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Dimensions Hampshire Domiciliary Care Office Good

Inspection Summary


Overall summary & rating

Good

Updated 16 June 2018

The inspection took place on the 17, 19 and 23 April and was announced. This was to ensure people, staff and relatives we needed to speak to would be available.

Dimensions Hampshire Domiciliary Care Office provides personal care and support for people living in their own homes across the county of Hampshire. This included supported living housing arrangements, with shared tenancies and sometimes 24 hour care support. At the time of our inspection, the service supported 124 people with personal care

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The provider had shared concerns with the CQC regarding allegations of abuse of people by staff. These had been reported to the local authority by the provider and investigated by the provider and local authority. The staff responsible for the abuse had been immediately removed from the service. We visited people and inspected the service to ensure that these actions had been carried out. The provider had taken prompt action in response to safeguarding concerns and had implemented an action plan to ensure people’s safety and protect them from further abuse.

People were protected from harm or abuse from appropriately trained staff who used the providers’ robust reporting systems. Risks to people were assessed and managed safely by appropriately trained staff. People were supported to access their preferred activities, develop skills and have maximum control and choice in their lives so that their independence was promoted and their freedom respected. Sufficient numbers of staff were deployed to meet people’s needs and there were safe practices in place to ensure that people received medicines safely.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

People were supported according to their needs, choices and preferences by appropriately trained staff. Most care plans and risk assessments were regularly reviewed and updated. We found some examples of care plans which had not been reviewed on the specified dates. We raised this with the provider who then made arrangements to complete the reviews. Care plans accurately reflected people’s needs. Staff liaised effectively with healthcare professionals to support people’s health and wellbeing.

People received consistent support from caring staff who knew them well and treated them with respect. Staff encouraged and supported people to be involved in making decisions about their care.

People received personalised support which met their needs and preferences and developed their abilities. The provider had a complaints policy and people were supported to express their views. Arrangements were in place to provide care and support for people nearing the end of their lives. Assessments were recorded in people’s care plans.

The provider demonstrated an inclusive, person centred approach to delivering care which was understood and shared by staff. Effective systems were in place for monitoring the quality of care provided. Audits were used to identify improvements and drive service development. Feedback was regularly gathered from people and their relatives and used to drive service improvements.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 16 June 2018

The service remains Good.

Effective

Good

Updated 16 June 2018

The service remains Good.

Caring

Good

Updated 16 June 2018

The service remains Good.

Responsive

Good

Updated 16 June 2018

The service remains Good.

Well-led

Good

Updated 16 June 2018

The service remains Good.