20 December 2022
During a routine inspection
About the service
Dimensions London North/West Domiciliary Care Office provides supported living services to people with a learning disability or autism and people with mental health needs. At the time of our inspection the provider operated 11 of these services, based in the London Boroughs of Hounslow and Brent. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
Right Support
People were supported by staff to pursue their interests. Staff supported people to achieve their aspirations and goals. The service worked with people to plan for when they experienced periods of distress and to support them safely at such times. Staff supported people with their medicines safely. People were supported to meet their health needs and staff worked with other agencies to do so. There were infection prevention and control arrangements in place. 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.
Right Care
People received kind and compassionate care. Staff had training on how to recognise and respond to safeguarding concerns. The service worked with other agencies to do so. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. Staff received an induction, training and supervision to help them support people. Staff protected and respected people’s privacy and dignity. Staff knew and understood people and responded to their individual needs. Staff communicated with people in ways that met their needs. People's support plans reflected their preferences and needs to promote their wellbeing and enjoyment of life.
Right Culture
The provider operated monitoring processes to ensure people consistently received good quality care and support. Whilst some care records were not always consistently clear or detailed enough, this did not impact on the quality of care provided. We discussed this with the registered managers so they could make the necessary improvements. People and those important to them were involved in planning their care. Staff turnover was low, which supported people to receive consistent care from staff who knew them well. Staff and managers knew and understood people well and were responsive to their support needs and aspirations. The provider had a clear vision for the service based on improving people's quality of life and staff worked to make this happen.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 5 October 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.