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Inspection Summary


Overall summary & rating

Good

Updated 24 August 2017

Dimensions 61 New Road provides care for up to six adults with a learning disability. The service is located on a quiet residential road, close to local amenities. At the time of our inspection there were five people living at the home some of whom were also living with physical disabilities. The home is arranged over two floors. The ground floor consists of two bedrooms which share an adapted bathroom. There is also a dining and kitchen area, a laundry room and a communal lounge. This floor is fully accessible to wheelchair users. Four further bedrooms, two shared bathrooms and the office are located on the first floor which is accessed by stairs only. The home has a large accessible garden to the rear and parking to the front.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 and associated Regulations about how the service is run. The registered manager was also the registered manager of another Dimensions service and provided management oversight to two single dwelling supported living settings. The registered manager was not available during the inspection due to being on leave, but we spoke with them upon their return to discuss our inspection findings.

At the last inspection in June 2016 the service was rated as requires improvement. This was because improvements were needed to ensure that the premises were kept in good decorative order and to ensure that staff received adequate supervision. This inspection found that the required improvements had been made. Staff had ensured the premises were more homely and comfortable for people to live in and the registered manager had taken action to ensure that staff were receiving more regular supervision.

Regular checks were undertaken to help maintain a safe environment for people to live in. We have made a recommendation that the provider ensure that the window restrictors meet relevant guidance.

Staff had a good understanding of people’s risks and how to support them to maintain good health and stay safe. Staff understood how to support people to take positive risks and the importance of not restricting their interests.

Accidents and incidents were investigated to make sure that any causes were identified and action was taken to minimise any risk of reoccurrence. People’s medicines were managed safely.

Staff understood how to recognise and respond to abuse. People were encouraged to express their choices and these were respected. The leadership team understood the requirements of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS).

People were supported to have enough to eat and drink and their dietary needs were met. Staff worked effectively with a range of other healthcare professionals to help ensure people’s health care needs were met.

People were supported by staff that were kind and caring. Staff and people had a good relationship and that staff showed people kindness and patience and provided care in a calm and quiet manner. Staff listened to people and respected their choices and wishes, encouraging them to be involved in making decisions about the care and support provided.

The service and people living there continued to be part of their local community. People were supported to stay in contact with their friends and relatives.

People were cared for with dignity and respect and that staff were mindful of their need for privacy.

Staff understood the needs of the people they supported and cared for them in a person centred manner that was responsive to their individual needs.

People were able and encouraged to take part in a range of leisure activities and follow their own interests.

The provider had a complaints procedure in place that was access

Inspection areas

Safe

Good

Updated 24 August 2017

The service was safe.

Regular checks were undertaken to help maintain a safe environment for people to live in. We have made a recommendation that the provider ensure that the window restrictors meet relevant guidance.

Staff had a good understanding of people’s risks and how to support them to maintain good health and stay safe. Staff understood how to support people to take positive risks and the importance of not restricting their interests.

Staff had received training in safeguarding adults, and had a good understanding of the signs of abuse and neglect.

Staffing levels enabled people’s needs to be met safely and in a timely manner.

Effective

Good

Updated 24 August 2017

The service was effective.

Staff received an induction into the organisation and to the service and the needs of the people they would be supporting. Staff had received appropriate training and had the skills they required in order to meet people's needs.

People's rights were protected because staff were aware of the requirements of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS).

People's dietary risks and requirements and their food likes and dislikes were known and respected by staff. People were supported to have access to health care professionals when required.

Caring

Good

Updated 24 August 2017

The service was caring.

People were supported by staff that were kind and caring.

Staff and people had a good relationship and that staff showed people kindness and patience and provided care in a calm and quiet manner. Staff listened to people and respected their choices and wishes, encouraging them to be involved in making decisions about the care and support provided.

People were cared for with dignity and respect and that staff were mindful of their need for privacy.

Responsive

Good

Updated 24 August 2017

The service was responsive.

Staff understood the needs of the people they supported and cared for them in a person centred manner that was responsive to their individual needs.

People were able and encouraged to take part in a range of leisure activities and follow their own interests.

The provider had a complaints procedure in place that was accessible to people. Records showed that the provider had not had any complaints since our last inspection.

Well-led

Good

Updated 24 August 2017

The service was well led.

Feedback from staff about the registered manager and the assistant locality manager was positive. Staff felt well supported and confident going to the registered manager or assistant locality manager with any concerns or ideas.

There were some systems in place to assess and monitor the quality and safety of the service and to ensure that people were receiving the best possible support.

The registered manager fostered a positive and person centred culture within the home and helped staff provide care which was in keeping with people’s needs and wishes.