Archived: Dimensions Theobald House 46 Dartmouth Avenue

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

Why the service is rated Good.

The home continued to ensure people were safe. There were enough suitable staff to meet people’s needs. Risk assessments were carried out to enable people to retain their independence and receive care with minimum risk to themselves or others. People received their medicines safely. People were protected from abuse because staff understood how to keep them safe, including more senior staff understanding the processes they should follow if an allegation of abuse was made. All staff informed us concerns would be followed up if they were raised.

People continued to receive effective care. People who lacked capacity had decisions made in line with current legislation. Staff received training to ensure they had the skills and knowledge required to effectively support people. People’s healthcare needs were met. People were supported to eat and drink in line with their nutrition assessments. People were supported to have maximum choice and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The home continued to provide a caring service to people. We observed that staff were kind and patient. People’s privacy and dignity was respected by staff and their cultural or religious needs were valued. People were involved in decisions about the care and support they received. People’s choices were always respected and staff encouraged choice for those who struggled to communicate with them.

The home remained responsive to people’s individual needs. Care and support was personalised to each person which ensured they were able to make choices about their day to day lives. People were supported to follow their own activity programmes. These considered people’s interests and reflected people’s preferences. One person told us they knew how to complain and there were a range of opportunities for them to raise concerns with the manager and designated staff.

The home continued to be well led. Staff spoke highly about the management. The manager continually monitored the quality of the service and made improvements in accordance with people’s changing needs.

There were four people in this service at the time of our visit. We viewed care records, observed staff interactions and spoke with the manager and three staff.

We saw that people who use this service received good quality of care and support. People were routinely encouraged to express themselves and were involved in their care and support as they liked. People's choices were promoted at all times and staff were very knowledgeable about each person's support needs.

During our visit, we saw that staff treated people with dignity and respect, and were supportive and patient. They spent time explaining and reassuring people when they were with them.

People's families were encouraged to be involved in developing their relative's support plans where the person wished. We saw that support plans were person centred and reflected each person's individuality.

Staff told us "it's lovely to work here because the people give so much back to us". Another staff told us "working here is a joy".

Care records demonstrated that people were protected from abuse and that their care was delivered in a respectful and safe way.

We saw that the manager had a system for monitoring feedback from others, with a view to looking to improve.

There were four people in this service at the time of our inspection. We observed interactions and spoke with three members of staff.

We saw that people who used this service received good quality of care and support. People were encouraged to express their views and were involved in their care. People’s wishes were promoted at all times and staff were knowledgeable about their support needs.

We saw staff treating people with dignity and respect, were unhurried, supportive and patient at all times. They explained and reassured people when they were supporting them.

People and their families were encouraged to be involved in how the service was run and how support plans were developed. Plans were person centred and reflected each person’s needs and preferences.

We spoke to staff and reviewed records which showed us that people were protected from abuse and that their care was planned and delivered in a respectful and safe way.

From viewing records, we saw that complaints and concerns were listened to and acted upon immediately. We saw that the service took all reasonable steps to prevent the possibility of any abuse from happening.

We saw that people had active social lives and appeared happy.