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Archived: Dimensions 7 Wychwood Close Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 27 February 2015

Dimension 7 Wychwood Close is registered to provide accommodation and support for three people with learning disabilities or who may have autism spectrum. On the day of our visit there were two people living in the service. During this inspection we looked at the care provided to people living at the home.

This was an unannounced inspection on 6 and 8 October 2014.

The registered manager had been registered since January 2014. 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 and associated Regulations about how the service is run.

Staff were aware of their responsibilities to keep people safe and report allegations of abuse. However, we found there were some areas that had the potential of placing people at risk of harm. Documents did not always record actions taken when injuries were found. There were sufficient staff to provide care and support to people who used the service. Risk assessments were put in place to manage identified risks and were regularly reviewed. Staff were appropriately trained to handle, administer and keep medicines secure.

Staff demonstrated a good understanding of the Mental Capacity Act 2005 (MCA) and obtained consent before carrying out care and support. This was observed during our visit. Care plans evidenced how people were involved in making decisions about the care and support they received. We found the service met the requirements of the Deprivation of Liberty Safeguards (DoLS).

An observation of the weekly menu planning meeting showed people were involved and actively encouraged with the use of pictorial cards showing different meals, to choose what they wanted to eat. Throughout the inspection people were offered drinks but were also supported to prepare drinks for themselves.

Health action plans recorded appointments people had with health and social care professionals such as general practitioners (GP), opticians, dentists and the outcomes. Dates for yearly reviews with GPs and other health professionals were also noted on a yearly planner.

At the time of our inspection the home was not providing end of life care. However, the registered manager told us they had been providing end of life care to one person who passed away a few months ago. We received positive feedback from social care professionals, who told us staff were thoughtful and dealt with people sensitively.

Staff were updated on relevant changes in practices and procedures and signed to confirm they had read and understood the changes made.

We found a breach of Regulation 20 (1) (a) Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. You can see what action we told the provider to take at the back of the full version of this report.

Inspection areas

Safe

Requires improvement

Updated 27 February 2015

There were some aspects of the service that was safe. However, there were some aspects that had the potential of placing people at the risk of harm.

Records did not always record actions taken when injuries were found.

The service had systems in place to manage risk and staff were aware of their responsibilities to keep people safe and report any allegations of abuse.

There were sufficient staff to provide care and support to people who used the service.

Effective

Good

Updated 27 February 2015

The service was effective.

Staff were aware of the procedure to follow where people lacked capacity to make their own decisions.

Deprivation of Liberty Safeguards authorisation applications for people who lived in the home had been authorised and were in line with the current legislation.

The service promoted and encouraged people to be as independent as possible.

People received care and support from staff who had received specialist training in order to meet their needs.

Caring

Good

Updated 27 February 2015

The service was caring.

Positive caring relationships were developed between staff and people living at the service.

People were able to express their views and were actively involved in making decisions. Staff encouraged people to make choices with regards to all aspects of their daily living.

People received support from staff who cared about their well-being.

Responsive

Good

Updated 27 February 2015

The service was responsive.

Feedback was sought from people and the service acted upon it.

Care and support provided was responsive to people’s needs.

The service ensured people’s support was adapted to meet changing needs.

Well-led

Good

Updated 27 February 2015

The service was well led.

The registered manager was aware of their own learning development and ensured they were enrolled on an appropriate course to further enhance their ability to provide support to staff.

Systems were in place to obtain and analyse feedback received from people who used the service and staff employed by the service.

Systems were in place to identify, analyse and review risks.