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Archived: Dimensions The Laurels 3 Nine Mile Ride Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 29 February 2020

About the service

Dimensions - The Laurels is a care home without nursing which is registered to provide a service for up to six people with learning disabilities. Some people have other associated difficulties including, needing support with behaviours which could be distressing and/or harmful. There were four people living in the home on the day of the visit.

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 and what we found

The registered person did not always ensure the quality assurance system in place was used effectively to help oversee the service and ensure compliance with the fundamental standards. The registered person did not ensure the management of medicines was always safe. The registered person did not ensure effective recruitment processes were followed so that people were protected from staff being employed who were not suitable. The registered person did not ensure we were informed about events such allegations of abuse in a timely manner.

We have recommended that 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.

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

Relatives felt they could approach the management and staff with any concerns. However, they felt communication between them and the staff team and what was happening at the service could be improved. The staff members felt staffing levels were adequate most of the time. The manager appreciated staff’s contribution to ensure people received the best care and support. Staff felt the manager was managing the service well, and they were accessible and open with the staff members.

Staff had ongoing support via regular supervision and appraisals. They reportedly felt supported and maintained great team work.

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 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.

Relatives felt their family members were kept safe in the service. The 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 manager was working with the staff team to ensure caring and kind support was consis

Inspection areas

Safe

Requires improvement

Updated 29 February 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 29 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 29 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 29 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 29 February 2020

The service was not always well-led.

Details are in our well-led findings below.