Archived: Delos Pyramid

Updated 8 July 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 14 & 18 May 2015 and was announced. 48 hours’ notice of the inspection was given because the manager is often out of the office visiting people in their own homes and we needed to make sure they would be available.

The inspection was carried out by one inspector. Following the inspection an expert by experience carried out telephone calls to people who used the service, their relatives and staff. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of service.

Before the inspection the provider completed a Provider Information return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We checked the information we held about the service and the service provider and spoke with the local authority. The service met the regulations we inspected against at their last inspection which took place on 28 November 2013.

During our inspection we spoke with four people and the relatives of one person who used the service. We also spoke with the registered manager, the community service manager and three staff.

We reviewed three care records, two medication records, six staff files and records relating to the management of the service, such as quality audits.

Updated 8 July 2015

This inspection took place 14 & 18 May 2015 and was announced.

Delos Pyramid provides personal care and support to people living in their own homes in the Wellingborough area. It is part of Delos Community Limited, which also provides care homes and day centre services within the area. At the time of our visit 101 people were receiving a service from Delos Pyramid with 9 of those people receiving personal care and the others receiving social support. Our visit focused on the people receiving personal care.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People felt safe using the service. It was evident from talking with staff that they were aware of what they considered to be abuse and how to report this.

Staff knew how to use risk assessments to keep people safe alongside supporting them to be as independent as possible.

There were sufficient staff, with the correct skill mix, to support people with their needs.

Recruitment processes were robust. New staff had undertaken the provider’s induction programme and training to allow them to support people confidently.

Medicines were stored, administered and handled safely.

Staff were knowledgeable about the needs of individual people they supported. People were supported to make choices around their care and daily lives.

Staff had attended a variety of training to ensure they were able to provide care based on current practice when assisting people.

Staff always gained consent before supporting people.

There were policies and procedures in place in relation to the Mental Capacity Act and Deprivation of Liberty Safeguards. Staff knew how to use them to protect people who were unable to make decisions for themselves.

People were able to make choices about the food and drink they had, and staff gave support when required.

People had access to a variety of health care professionals if required to make sure they received ongoing treatment and care.

People were treated with kindness and compassion by the staff.

People and their relatives were involved in making decisions and planning their care, and their views were listened to and acted upon.

Staff treated people with dignity and respect.

There was a complaints procedure in place which had been used effectively.

People were complimentary about the registered manager and staff. It was obvious from our conversations that staff, people who used the service and the registered manager had good relationships.

We saw that effective quality monitoring systems were in place. A variety of audits were carried out and used to drive improvements.