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Inspection Summary


Overall summary & rating

Good

Updated 4 January 2018

We inspected Dimensions 40 Cody Road on 29 November 2017. The inspection was unannounced. At the last inspection in March 2016 the service was rated Good. At this inspection we found the service remained Good. Dimensions 40 Cody Road is a ‘care home’ for people with learning disabilities. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Dimensions 40 Cody Road accommodates up to five people.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People who used the service were safe. The service had suitable policies and procedures about safeguarding. Staff had received suitable training about how to recognise and deal with any incidences of suspected abuse.

People had suitable risk assessments to assist in protecting them from harm. These were reviewed regularly. Restrictions at the service were kept to a minimum. The staff team had satisfactory understanding of the Mental Capacity Act 2005 and associated Deprivation of Liberty Safeguards. Where necessary suitable action had been taken to safeguard people’s rights so they were not inappropriately restricted.

Overall we judged there were enough staff on duty. However we have made a recommendation that staffing levels are reviewed to enable people to have more one to one support and activities.

Suitable staff recruitment procedures were in place. Satisfactory checks such as references were obtained for new staff. Staff received appropriate training such as about health and safety, medicines management, and infection control.

The service had suitable medicines management systems, and these were operated appropriately. For example administration records were suitably kept, and medicines were stored securely.

The home was kept clean, and was well maintained. The building was appropriately adapted to meet people’s needs. Health and safety checks (for example to check the fire system was working) were regularly completed and suitable records were kept.

There were suitable policies and procedures to assess people before they moved into the service. Comprehensive care planning systems were also in place and care plans were reviewed regularly.

People had enough food to eat, and were involved in shopping and preparing food. When people needed assistance with eating, or help with special diets, staff provided appropriate support.

The service had good links with external professionals such as GP’s, social workers, and speech and language therapists. People received necessary support from these services when they needed help. Appropriate records were kept of any appointments people attended.

Staff were seen as caring and respectful. The care we observed was professional and supportive. Staff did not appear overly rushed, responded to people quickly if they needed support, and seemed kind and friendly.

People had the opportunity to participate in activities such as music, and going on social outings. People also had access to day services.

The service had a suitable complaints procedure. Relatives we spoke with said they felt staff and management were approachable, would deal with any concerns appropriately, and did not feel they would face any repercussions if they made a complaint.

Management were viewed positively. The organisation had a clear management structure and there were clear lines of accountability. Staff said they worked well as a team. There were regular staff meetings, and senior staff were regularly present to give guidance and support. There were suitable policies and p

Inspection areas

Safe

Good

Updated 4 January 2018

The service was safe.

The service had suitable policies and procedures to deal with any concerns where there was suspected abuse.

Overall we judged there were satisfactory staffing levels although we have made a recommendation that staffing levels are reviewed to enable people to have more one to one support and activities.

The medicines system operated well, and people received their medicines on time.

Effective

Good

Updated 4 January 2018

The service was effective.

Staff received suitable induction and training so they had the right skills and knowledge to do their jobs.

People received enough to eat, and received good support if they needed help to eat and drink.

People received good support to meet their health care needs. The service had well developed links with external professionals such as GP’s and social workers.

Caring

Good

Updated 4 January 2018

The service was caring.

Staff were observed as kind and supportive. Staff took time to provide people with the help they needed, and involved people in their support as much as possible.

People had comprehensive care plans and these were reviewed regularly.

Relatives said they could visit at any time and they always felt welcome.

Responsive

Good

Updated 4 January 2018

The service was responsive.

People had the opportunity to join in with a range of activities such as baking, trips and meals out.

The service had a suitable complaints procedure. Relatives said they could approach staff and management, and any concerns would be resolved effectively

Well-led

Good

Updated 4 January 2018

The service was well led.

The registered manager was aware of their legal responsibilities and managed the service to a good standard.

Staff said they worked well together as a team. There were suitable systems in place to ensure effective communication and the sharing of tasks which needed to be completed.

The service had a suitable approach to quality assurance to ensure it was effectively run, and where necessary improvements were made.