Dimensions Beds, Bucks, Cambs and Luton Domiciliary Care Office received a Good rating across all five key questions at its first inspection in January 2023, supporting 43 people with learning disabilities and autism in supported living settings. The service demonstrated strong person-centred practice, robust safeguarding and governance systems, and an inclusive culture aligned to Right Support, Right Care, Right Culture guidance.
Strengths
· Personalised, holistic support plans involving people and relatives in care reviews and risk management
· Strong safeguarding systems with staff trained to recognise and report abuse; people empowered to understand their rights
· Sufficient staffing levels with people and relatives involved in recruitment and matching of staff
· Medicines administered safely with MAR audits and adherence to STOMP principles
· Excellent multi-agency working including specialist healthcare referrals and complex health procedures delivered at home
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Supporting people to develop and maintain relationships and follow interestsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles and understanding quality performance, risks and regulatory requirementsGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; working in partnership with othersGood