Background to this inspection
Updated
5 June 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
This inspection was completed by one adult social care inspector.
Service and service type:
This service supported people with learning disabilities and/or autism. The service was registered to support five people.
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, choice, control and independence. People receiving the service receive planned, and co-ordinated person-centred support that is appropriate and inclusive for them.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
This inspection was completed on 08 May 2019 and was unannounced.
What we did:
We did not request a Provider Information Return prior to the inspection, instead we gathered this information at the inspection. Providers are required if requested to send us information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We reviewed information we held about the service, for example, statutory notifications. A notification is information about important events which the provider is required to tell us about by law.
As people living at the service could not fully share their experiences with us, we spent time observing the care provided to them. Following the inspection, we spoke with two relatives and an advocate.
We also spoke to three care staff, the assistant locality manager and the registered manager.
We reviewed two people’s care plans and two staff files. We reviewed people’s medication records, staffing rosters and records related to the management of the service.
Updated
5 June 2019
About the service:
Dimensions 58 Church Lane East is a residential care home that was providing personal care to four people. The premises were a converted three storey domestic premises with access to above ground level by stairs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
People’s experience of using this service:
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, choice, control and independence. People receiving the service receive planned, and co-ordinated person-centred support that is appropriate and inclusive for them.
The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways:
A relative told us, "[Loved one] loves it there."
People were cared for safely by sufficient numbers of suitable staff who understood the risks for each person. People received their medicines from trained staff.
Staff ensured people’s care and support was planned and delivered in line with current legislation and best practice.
People were supported by staff who were appropriately supported in their role.
Staff ensured people were given choices about their food and drinks.
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 supported this practice.
People received kind and compassionate care from staff who cared about them and their welfare.
People benefited from positive relationships with staff, a number of whom had worked at the service for a long time.
Staff ensured people received responsive care, individualised to their needs and interests. Staff supported people to access a range of activities, of interest to them.
The service was well-led, and staff were motivated and clear about their roles and responsibilities.
The registered manager was working with staff to ensure they consistently recorded the temperature of the room and fridge where medicines were stored as required.
The registered manager took relevant action to ensure all staff followed the provider’s dress code regarding their nails.
Rating at last inspection:
At the last inspection the service was rated good (10 March 2017).
Why we inspected:
This was a planned inspection to check that this service remained good.
Follow up:
We did not identify any concerns at this inspection. We will therefore re-inspect this service within the published timeframe for services rated good. We will continue to monitor the service through the information we receive.