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Archived: Dimensions Nicholas House

The provider of this service changed - see old profile

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Inspection report

Date of Inspection: 30 May 2014
Date of Publication: 3 July 2014
Inspection Report published 03 July 2014 PDF


Inspection carried out on 30 May 2014

During a routine inspection

We used the information we had gathered to answer the five questions we always ask: Is the service safe? Is the service effective? Is the service caring? Is the service responsive? Is the service well-led?

This is a summary of what we found:

On the day of our inspection there were four people using the service including one person who was on holidays. Due to their learning disability, people were unable to communicate fully with us. Two people were able to express their satisfaction with the care and support they received.

Is the service safe?

We found that people's care needs had been assessed and met appropriately to ensure their safety and wellbeing. Risk assessments had been carried out and reviewed to reflect any changes to the needs of people who used the service.

There were systems in place for the safe management and administration of medicines so that people received their medicines regularly and on time.

We noted from the duty rotas that there were sufficient numbers of staff rostered on duty to meet the needs of people. The staff members we spoke with said that the use of regular agency staff provided cover for staff shortage.

The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. No applications had been submitted under this system. The manager stated that they were aware of the process for making a DoLS application when required.

Is the service effective?

People we spoke with expressed their satisfaction with the care and support they received. Staff had received relevant training, regular formal supervision and appraisals so that they were competent in their roles.

Is the service caring?

People�s privacy and dignity was respected and their independence promoted. People told us that they were well cared for and that staff were helpful and supportive. We observed that there was a good interaction between staff members and people.

Is the service responsive?

People had regular one to one sessions with their keyworker to discuss any issues relating to their care and support plans. The care plans we reviewed demonstrated that people's needs had been assessed and met appropriately. People accessed local community facilities and staff helped and supported them with activities to promote their independent living.

Is the service well-led?

People expressed their satisfaction with the care and support they received. The organisation carried out an annual questionnaire survey for people who used the service, their relatives and the staff. However, a report for the home had not been produced. Regular audits had been carried out to ensure that people�s needs were met and that they lived in a safe and comfortable environment.