27 October 2020
During an inspection looking at part of the service
Dimensions Worcestershire and Oxfordshire is a domiciliary care service providing personal care and supported living services for people with learning disabilities or autistic spectrum disorder. The provider currently supports 176 people living in their own homes and in supported living settings in the community. We inspected one of the supported living services where four people were living.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People received their medicines as prescribed by trained staff who regularly had their competencies assessed.
Infection prevention measures had been established. Staff had a good understanding of these procedures and confirmed they were provided with sufficient supplies of PPE.
The registered manager had quality assurance systems in place to monitor the overall quality of the service provided to people. These systems had led to improvements in the quality of the service being provided to people.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture. The management had developed a person-centred approach to each person’s care and support.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 11 December 2017)
Why we inspected
We undertook this targeted inspection to check on a specific concern we had about medicine management. The overall rating for the service has not changed following this targeted inspection and remains good.
Targeted inspections do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
We found no evidence during this inspection that people were at risk of harm from this concern.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Dimensions Worcestershire & Oxfordshire Domiciliary Care Office on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.