Dimensions Beds, Bucks, Cambs and Luton Domiciliary Care Office

Not everyone who uses the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we consider any wider social care provided. At this inspection 43 people were receiving personal care.

Right Support People had a good quality of life and were fully supported to lead fulfilling lives. Personalised support plans gave clear information for staff to follow in keeping people safe, whilst enabling people to be as independent as possible

Effective systems were in place to closely monitor incidents and prompt action was taken to mitigate the risk of repeat incidents. People were fully involved in managing personal risks and in taking decisions about how to keep safe. Staff were skilled in recognising signs when people experienced emotional distress and knew how to support people to keep them safe.

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. People were supported to understand their rights and explore meaningful relationships. People knew how to raise concerns and were confident they would be dealt with properly.

Right Care The staff team ensured people had full access to healthcare services. People's support plans were personalised. Relatives confirmed their family members were supported to follow their hobbies and interests. One relative said, [Person] has a really good care plan in place, it includes everything we think [Person] loves doing, like swimming."

Right culture Staff placed people's wishes, needs and rights at the heart of everything they did. The service promoted a

culture of inclusion, diversity and equality. A relative said, "I know all the staff, I have a brilliant rapport with them. I know they do the job because of their beliefs."

People were supported to express their individuality. The staff team were caring and dedicated to the people they supported. People had the opportunity to try new experiences, develop new skills and gain independence. Staff supported people to pursue their chosen hobbies and interests and follow their cultural and religious beliefs.

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. Staff ensured risks of a closed culture were minimised. People's quality of life was enhanced by the service's culture of transparency, respect, improvement and inclusivity.