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Dimensions 149 Ash Street Good

Inspection Summary

Overall summary & rating


Updated 7 September 2019

About the service

Dimensions 149 Ash Street is a residential care home providing personal care and accommodation for up to five adults living with a learning disability and/or autism.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support (RRS) 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 is a large home in a suburban street, similar to other large residential properties in the area. Five people were using the service, all of them had lived there for between five and twenty-five years.

The outcomes for people using the service reflected the principles and values of RRS by promoting their 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. They were encouraged to do activities both in the home and in the community. This included following hobbies and interests, social activities and activities associated with daily living including personal care and housework.

There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff did not wear anything that suggested they were care staff when coming and going with people.

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 Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the deputy manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.

People’s experience of using this service and what we found

The five people at Dimensions 149 Ash Street had all lived there for over five years and were clearly happy and comfortable in the service. Families said their relatives were well cared for. Relatives said they were very happy they were involved by staff whenever necessary and were free to visit when they wanted. Relatives said they were always welcomed by staff, most of whom they knew well. They also said they had never had to complain but would feel able to talk to the registered manager or senior staff if they had a concern. Comments from relatives included “The staff at 149 are brilliant…. we could not ask for more” and “They support her very well and are very caring… would hate [person] to move, they know [person] so well and manage [long-term condition] well.”

People were supported by caring and compassionate staff, who knew them well and supported each person to do things they wanted in the home and in the local community. Care plans contained up-to-date assessments of people’s risks, needs and preferences. They guided staff on how the person’s care shoul

Inspection areas



Updated 7 September 2019

The service was safe.

Details are in our safe findings below.



Updated 7 September 2019

The service was effective.

Details are in our effective findings below



Updated 7 September 2019

The service was caring.

Details are in our caring findings below.



Updated 7 September 2019

The service was responsive.

Details are in our responsive findings below.



Updated 7 September 2019

The service was well-led.

Details are in our well-Led findings below.