Dimensions Dorset Domiciliary Care Office received an overall Good rating on its first inspection, with an Outstanding rating for Effective, reflecting consistently better-than-expected outcomes for the 25 people with learning disabilities and autism it supports. The service demonstrated exceptional person-centred practice, innovative partnership working, and a strong open culture with no failure themes identified.
Strengths
· Exceptional person-centred planning with innovative support plans enabling people to achieve goals and aspirations including tenancy, community roles and cultural reconnection
· Staff demonstrated outstanding knowledge of people's individual communication styles and non-verbal cues, enabling meaningful participation in daily life
· Outstanding partnership working with health and social care professionals, praised as 'unlike other care agencies' for taking on complex clients and learning new skills
· Medicines managed safely including proactive STOMP implementation in partnership with GPs to reduce over-medication
· Strong safeguarding culture with regional safeguarding board analysing themes and sharing learning across the organisation
Quality-Statement breakdown (20)
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawOutstanding
effective: Ensuring consent to care and treatment in line with law and guidanceOutstanding
effective: Staff support: induction, training, skills and experience; Staff working with other agenciesOutstanding
effective: Supporting people to eat and drink enough to maintain a balanced dietOutstanding
effective: Supporting people to live healthier lives, access healthcare services and supportOutstanding
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their care; Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
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: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving careGood
well-led: Engaging and involving people using the service, the public and staff; Working in partnership with othersGood