Dimensions Somerset The Old Police House

Right Support Staff supported people with their medicines. Some improvements were needed to the way medicines were checked in, and when staff needed to make handwritten amendments to people's medicines administration charts. This had already been identified by the registered manager.

Staff supported people to have the maximum possible choice, control and independence and to be in control over their own lives; the policies and systems in the service supported this practice.

People were supported to be involved in decisions about their care and support. Staff were observed communicating with people in ways that met their needs and supporting people to make choices.

Staff focused on people's strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life.

Staff supported people to be occupied at home and pursue interests in their local area if they enjoyed this. People were starting to return to activities that had been paused during the pandemic.

The service gave people care and support in a safe, clean and well-equipped environment that met their sensory and physical needs.

People benefitted from an interactive and stimulating environment. An immersive room had recently been added to the home which provided a multi-sensory experience for people.

People had a choice about their living environment and people's rooms were observed to be personalised to them.

Staff worked with health professionals to achieve good health outcomes and to avoid people taking unnecessary medicines.

Infection control procedures and measures were in place to protect people from infection control risks associated with COVID-19.

Right Care People's care plans and risk assessments reflected their range of needs and this promoted their wellbeing and enjoyment of life. Some risk assessments were found not to have been reviewed. This had already been identified by the registered manager.

People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs. Throughout the inspection we observed kind, relaxed, compassionate and caring interactions between people and staff.

Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.

The service had enough appropriately skilled staff to meet people's needs and keep them safe.

People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.

People who had individual ways of communicating, using body language, sounds and pictures interacted comfortably with staff and others involved in their care. This was because staff had the necessary skills to understand them.

Right culture People received good quality care and support because trained staff could meet their needs and wishes. At the last inspection people with specific health needs were not always being supported by staff who had received up to date training from professionals on specialist techniques. Despite communication with various other professionals to source the training, the service has not yet been able to obtain this.

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. Throughout the inspection we observed that staff were respectful of people and took time to offer support and reassurance when needed.

Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.

Staff placed people's wishes, needs and rights at the heart of everything they did. Staff told us that they "Make [people] the centre of everything they do".

Staff valued and acted upon people's views and understood how these were expressed through observations, body language and how people presented themselves.

People and those important to them were involved in planning their care.

The staff, registered manager and peripatetic assistant locality manager were open and transparent

throughout our inspection. The registered manager and peripatetic assistant locality manager acted efficiently on queries and feedback throughout the inspection.