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Dimensions Brambletye New Mill Road Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 29 April 2020

About the service

Dimensions - Brambletye is a residential care home which is registered to provide a service for up to five people with learning disabilities. Some people had other associated difficulties such as physical limitations or behaviours that may cause distress to themselves and/or others. The service was home to three people on the day of the visit. All accommodation is provided on one floor in a domestic sized dwelling.

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.

People’s experience of using this service

The registered person did not always ensure we were informed about events such allegations of abuse or serious injury in a timely manner.

There were quality assurance systems put in place to monitor the running of the service and the quality of the service being delivered. However, this did not always ensure all tasks were completed as part of the management of the service such as submitting notifications on time.

We have made a recommendation to seek advice and guidance on training that would support having competent assessors for medicine optimisation.

We have made a recommendation that future ongoing staff training be updated in line with the latest best practice guidelines for social care staff.

We have made a recommendation the registered person ensured they recorded and kept a copy of actions taken as required in the Duty of Candour regulation when a notifiable safety incident occurred.

Relatives told us they could approach the management and staff with any concerns. We passed their feedback and queries to the registered manager and he provided prompt response with actions taken.

The staff members felt staffing levels were sufficient to allow them to carry out their role safely and effectively. The registered manager appreciated staff’s input to ensure people received the best care and support. Staff felt the registered manager was managing the service well, and they were accessible, approachable and open with the staff members. Staff had ongoing support via supervisions and annual appraisals. They reported they felt supported by the registered manager and maintained great team work.

Relatives felt their family members were kept safe in the service. The registered manager and staff understood their responsibilities to raise concerns. Risks to people’s personal safety had been assessed and plans were in place to minimise those risks. There were contingency plans in place to respond to emergencies and the premises and equipment were kept clean.

People received effective care and support from staff who knew them well. People enjoyed the food and could choose what they ate and where to eat. People had their healthcare needs identified and were able to access healthcare professionals such as their GP.

The registered manager worked with the staff team to ensure caring and kind support was consistent. People and their families were involved in the planning of care. The staff team recognised, responded to changes in risks to people and ensured a timely response and appropriate action was taken. People were encouraged to live a fulfilled life with activities of their choice and were supported to keep in contact with their families.

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

Inspection areas

Safe

Good

Updated 29 April 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 29 April 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 29 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 29 April 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 29 April 2020

The service was not always well-led.

Details are in our well-led findings below.