, 34 Park Road DS0000039663.V342027.R01.S.doc Version 5.2 Page 17 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. 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. Staff are caring and appropriately knowledgeable and members can be confident that their life at the home will be well supported by people who have their best interests at heart. EVIDENCE: Members told the Inspector that all staff, without exception were nice and helpful. Relations between members and the staff members on duty were seen to be working positively to promote members’ welfare and independence. The Inspector reviewed the staff training records recently at the Delos central office and found that training is undertaken appropriately. Discussions with staff on duty at the time of the inspection did not identify any training shortfalls. Recruitment processes are full and thorough and records evidenced this. The staff members on duty at the time of the inspection felt well supported by the training and supervision and management support at the home. Delos Community Ltd, 34 Park Road DS0000039663.V342027.R01.S.doc Version 5.2 Page 18 Staff members each meet with the Registered Manager once a week for supervision, which covers issues directly relating to the work with members, and a range of relevant developmental areas. The Registered Manager described an effective and thorough supervision process. The staff member interviewed also showed confidence in the robust “on call” system whereby staff can be called to the home at short notice, and a manager of the organization is always available. Delos Community Ltd, 34 Park Road DS0000039663.V342027.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall the management of the home reaches a high Standard. The Registered Manager is well supported by the organization, which has well-organized systems, checks and Quality Audit. EVIDENCE: The Registered Manager has much relevant experience and training and continues to welcome developmental opportunities and involve himself in professional projects. 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.V342027.R01.S.doc Version 5.2 Page 20 It was evident from discussion with the staff and members that the management of the home is being effectively undertaken, and that there is full confidence in the Registered Manager. Policies and procedures of the organization demonstrate that positive outcomes for members are the focus of the service, and that the principles of good care are adhered to. Health and Safety is properly promoted. There are good systems and records to show the overview of premises issues, and staff files are well organized with the relevant information easily accessible. (These are held at the head office) The balance of members’ rights against the duty of care should be explored further and admission contracts in certain areas could be developed in relation to this. Delos Community Ltd, 34 Park Road DS0000039663.V342027.R01.S.doc Version 5.2 Page 21 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 x 3 x LIFESTYLES Standard No Score 11 3 12 4 13 3 14 x 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 3 x x 2 x Delos Community Ltd, 34 Park Road DS0000039663.V342027.R01.S.doc Version 5.2 Page 22 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. Refer to Standard YA20 YA42 Good Practice Recommendations The balance of members’ rights for independence and privacy, against the duty of care should be explored further. Consideration should be given to admission contracts being developed in relation to healthcare and medication to support best practice. Delos Community Ltd, 34 Park Road DS0000039663.V342027.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V342027.R01.S.doc Version 5.2 Page 24 - 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. 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