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Archived: Dimensions Loddon House Good

Reports


Inspection carried out on 16 June 2015

During a routine inspection

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 carried out on 27 November 2013

During a routine inspection

We saw that staff established that people were happy to receive the support being offered, before it was provided. They showed a good understanding of people’s needs and communication methods.

Care plans were detailed and supported by individual risk assessments. Care documents were regularly reviewed. People had regular access to events and activities in the community and their healthcare needs were met.

Medication was managed on behalf of the people supported and records were kept of the medication given. Staff received medication training and the manager monitored their medication administration practice.

Records showed that the recruitment process for permanent staff was thorough and the required evidence was retained. There were no comparable records to demonstrate that the required checks had been completed by the employing agency, for agency staff. The manager addressed this during the inspection.

The provider had a system for surveying the views of people supported and their relatives. However, this did not provide information specific to the service. The people supported were unable to complete the survey but showed, through their body language and interactions with staff, that they were happy and got on well with them.

The provider had an audit system to monitor the home’s operation and the manager also maintained monitoring systems at local level.

Inspection carried out on 20 November 2012

During a routine inspection

We found that the relatives and representatives of the people supported were consulted about their needs. One relative told us a previous review had been scheduled specifically so a family member was able to attend. The likes and dislikes of individuals were included within their care plans. Where necessary, ‘best interests’ meetings had taken place to support decision making on behalf of individuals.

Each person had detailed care plans and other records of their needs, supported by relevant risk assessments. Appropriate advice and treatment had been sought from external healthcare specialists. People were encouraged to make day-to-day decisions about aspects of their lives, such as food, outings and activities, and to be involved in household routines.

Family members and representatives told us their relatives were safe and well cared for. They said they were kept informed by the staff about people’s welfare. One person said “he is happy there and they treat him well”. Another relative told us “we are very satisfied” with the support provided.

Staff received a programme of relevant training to enable them to meet people’s needs. They were supported through regular supervision and team meetings and had annual performance appraisals.

The provider and manager had effective systems in place to monitor the performance of the service. Opportunities were provided for family members and representatives to give their opinions about the quality of care and support.