Dimensions 1-2 Westbury Way

Updated 14 October 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by one inspector and one medicines inspector.

Service and service type

Dimensions 1-2 Westbury Way is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Dimensions 1-2 Westbury Way is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection and sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

During the site visit the registered manager was available by phone and we were assisted on site by a senior care staff member. We reviewed a range of records including records related to the maintenance of the service, staff training, quality assurance, peoples risk assessments, medicines records and care records. We looked at staffing levels for the service and reviewed staff rotas.

People living at the service could not speak with us about their experiences of the care provided. We made observations of the environment and the care people received in communal areas and spoke with a visiting professional. Following the site visit we spoke with three people's relatives. We also spoke with the registered manager and two care staff.

Updated 14 October 2022

About the service

Dimensions 1-2 Westbury way is a residential care home providing the regulated activity of accommodation and personal care. The service provides support to six people with a learning disability.

The service is made up of two bungalows located on a residential street, each accommodates three people and are linked via an office area. Each bungalow has its own dining room, kitchen and bathroom facilities. People have their own bedrooms and access to a secure garden area.

People’s experience of using this service and what we found

We received positive feedback from relatives and professionals that the service was well-led. We observed there had been vast improvement in the way the provider monitored and acted on environmental issues and repairs and reviewed evidence which demonstrated they had acted on our feedback from the last inspection to improve the quality of the service people received. We recommended further development to ensure records related to people’s care were consistently reviewed inline with the provider’s planned timescales.

We received consistently positive feedback from staff, relatives and professionals that people received safe care and support from staff that knew them and their needs well. Risks to people were identified, assessed and managed and people had access to appropriate levels of skilled staff to meet their needs. People were supported to manage and receive their medicines safely, and there were clear safeguarding systems in place to report and respond to any risk of abuse.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

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.

Right Care: We received feedback from people’s relatives that the care provided to their loved ones was person-centred and staff knew people and their needs well. We observed staff treated people with kindness and compassion, however our judgement on this aspect of the ‘Right support, right care, right culture’ guidance is limited as this was a focused inspection that considered the areas of safe and well-led only.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff promoted inclusivity which recognised the importance of providing opportunities for people to lead empowered lives.

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

The last rating for this service was requires improvement (published 16 March 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found enough improvements had been made and the provider was no longer in breach of regulations. However, we have recommended that the provider should continue to embed and strengthen areas of their governance processes to ensure records relating to people’s care and support are continually reviewed and updated in a timely manner.

Why we inspected

At the last inspection we found the provider was in breach of regulation. This inspection was carried out to review actions the provider told us they would take to comply with the regulation and improve the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Dimensions 1-2 Westbury Way on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.