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Inspection Summary


Overall summary & rating

Good

Updated 1 November 2018

Our inspection of Dimensions 4 Matlock Close took place on 17 and 21 August 2018. This was an unannounced inspection.

Dimensions 4 Matlock Close is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The home accommodates eight people in a large, purpose built bungalow. At the time of our inspection there were no vacancies. The people living at the home had learning disabilities and a range of other needs such as autism, physical impairments and complex health needs.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The home had a registered manager. A registered manager is a person who has registered with 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 2008 and associated Regulations about how the service is run.

People living at the home were protected from the risk of harm or abuse. Staff members had received training in safeguarding adults and demonstrated an understanding of their roles and responsibilities in ensuring people were safe. Detailed and person-centred risk assessments had been developed which included guidance for staff members on the management and minimisation of risks.

The home had developed person centred care plans for people. These were detailed and included guidance for staff on meeting people’s need and choices in accordance with their preferences. However, some care plans had not been updated to reflect changes in people’s needs and social activities. In addition, some daily care notes had not been fully completed. This meant that we could not be sure if people always received the support they required.

People’s medicines were managed and administered to them safely. Medicines administration records were appropriately completed and regular audits of records and stocks of medicines had been undertaken. Staff members had received training in safe administration of medicines and their competency in doing so had been assessed.

The staff records that we viewed showed that the provider had carried out checks to ensure that staff were of good character and suitable to work at the home. New staff members received an induction which included the completion of the Care Certificate which provides a set of nationally recognised standards for staff working in health and social care services. All staff were required to undertake a range of mandatory training courses to ensure that they were competent in supporting people. Additional training courses associated with the specific needs of people had also been provided.

During our inspection we observed that staff members supported people in a gentle, kind and respectful way. People appeared familiar and comfortable with the staff who were supporting them. The staff members we spoke with were knowledgeable about people’s needs and preferences.

Staff members supported people living at the home to participate in a wide range of activities. These included meals out, theatre and cinema visits and music and craft sessions. People had also been supported to take annual holidays. Some people also attended a local day centre on a regular basis. Arrangements had been put in place to ensure that staff understood how to ensure that people’s specific cultural needs were met, along with other needs and preferences.

The home was meeting the requirements of the Mental Capacity Act (MCA) 2005. People’s capacity to make decisions h

Inspection areas

Safe

Good

Updated 1 November 2018

The service was safe. People had up to date risk assessments which included guidance for staff on the avoidance and management of risk.

Staff members had received training in safeguarding adults and understood their roles and responsibilities in relation to keeping people safe from harm and abuse.

Medicines were well managed and given to people safely.

Effective

Good

Updated 1 November 2018

The service was effective. Staff members had received training and supervision to support them in carrying out their duties.

The service was meeting the requirements of the Mental Capacity Act (2005).

People were supported to eat a healthy diet. Individual dietary needs in relation to culture and health were supported.

Caring

Good

Updated 1 November 2018

The service was caring. Staff members supported people in a kind and respectful way. People were familiar and comfortable with staff members.

People's privacy was respected.

Staff members communicated with people using a range of methods and understood people’s non-verbal communication.

Responsive

Requires improvement

Updated 1 November 2018

The service was not always responsive. Some care plans had not been updated to reflect changes in people’s needs. Daily records of care had not always been fully completed.

People were supported to participate in a wide range of activities at the home and in the wider community.

The service had a complaints procedure. A family member told us that they knew how to make a complaint if required.

Well-led

Good

Updated 1 November 2018

The service was well-led. Failures in the care plans and the daily care records had been identified and action to address this was in progress.

Regular monitoring of the quality of records and care had taken place.

Staff members spoke positively about the support they had received from the management team.