Dimensions Teeside Domiciliary Care Office, supporting 97 people with learning disabilities and/or autism, achieved an overall Good rating at its first inspection with an Outstanding rating for well-led, reflecting exceptional partnership working, a strong person-centred culture and robust quality assurance. No regulatory breaches or failure themes were identified.
Strengths
· Outstanding well-led rating with exceptional partnership working, including registered manager developing GP training to improve outcomes for people with learning disabilities.
· People were actively involved in recruiting staff who were matched based on knowledge and skills.
· Medicines managed safely with staff competency checks in place.
· Staff received regular supervision, appraisal and training; high staff morale and retention culture evidenced.
· Robust quality assurance systems with proactive identification and resolution of issues.
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Continuous learning and improving care; Working in partnership with othersOutstanding
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringOutstanding
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsOutstanding
well-led: Engaging and involving people using the service, the public and staff, fully considering their equality characteristicsOutstanding