Archived: Dimensions 44 Castle Road

We spoke with the registered manager and three support workers. We spent time with people who used the service. We were unable to speak in detail with people who used the service due to their level of complex needs and communication difficulties. We also spoke with three relatives of people who used the service.

We observed how staff interacted with people. We saw that staff spoke with people in a respectful manner. We observed that people appeared comfortable with the care provided. Comments from relatives included: 'No problems with the care', 'I have no complaints whatsoever' and: 'Couldn't ask for more help and kindness. I have no fear about the care'.

We looked at the care records for two people and found that their needs had been assessed. The records showed that care and treatment was planned and delivered in line with people's individual need. Staff told us that they were aware of each person's needs and how to give care and support to meet these needs.

We found that people who used the service were protected from the risk of abuse. We saw that staff had a kind approach to people and were aware of how to report any abuse.

Sufficient staff were on duty at the time of our inspection. We were told that interviews were scheduled to take place to increase the times were staff numbers were low.

Systems were in place to assess and monitor the quality of care provided and as a means to identify.

During our inspection we spent time with people who used the service in the kitchen and dining room and in the lounge. We saw staff interacting with people and assisting them where needed while also encouraging people to remain independent when possible.

We found that staff had a good understanding of the needs of people and that they supported them to meet these needs. We found that support plans were in place however these did not always contain strategies on how staff should deal with certain situations.

We found that staff signed for the medicines that they had administered and that the medication held balanced with the records.

Staff were trained to carry out their jobs and received supervising to support them in their role.

A complaints procedure was available and people were confident that any concerns would be listened to.