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Dimensions Southampton & Portsmouth Domiciliary Care Office Good

Inspection Summary


Overall summary & rating

Good

Updated 16 January 2018

The inspection took place on 23 November and was announced. The inspection continued on 24 November and was again announced.

Dimensions Southampton & New Forest Domiciliary Care Office is based on the outskirts of Southampton and provides care and support to people with learning disabilities and autism. At the time of the inspection the service was delivering personal care to 68 people.

This service provides care and support to people living in 26 ‘supported living’ settings, so that they can live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

The service also provides personal care to people living in their own houses and flats in the community. It provides a service to disabled adults with learning disability and autism.

Not everyone using Dimensions Southampton & New Forest Domiciliary Care receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

The operations director was in the process of becoming the registered manager. The application had been received by our registration team. 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’s needs were holistically assessed and reflected choices and preferences which in turn ensured that people were supported to achieve life changing outcomes. The service had worked closely with people to ensure that additional specific personalised goals were set. Families told us that they felt the service had made a real difference to their loved ones lives.

The service worked in partnership with local GP’s and other health professionals to regularly review and assess medicines in line with Stopping over medication of people with learning disability, autism or both (STOMP). STOMP is an NHS-led campaign and is about making sure people get the right medicine if they need it. It encourages people to have regular medicine reviews, supporting health professionals to involve people in decisions and showing how families and social care providers can be involved. The service was able to show us how this had had positive life changing impacts on people’s lives.

People’s independence was promoted through the effective use of equipment and technology. This enabled people to access areas of their home, community and complete personal care tasks independently.

People were supported by staff who received regular training specific to their needs. An inclusive and innovative appraisal system was used. 360 appraisals took place across the service. This meant that feedback was gathered from people and the families about staff performance and the delivery of care.

Personalised care plans were in place which detailed the care and support people needed to remain safe whilst having control and making choices about how they chose to live their lives. Each person had a care file which also included outcomes and guidelines to make sure staff supported people in a way they preferred. Risk assessments were completed, regularly reviewed and up to date.

People and staff told us that the service was safe. Staff were able to tell us how they would report and recognise signs of abuse and had received safeguarding training. People were provided with information about how to keep safe and were asked their desired outcomes following any alert made.

Effective positive behaviour support plans had been completed and were up to date. These gave s

Inspection areas

Safe

Good

Updated 16 January 2018

The service was safe. There were sufficient staff available to meet people’s assessed care and support needs.

People were supported by staff who had completed safeguarding adults training and were able to tell us how they would recognise and report abuse.

People were protected from harm because risk assessments and emergency plans were in place and up to date.

People were at a reduced risk of harm because medicines were managed safely, securely stored, correctly recorded and only administered by staff that were trained to give medicines.

People were protected by the prevention and management of infection control. Policies, equipment and schedules were in place.

Lessons were learnt and improvements made when things went wrong.

Effective

Good

Updated 16 January 2018

The service was effective. People’s needs and choices were assessed to achieve life changing outcomes.

The service worked effectively across organisations during transition and admission to assess, meet and whenever possible exceed expectations.

Technology and equipment was used to enhance and promote people’s independence.

People’s choices were respected and staff understood the requirements of the Mental Capacity Act 2005. People’s capacity was assessed and best interest decisions recorded.

Staff received training, supervision and 360 appraisals to give them the skills and support to carry out their roles and meet people’s assessed needs.

Staff supported people to maintain and understand healthy balanced diets. Dietary needs were assessed where appropriate.

People were supported to access health care services and local learning disability teams.

Caring

Good

Updated 16 January 2018

The service was caring. People were supported by staff that spent time with and treated them with kindness and compassion.

People were supported by staff that used person centred approaches to deliver the care and support they provide.

Staff had a good understanding of the people they cared for and supported them in decisions about how they liked to live their lives.

People were supported by staff that respected and promoted their independence, privacy and dignity.

Responsive

Good

Updated 16 January 2018

The service was responsive. Care file’s, guidelines and risk assessments were up to date and regularly reviewed.

People were supported by staff that recognised and responded to and understood their changing needs.

People were supported to access the community and take part in activities which were linked with their own interests and hobbies.

Information was provided to people in a variety of formats in line with the Accessible Information Standard.

A complaints procedure was in place which included an accessible easy read version. People and relatives were aware of the complaints procedure and felt able to raise concerns with staff.

End of life care processes were in place which made sure that people’s preferences, beliefs and choices were respected.

Well-led

Good

Updated 16 January 2018

The service was well led. The management all promoted and encouraged an open working environment by including people and recognising staff achievement.

The majority of management were flexible and delivered support hours as and when necessary..

Regular quality audits and service checks were carried out to make sure the service was safe and delivered high quality care and support to people.

The management team and director were aware of their responsibilities under the Health and Social Care Act 2008, Duty of Candour and demonstrated an open, honest approach.

People, staff and relatives felt involved in developing the service.

The service worked in partnership with other agencies in ways which benefitted people using the service.