Dimensions 87 Hazel Avenue

Updated 9 October 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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Dimensions 87 Hazel Avenue is a care home for up to five people who require personal care. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

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:

The inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with three relatives about the care their loved ones received. We spoke with three members of staff and the registered manager. Due to the people living in the home being unable to speak with us we used observations of care provided to them.

We reviewed a range of records. This included three people's care records and medication records. We

looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the

management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 9 October 2019

About the service

Dimensions 87 Hazel Avenue is a residential care home providing personal care for five people at the time of inspection who were living with a learning disability or/and autism. The service can support up to five people.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

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’s experience of using this service and what we found

People received a service that was safe, effective, caring, responsive and well led.

Systems were in place to keep people safe from the risk of harm and abuse. People's needs were met by suitable numbers of staff who knew them well. People received their medicines as prescribed and were protected from the risk of infection.

People using the service received planned person-centred care and support that was appropriate and inclusive for them. The service worked closely with other health professionals to ensure people's health needs were met.

People were treated with kindness and respect and staff spoke fondly about them. People's privacy and dignity were respected, and they received personalised care which was responsive to their individual needs.

People had support plans in place which covered a range of information about them, their life histories, preferences, likes and dislikes and their support needs. The provider sought feedback from people’s families to improve the service.

The registered manager had a sound overview of the service and had effective systems in place to monitor safety and quality.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 10 March 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.