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Archived: Dimensions Derby Domiciliary Care Office Good

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 9 November 2016

We inspected this service on 21 October 2016. This inspection was announced. This meant the provider and staff knew we would be visiting the service’s office before we arrived. This was the first inspection since the provider’s registration on the 13 March 2014. This service supports adults with a learning disability to live in the community. Some of the accommodation was within a supported living setting, other support was provided to people living with their family or alone. There were 14 people in receipt of personal care at the time of this inspection visit.

The service had 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 were protected from the risk of harm because identified risks were managed safely. The provider had completed safe recruitment practices. The staff understood what constituted abuse or poor practice and people were supported to take their medicines as needed. People were supported by staff that received the training and support they needed to develop their skills. Staff felt listened to and were happy to raise concerns.

People were supported by a consistent staff team that knew them well and promoted their independence People were supported to make their own decisions because staff understood people’s preferred communication method. When people were unable to consent they were supported in their best interest.

The delivery of care was tailored to meet people’s individual needs and preferences. People’s needs were assessed and support plans where developed with them so that they could be supported in their preferred way. People were supported to maintain a diet that met their dietary requirements and preferences and were supported to use healthcare services. People were enabled to develop and maintain hobbies, interests and employment within the local community to promote equality and integration.

People knew how to complain and information was provided to them in an accessible format to support their understanding. There were processes in place for people to express their views and opinions about the service provided and to raise any concerns they had. Quality monitoring checks were completed by the provider and when needed action was taken to make improvements. The provider sought the opinions from people who used the service to bring about change. People knew who the registered manager was and they understood their responsibilities around registration with us. Staff felt listed to and were happy to raise concerns.

Inspection areas

Safe

Good

Updated 9 November 2016

The service was safe.

People were supported to keep safe, take their medicines as prescribed and risks to their health and welfare were assessed. Where actions were needed to minimise risks, this was documented in people’s care plans and implemented. People were supported by staff that were suitable to work with them and their needs and preferences were met as there was enough staff available to them.

Effective

Good

Updated 9 November 2016

The service was effective.

People were supported by staff in their best interests when they were unable to make decisions independently. Staff were skilled, confident and equipped to fulfil their role, because they received the right training. People were supported to eat and drink enough to maintain their nutritional needs. Individual’s health was monitored to ensure any changing needs were met.

Caring

Good

Updated 9 November 2016

The service was caring.

There was a positive relationship between the people that used the service and the staff that supported them. People liked the staff and the staff knew them well and understood their likes, dislikes and preferences. People were supported in their preferred way to promote their independence and autonomy. People were supported to maintain their privacy and dignity and to maintain relationships with their relatives and friends.

Responsive

Good

Updated 9 November 2016

The service was responsive.

People’s individual needs and preferences were central to the planning and delivery of the support they received. Staffed worked in partnership with people to ensure they were involved in discussions about how they were supported. The complaints policy was accessible to people and they were supported to raise any concerns.

Well-led

Good

Updated 9 November 2016

The service was well led.

People were encouraged to share their opinion about the quality of the service to enable the provider to identify where improvements were needed. Staff understood their roles and responsibilities and were given guidance and support by the management team. Systems were in place to monitor the quality of the service provided and drive improvements.