Dimensions 40 Cody Road

Medicines were stored, given and disposed of safely. Staff had training and competency checks before administering medicines alone.

“People's medicines were stored, administered, and disposed of safely.” from the report

The safeguarding systems were effective. Staff said they would report concerns and felt confident that the manager would act.

“Systems and processes in place to safeguard people from abuse were effective.” from the report

A relative said they were kept informed about relevant information and appointments. The report also found that the provider notified CQC appropriately about certain incidents.

“A relative told us when things went wrong, they were informed and kept up to date and where required apologies were made in writing.” from the report

The home was not consistently following mental capacity law. Some capacity assessments and best-interest decisions were missing or not fully recorded, and legal authority for managing some people's finances was not evidenced.

“People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests” from the report

Risk assessments and care plans did not always give staff enough information. Examples included vision problems, blood-thinning medicines, conflicting dietary information and flammable creams.

“Risks to people were not always assessed and mitigated to ensure people would receive safe care.” from the report

The home was dusty, cleaning records were blank and some infection control practices did not follow policy or guidance. Inspectors found a toilet bin without a liner during part of the inspection.

“Infection prevention and control was not managed safely in accordance with the provider's policy and people were not always protected from the risk of infection.” from the report

People did not go out regularly and there was little recorded activity. Inspectors did not see people taking part in activities during the inspection, creating a risk of boredom and social isolation.

“This meant people were at risk of boredom, lack of community engagement and social isolation.” from the report

Quality checks had not reliably found or corrected the problems. Some requested audit records were not provided by the time the report was written.

“Effective risk and quality monitoring arrangements were not place.” from the report