Focused inspection of Dimensions Somerset Frome Domiciliary Care Office found improvements addressing previous breaches of Regulations 12 and 17, with Safe and Well-led both rated Good and the overall rating moving from Requires Improvement to Good. Staffing remained an ongoing area for further improvement, but governance, medicines management, safeguarding and person-centred culture were all positive.
Concerns (1)
minorStaffing levels: “Feedback from relatives and staff was that staffing had improved but further increases would enable stability across all the homes. One staff member said, 'More staff are needed.'”
Strengths
· Improvements made; provider no longer in breach of Regulation 12 (Safe Care and Treatment) or Regulation 17 (Good Governance)
· Individualised and regularly reviewed risk assessments with protocols for conditions such as epilepsy and diabetes
· Medicines managed and administered safely; staff trained in STOMP; MARs fully completed and audited
· Safe recruitment processes including DBS checks; people involved in interviewing staff
· Strong safeguarding awareness and reporting to local authority and CQC
Quality-Statement breakdown (12)
safe: Assessing risk, safety monitoring and managementNot rated
safe: Preventing and controlling infectionNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Learning lessons when things go wrongNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Duty of candourNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated