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Archived: Dimensions Loddon House Good

Inspection Summary


Overall summary & rating

Good

Updated 20 July 2015

This was an unannounced inspection which took place on 16 June 2015.

Dimensions- Loddon House is registered to provide care for up to four people. The home provides a service for people with learning and associated behavioural and physical disabilities. There were three people living in the service on the day of the visit. The service had ground and first floor accommodation. The bedrooms do not have en-suite facilities.

There is a registered manager running the service. 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 were kept as safe as possible. Care workers were trained in and understood how to protect people in their care from harm or abuse. Individual and general risks to people were identified and managed appropriately. The home had a stable staff group who had built strong relationships with people who lived there. Staff members had an in-depth knowledge of people and their needs. The staff team were well supported by the registered manager and other senior staff to ensure they were able to offer appropriate, safe care to people.

People were supported and encouraged to look after their health. Care staff were skilled in using people’s individual communication methods and in helping them to make as many decisions for themselves as they could. People were supported to be as independent as they were able to be, as safely as possible.

Peoples’ rights were recognised and maintained. The service understood the relevance of the Mental Capacity Act 2005, Deprivation of Liberty Safeguards (DoLS) and consent issues which related to the people in their care. The Mental Capacity Act 2005 legislation provides a legal framework that sets out how to act to support people who do not have capacity to make a specific decision. DoLS provide a lawful way to deprive someone of their liberty, provided it is in their own best interests or is necessary to keep them from harm. Appropriate DoLS applications were made to the local authority.

People were offered support by caring, kind and patient staff. Staffing ratios meant that people’s needs were met and their requests for help or attention were responded to quickly. People were given the opportunity to participate in a variety of individualised activities which they chose and enjoyed. Care staff understood how to maintain and promote people’s privacy and dignity and respected them at all times. The individualised care planning ensured people’s equality and diversity was respected.

Care staff told us the home was well managed and had an open and positive culture. The registered manager was approachable and staff were confident to discuss any issues with her. The registered manager and staff team made sure that the quality of the service they offered was always maintained and improved when possible.

Inspection areas

Safe

Good

Updated 20 July 2015

The service is safe.

People were protected from abuse or harm by staff who had received appropriate training and knew people well.

Risks to people, staff or other visitors were identified and action was taken to make sure people were kept as safe as possible.

People were given their medicines safely. They were given the right amount at the right times.

People were given safe care because there were enough staff to meet their needs safely.

Effective

Good

Updated 20 July 2015

The service is effective.

People made as many choices and decisions for themselves as they could. Staff understood consent and mental capacity. They made sure people’s rights were always considered and maintained.

People’s individual health and care needs were met in the best way possible, because staff were properly trained.

The service was ‘homely’ and comfortable and reflected people’s tastes and choices.

Caring

Good

Updated 20 July 2015

The service is caring.

People were treated with respect and dignity at all times. Their different needs were recognised and respected. Staff were kind, patient and caring.

People’s individual methods of communication were clearly recorded, understood and used by staff to explain what was happening, why and when.

People who did not have family or friends involvement were provided with someone who could make sure they were properly cared for.

Responsive

Good

Updated 20 July 2015

The service is responsive

People’s needs were responded to quickly by staff members.

People’s care was given in the way they preferred and that met their individual needs.

The service worked closely with other professionals, asked them for advice and listened to them.

Staff knew how to interpret people’s behaviours which showed if they were concerned or distressed.

The service‘s complaints procedure was detailed and clearly told staff how to respond to any complaints or concerns.

Well-led

Good

Updated 20 July 2015

The service is well-led.

Staff told us that the registered manager and senior staff team were approachable and open. They said they were confident to discuss any issues with senior staff.

The service regularly checked it was giving good care. The manager and staff maintained and improved the quality of care whenever possible.