Inspection on 16/01/07 for Delos Community Ltd, 7 Poplar Street

This inspection was carried out on 16th January 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, 7 Poplar... 20/05/09

Delos Community Ltd, 7 Poplar... 27/10/08

Delos Community Ltd, 7 Poplar... 27/06/08

Delos Community Ltd, 7 Poplar... 29/11/05

Delos Community Ltd, 7 Poplar... 08/02/05

Delos Community Ltd, 7 Poplar... 24/06/04

Delos Community Ltd, 7 Poplar... 08/01/04

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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, 7 Poplar Street Willowtree House 7 Poplar Street Wellingborough Northants NN8 4PL Lead Inspector Ms Sarah Jenkins Key Unannounced Inspection 16th January 2007 07:45 Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.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, 7 Poplar Street DS0000039660.V323989.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, 7 Poplar Street DS0000039660.V323989.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Delos Community Ltd, 7 Poplar Street Address Willowtree House 7 Poplar Street Wellingborough Northants NN8 4PL 01933 222452 01933 276208 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 Christopher James Hunt Care Home 9 Category(ies) of Learning disability (9), Learning disability over registration, with number 65 years of age (9), Mental disorder, excluding of places learning disability or dementia (9) Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home may only admit service user age 40 - 65 years No person falling within the category MD may be admitted to the home unless that person also fall within category LD - I.e. dual disability The home may continue to provide care to existing service users who reach the age of 65 and therefore fall within registration category LD (E) 29th November 2005 Date of last inspection Brief Description of the Service: 7 Poplar Street is situated in a residential area close to the town centre of Wellingborough. The home is also known as Willowtree House 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 nine members whose primary care need is due to having a learning disability, but who may also have mental health problems. The environment is that of a family house. The range of fees at the home is currently £637-£735 per week. Details about the home in the form of the Statement of Purpose and Service Users Guide, some of which are in user-friendly format, can be obtained from the Registered Manager. Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.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 3 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. Service users are referred to as members. Members have Learning disabilities, and may have additional mental health needs, but most current members were able to communicate effectively with the Inspector. The Inspector also undertook observations of care practice, and members’ relationships with staff to establish their levels of contentment with their lifestyles and routines. The Inspector spent over six and a half hours at the home. Some records are stored at the organization’s central offices, but it was not convenient to visit these offices on this occasion as staff training was taking place. The Inspector has visited central offices on previous occasions during the year and found that the organization functions professionally, and with due regard to the wellbeing of Members and the upkeep and audit of appropriate systems and records. Since the last inspection five comment cards were received from members, three from relatives and two from health care professionals. Comment cards consistently reflected generally positive views of the home. What the service does well: The atmosphere of the home is calm and nurturing, and conducive to members’ happiness and wellbeing. Members are complimentary about the care received. The communal rooms are decorated and furnished in a homely manner and give service users a variety of places in which to spend their time. A pleasant garden area is provided with a patio area where members have barbeques and meals outdoors in summer. Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.R01.S.doc Version 5.2 Page 6 Activities and daily routines are planned around the wishes and interests of the members. Two part-time support workers are employed to encourage social activities and involve individual service users in the wider community. 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. 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, 7 Poplar Street DS0000039660.V323989.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, 7 Poplar Street DS0000039660.V323989.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 procedures were discussed with the Registered Manager. These evidenced that a professional and sensitive process are followed regarding preadmission assessment and admission, which leads to good outcomes for members. Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.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 risk in pursuit of their independence. EVIDENCE: Members assessed and changing needs are known and understood by staff whose response is timely and appropriate. Members spoke positively about the care that they received and there was evidence through discussion and records that they are appropriately involved in their care plans. Members’ decisions about their lifestyles are discussed and risk assessed appropriately. The Registered Manager was advised of some shortfalls in the recording of the care plan and risk assessment reviews. Dates of reviews and any necessary update should be recorded. There was no evidence that outcomes for members had been compromised by this shortfall on this occasion. Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.R01.S.doc Version 5.2 Page 10 Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.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): 12,13,14,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Members are very happy with their various lifestyles. Activities and daily routines are planned around their wishes and interests. EVIDENCE: Two part-time support workers are employed to encourage social activities and involve individual service users in the wider community. The inspector discussed the duties of one of the support workers with the staff member concerned and learnt that she enables service users to access the town or local parks in summer, on a regular basis as this is what service users choose to do. Records of service users’ preferred hobbies and interests were seen in the files sampled. Several of the residents attend the day centre run by the company. Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.R01.S.doc Version 5.2 Page 12 Evidence of service users’ attendance at parties and places of local entertainment was seen and service users are escorted to church services of their preference where this is required. Service users spoke of their general satisfaction with their lifestyles. The home has vehicles available as transport for some activities, and members are enabled to go on holidays of their choice. Staff felt that service users activities in the home and in the local community met with service users wishes. As the homes population ages some prefer to rest quietly at home and this choice is fully respected. Service users are involved in the planning of the menu and stated that they enjoy the food at the home. Healthy eating is promoted, and properly balanced against members choices and wishes to eat out or have take away meals on occasions. Staff promote main mealtimes as a social occasion and eat with the members. Members were observed to be helping themselves to breakfasts of their choice at the time of the inspection. Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.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): 18,19,20,21 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: The Inspector observed that members’ personal and healthcare needs were being met at the time of the inspection with proper regard by staff for members’ privacy, comfort and dignity. Staff were observed to be sensitive to members choices, spoken and unspoken, and to their feelings. There are occasional shortfalls in the overview of consistent hygiene standards, for example teeth cleaning. Members are sometimes reluctant to respond to staff prompts where the care needed, as detailed in the care plan, is for staff to prompt or remind members regarding self-care. This was discussed with staff and with the Registered Manager who have agreed to review how this area can be overviewed and improved. Records demonstrated a good response to members needs. Community healthcare teams are appropriately accessed with or on behalf of members. Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.R01.S.doc Version 5.2 Page 14 Advice was given to the Registered Manager on the need for a District Nurse to assess the suitability of the bedsides in use for one member, and the need to consider an electronic hoist for the comfort of one member. Medication is well managed and members reported that they always got their medications on time. Records of this area are properly monitored by senior staff at the home. The home is able to deal with the areas of aging, illness and death and management and staff have has shown an ability to respond promptly, sensitively and effectively to these issues. Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.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 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 talk to the Manager about any problems and showed confidence that they would be listened to and taken seriously. There have been no recent complaints made to or about the home. It is the inspector’s judgement that the ethos of empowerment and the good listening skills of staff pre-empt any serious complaints. However the Registered Manager was advised of the need for staff to familiarize themselves with the formal complaints procedure. Staff have had training and have a good understanding of safeguarding vulnerable adults and “whistle blowing”. There is a prompt response to issues arising. Allegations are taken seriously, and due process followed. Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.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 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 communal rooms are decorated and furnished in a homely manner and give service users a variety of places in which to spend their time. A pleasant garden area is provided with a patio area where members have barbeques and meals outdoors in summer. The home was seen to be clean comfortable and well maintained throughout. Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,34,35 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 suitably trained and experienced staff. EVIDENCE: The Inspector did not review staff records at this inspection due to these being held at the central office which was being used for staff training on the day of the inspection. The evidence below is therefore based on observations and discussions. The Inspector met privately with both day and night staff on duty. Staff were seen to be competent and appropriately trained, and said that they felt well supported by the Registered Manager and by the organization in their duties. Staff showed sensitivity and understanding of members’ needs and an attitude of professionalism in their duties. Observations of their working practices showed that they had warmth and proper respect for members. A visiting relative who had been involved at the home for several years confirmed and supported these views of staff competence. Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.R01.S.doc Version 5.2 Page 18 Recruitment processes were discussed with a recently appointed staff member who described the thorough and professional process and checks undertaken by the organization, and good interview techniques. The Organization has an ongoing programme of training for staff that enables them to follow up their own training interests as well as undertake coretraining courses. The Registered Manager was advised of the shortfall in training in respect of Standard 42.2, there not being a current first aider on every shift. The difficulties of ensuring this when he makes up the rota were also discussed as staff training records are held centrally. Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.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 at least once during a 12 month period. 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. Management of the home is effective and responsive and members thereby benefit from a well-run service. EVIDENCE: It was evident from discussion with the staff and members that the management of the home is being effectively undertaken. A member expressed confidence that members’ views were included in the running of the home. 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. Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.R01.S.doc Version 5.2 Page 20 Records are very well organized and it is easy for new staff to access relevant and important information. Policies were not reveiwed at this inspection, but staff showed that they knew where they were and could access them freely. Health and Safety is generally properly promoted. The Inspector advised on some matters for example, bedsides, a slightly loose stair carpet, and the safety of the a free standing radiator, and is confident that the Registered Manager will follow these issues up effectively as discussed. See also “Staffing” re Standard 42. Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.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 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 4 3 x 3 x x 2 x Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.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. 2 3 Refer to Standard YA19 YA19 YA42 Good Practice Recommendations The appropriateness of the hoisting equipment should be re-assessed to ensure the daily needs, comfort and routines of one specific service user can be met. The bedsides in use for a service user should be properly assessed and recorded as suitable and appropriate for the service user, by the District Nurse A qualified First Aider should be on duty in the home at all times. Delos Community Ltd, 7 Poplar Street DS0000039660.V323989.R01.S.doc Version 5.2 Page 23 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, 7 Poplar Street DS0000039660.V323989.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. 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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