12 July 2023
During an inspection looking at part of the service
About the service
Dimensions 27 Sampson Avenue is a residential care home providing personal care to 6 people at the time of the inspection. People’s needs were varied and included people with a learning disability, autistic people, and people with physical disabilities. The service can support a maximum number of 6 people.
People’s experience of using this service and what we found
Right Support:
We found concerns around infection control. Some parts of the service were poorly maintained and unhygienic.
Staff supported people to take their medicines as prescribed. However, we found shortfalls around some aspects of the management of medicines.
Staff supported people to make decisions following best practice in decision-making.
Staff enabled people to access specialist health and social care support in the community.
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 Care:
Staff assessed and reduced risks to people’s health, care and safety.
The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
People’s care and support plans reflected their range of needs and this promoted their wellbeing, and equality and diversity.
Right Culture:
The service’s quality improvement processes needed to improve as they failed to identify the issues we found at this inspection. The service had also failed to act on certain areas of concern, which were identified at the previous inspection.
People received good quality care and support because staff were trained and people had access to specialist support when needed. Staff knew and understood people well and were responsive to their needs.
The service enabled people and those important to them to work with staff to develop the service.
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 19 September 2018).
Why we inspected
This focused inspection was prompted by a review of the information we held about this service. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection. 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 27 Sampson Avenue on our website at www.cqc.org.uk.
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.
Enforcement and recommendations
We have identified breaches in relation to premises and equipment, and good governance at this inspection.
We have made a recommendation about some aspects of the management of medicines.
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.