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Dimensions 6 Sadlers Lane Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 April 2020

About the service

Dimensions 6 Sadlers Lane is a care home without nursing which is registered to provide a service for up to four 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. All accommodation is provided on one floor in a domestic sized dwelling.

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

The quality assurance system in place was not always 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. Effective recruitment processes were not always 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 as serious injuries in a timely manner.

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

We have made a recommendation that the registered person ensured they keep clear records of actions taken as required in the Duty of Candour regulation when a notifiable safety incident occurred.

A relative told us they felt they could approach the management and staff with any concerns and that communication was good. The staff members felt staffing levels were sufficient to do their job safely and effectively. The registered manager appreciated staff contributions to ensure people received the best care and support. Staff felt the registered manager was managing the service very well, and they were accessible and open with the staff members.

A relative felt their family member was kept safe in the service. Professionals also felt people who use the service were protected from risks of harm. The registered 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 was an emergency plan in place to respond to unexpected events and the premises and equipment were kept clean.

Staff had ongoing support via regular supervision and appraisals. They felt supported and maintained great team work. 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 registered manager was working with the staff team to ensure caring and kind support was consistent. People, their families and other people that mattered were involved in the planning of their care. The staff team recognised and responded to changes in risks to people and ensured a timely response and appropriate action was taken. People were encouraged to live a fulfilling life with activities of their choosing and were supported to keep in contact with their families.

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.

People were supported to have maximum choic

Inspection areas

Safe

Requires improvement

Updated 8 April 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 8 April 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 8 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 8 April 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 8 April 2020

The service was not always well-led.

Details are in our well-led findings below.