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Inspection Summary


Overall summary & rating

Good

Updated 13 July 2019

About the service: Dimensions 7 School Drive is a home for people living with a learning disability. At the time of the inspection there were five people living at the home.

Services for people with learning disabilities and or autism are supported

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was small domestic style property. It was registered for the support of up to five people. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

People’s experience of using this service:

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

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People liked and were comfortable around staff who understood how to keep them safe. Staff knew the risks to people’s health which were also documented in people’s care plans. The registered provider had a centralised system for recruitment and checking the background of potential staff. Staff and relatives we spoke with told us staffing was sufficient. Staff had received training and undertook checks to ensure people received their medicines safely. Changes made to people’s care were shared with staff so staff understood how to support people.

People's care was based on best practice standards and staff had the correct training to meet people's needs. Guidance on people's care was also shared through supervision and staff meetings. People were offered choices at mealtimes and supported with a specialist diet where appropriate. People were supported to attend healthcare appointments and advice from healthcare professionals was incorporated into people's care.

People liked and responded warmly to staff who understood their individual needs and care requirements. Care staff communicated with people in ways that was appropriate for each person. Care staff treated people with dignity and kindness and respected their personal items and space.

People were encouraged to develop interests and take part in activities that they enjoyed. People’s care plans were reviewed and updated in line with changing needs and preferences. People and their families were encouraged to speak with the staff and management of the home to ensure people received the care they needed. A system was in place to investigating and responding to complaints.

The registered provider had not always checked that notifications for the approvals of a Deprivation of Liberty had been submitted to the CQC as required. When this was identified during the inspection, this was immediately addressed and no harm had come to people.

An action plan was in place and progress was being monitored by the registered provider to ensure people received the care they needed. The registered provider was also supporting a new manager that had taken up the post. Work with other partners was also ongoing and the manager was keen to develop further the links

Inspection areas

Safe

Good

Updated 13 July 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 13 July 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 13 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 13 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 13 July 2019

The service was not always well-led.

Details are in our well-Led findings below.