30 October 2023
During a routine inspection
About the service
Dimensions 4 Matlock Close is a care home for up to 8 people with learning disabilities and/or autism. At the time of our inspection, 7 people were living at the service.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting some of the underpinning principles of right support, right care, right culture. However, they needed to make improvements to fully meet these.
Right Care
People received care that was kind and staff respected their privacy.
Staff understood and responded to their individual needs. They communicated with people in ways that met their needs. The service gave people care and support to meet their sensory and physical needs, but some areas of the environment was not always kept sufficiently clean or safe at all times.
The service had enough staff to keep people safe. Staff had training on how to recognise and report abuse and they knew how to apply it.
Right Support
Staff supported people with their medicines, but the medicines management arrangements were not always effective.
Staff enabled people to access health and social care support. Staff helped people to participate in activities at home and in the community.
The provider follow appropriate recruitment procedures to ensure only suitable staff were recruited to work at the service.
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.
Right Culture
The provider's monitoring processes were not always effective in helping to ensure people consistently received good quality care and support.
There was a culture of supporting people to receive compassionate care that was tailored to their needs. Staff were supervised and felt supported by registered manager and deputy managers they could approach for advice and help. The service involved people and relatives in planning and reviewing people’s care.
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 1 November 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection. We have found evidence that the provider needs to make improvements. Please see the Safe and Well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Dimensions 4 Matlock Close on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to safe care, medicines management and governance at this inspection. Please see the action we have told the provider to take at the end of this report
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.