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Dimensions 2 Buckby Lane Good

The provider of this service changed - see old profile

All reports

Inspection report

Date of Inspection: 3 July 2014
Date of Publication: 19 August 2014
Inspection Report published 19 August 2014 PDF

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent staff.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 3 July 2014, observed how people were being cared for and spoke with one or more advocates for people who use services. We talked with people who use the service, talked with carers and / or family members and talked with staff.

Our judgement

People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.

Reasons for our judgement

We found that the provider had a structure which included one-to-one supervisions every two months, annual appraisals and group meetings. We spoke with staff who confirmed that they had received regular supervisions. We looked at the provider’s training matrix and computer records and saw evidence that staff had received a one-to-one supervision and an annual appraisal since the last CQC inspection, in accordance with the provider's protocol. The registered manager and assistant manager observed care practice daily, which was then discussed in staff supervisions. This demonstrated that the service had a process to support staff to improve and develop their skills.

Staff told us the registered manager and assistant manager were very approachable and available to provide support and guidance. Staff said that they were able to talk through issues about their role or about the people they supported with their supervisors. For example one care worker told us that they had raised concerns regarding one person’s risk of choking during a supervision. The registered manager told us how they had arranged for their nutrition plan to be reviewed by the speech and language therapist. Another care worker told us how they had raised concerns about the personal care received by one person before going to bed and their continence plan. We found that these concerns had been addressed as an agenda item in a subsequent staff meeting. We saw individual supervisions and the minutes of one-to-one meetings contained within the staff computer records we looked at. This meant that staff had received appropriate support to deliver care which met people's needs and their own professional development.

One care worker said, “Things have improved since the new manager came because we always have someone to speak to at the home if we have a problem. If the manager isn’t here we always have a team leader available who is a qualified trainer.” Another care worker told us, “We have a good team here who really care for the guys and work hard together to make sure they receive the best care we can give them."

The registered manager demonstrated how they had ensured that the required staff training courses had been booked and completed. They told us that all staff completed mandatory training in relation to safeguarding, moving and handling, medication, the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards (DoLS), nutrition and infection control. Staff said they had been supported to undertake their training and that they were always reminded when courses were due for renewal. We reviewed six care worker’s training files which confirmed this. All staff we spoke with told us that they were confident that the training they received had prepared them to meet the needs of the people they supported. This meant that people had been cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.

We found that staff had completed an induction process recognised nationally by the care sector and had received continued development of their skills, which was relevant to their workplace and role. We saw this process recorded within the staff files we examined.

Relatives of people told us that the staff knew exactly what they were doing, which made them feel their family members were safe. They told us that the staff provided excellent care, which gave them confidence in the quality of the staff training. A relative of one person told us, “It is a happy place. The staff are better equipped than me to provide for their needs and everyone is always smiling."