21 November 2022
During a routine inspection
About the service
Dimensions Dorset East Domiciliary Care Office provides care and support to people with a learning disability and autistic people. It is registered to provide personal care. At the time of the inspection the service was delivering personal care to 26 people. Most people lived in their own home, some people shared a house with one other person and one person lived with family .
CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
People’s experience of using this service and what we found
Right Support:
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.
People received care and support in an environment with specialist equipment to meet their physical needs. People and their relatives were able to personalise their own space. Personalised support plans and risk assessments promoted people’s choices regarding the support they required to maintain their environment. People were supported by appropriate numbers of staff who provided kind, caring, person-centred care and support. Staff communicated with people in ways that met their needs.
Right Care:
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice, control, independence and inclusion .
Support plans and risk assessments were detailed and person-centred ensuring people were supported to live full, active lives and encouraged to be as independent as possible. Support plans outlined individual ways of communicating: using body language, sounds, Makaton (a form of sign language), pictures and symbols so people could interact with staff because staff had clear guidance on how best to communicate with people. Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to raise concerns.
Right Culture:
There was a person-centred and positive culture within the staff team. Staff had confidence in the leadership of the service and felt the service was well led. The registered managers had developed positive working relationships with people and other organisations to ensure positive outcomes were achieved. One staff member commented, “The provider offers a personalised service for care tailored to the individual. They also offer great support towards staff.”
Staff demonstrated good understanding around providing people with person-centred care and spoke knowledgably about how people preferred their care and support to be given.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection
This service was registered with us on 28 July 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.