The Dexters Limited

At the last inspection in September 2015, the service was rated Good. At this inspection we found the service remained Good overall and was now rated Outstanding in the key question: Is the service responsive.

The home had two registered managers, who shared joint accountability for the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. One of the registered managers was the owner of the organisation, and the other registered manager had responsibility for the day to day management of the home and staff. Throughout this report, when using the term 'registered manager' we are referring to the registered manager who had responsibility for the day to day management of the home.

The support people received was extremely responsive to their individual needs. Staff were very knowledgeable about each person's needs and preferences and highly detailed care plans were in place which enabled staff to provide personalised care. There was an extensive range of activities available to people, tailored around their individual skills, wishes and interests. Staff were especially skilled and creative in working in partnership with people to identify and organise their care and activities of interest to them. This had enhanced people's well-being and quality of life.

People told us they felt safe and well cared for. Staff received safeguarding training and knew how to report any concerns. Risks to people were assessed and minimised, whilst promoting people's independence and well-being.

Staff had been recruited safely and there were enough staff to assist people in a timely way. There were robust arrangements for supporting people with their medicines.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff received the training, support and supervision they needed to support people effectively.

People received appropriate support with their nutritional needs. People were supported to access a range of health services and we received very positive feedback from visiting healthcare professionals about the

service.

People and relatives said staff were caring and we observed them to be kind, friendly and attentive. Staff treated people with dignity and respect and promoted their independence.

People and visiting healthcare professionals told us the home was well-managed. There was a robust quality assurance system in place which included the completion of daily checks and weekly audits in relation to the quality and safety of the service. People were asked for their views in individual review meetings and 'tenant meetings' and we found that these were acted on wherever possible. The management team promoted a very positive person-centred culture within the service.

The five questions we ask about services and what we found