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Inspection Summary


Overall summary & rating

Good

Updated 18 November 2017

Dimensions 1 Michigan Way is located in a residential area and provides accommodation, care and support to a maximum of five people with a learning disability. The service provides support to mainly older adults.

This inspection took place on 19 September 2017 and was unannounced. There were five people living in the home.

The service had a registered manager in post. A registered manager is a person who has registered with 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.

There was a friendly atmosphere in the home and staff supported people in a kind and caring way that took account of their individual needs and preferences.

Staff understood how to identify, report and manage any concerns related to people’s safety and welfare. There were systems and processes in place to protect people from harm, while promoting their independence.

Safe recruitment practices were followed and appropriate checks had been undertaken, which made sure only suitable staff were employed to care for people in the home.

There were suitable systems in place to ensure the safe storage and administration of medicines. Medicines were administered by staff who had received appropriate training and competency assessments.

People were supported by staff who had received an induction into the home and appropriate training, professional development and supervision to enable them to meet people’s individual needs.

Staff followed legislation designed to protect people’s rights and ensure decisions were the least restrictive and made in their best interests.

People were supported to eat and drink enough to meet their needs and to make informed choices about what they ate.

People and their relatives or representatives were involved in planning the care and support provided by the service. Staff listened to people and understood and respected their needs and wishes.

The service was responsive to people’s needs and there were systems in place to help ensure any concerns or complaints were responded to appropriately. Healthcare professionals were involved in people’s care when necessary.

The provider and the registered manager were promoting an open and inclusive culture and continued to look for ways to improve the service. There was a range of systems in place to assess and monitor the quality and safety of the service and to help ensure people were receiving appropriate support.

Inspection areas

Safe

Good

Updated 18 November 2017

The service was safe.

People were protected from the risk of harm or abuse because staff understood their responsibilities.

Risks to people’s individual health and wellbeing were identified and care was planned to minimise the risks.

There were sufficient numbers of staff to meet people’s needs. The provider checked staff’s suitability for their role before they started working at the home.

Medicines were stored, administered and managed safely.

Effective

Good

Updated 18 November 2017

The service was effective.

People were cared for and supported by staff who received relevant training and supervision.

The service followed legislation designed to protect people’s rights and ensure decisions were the least restrictive and made in their best interests.

People’s nutritional and dietary needs were taken into account in menu planning and choices.

People were referred to other healthcare services when their health needs changed.

Caring

Good

Updated 18 November 2017

The service was caring.

Staff had developed positive caring relationships with people using the service.

Staff knew people well and respected their privacy and dignity.

Staff promoted people’s independence and involved them as much as possible in making decisions about their care and support.

Responsive

Good

Updated 18 November 2017

The service was responsive.

Staff had a good understanding of people’s needs, choices and preferences, and the knowledge to meet people’s individual needs as they changed.

There was a process in place to deal with any complaints and people were supported to express any concerns.

Well-led

Good

Updated 18 November 2017

The service was well-led.

The registered manager and the provider promoted an open, inclusive and empowering culture.

People, their families or representatives and staff had opportunities to feedback their views about the home and quality of the service being provided and this was used to drive improvements.

The quality of the care and treatment people experienced was monitored and action taken to promote people's safety and welfare.