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Dimensions Fountain House Innox Lane

Overall: Good read more about inspection ratings

Fountain House, Innox Lane, Upper Swainswick, Bath, Avon, BA1 8DD (01225) 858947

Provided and run by:
Dimensions (UK) Limited

Important: The provider of this service changed. See old profile

Report from 23 February 2024 assessment

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Well-led

Good

Updated 19 August 2024

In this key question we looked at 1 quality statement. We looked at the provider’s systems and processes in relation to the management of the service. We found audits were completed regularly and the feedback from staff about the management team was positive. However, we found a breach of legal regulation in relation to governance. Audits had not identified the concerns found during this assessment and the provider failed to ensure people had accurate, complete and contemporaneous records.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Shared direction and culture

Score: 3

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Capable, compassionate and inclusive leaders

Score: 3

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Freedom to speak up

Score: 3

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Workforce equality, diversity and inclusion

Score: 3

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Governance, management and sustainability

Score: 2

Staff described the manager as having great strengths, and that they would “commend and applaud [manager] for being an amazing manager”. However, staff felt the manager does not always effectively address concerns, telling us: “Sometimes [manager] can be too gentle with staff we have a problem with, and she'll [speak with staff] but the member of staff continues to upset others, so it continues.” Another staff member told us: “[The manager] is really good, I have great respect for [manager], but I don’t think a lot of staff appreciate her or her position.”

The systems and processes in place to ensure good governance were not effective in identifying the concerns we found during our assessment, as referenced under the Safe key question. For example, the service’s medication audit did not identify the concerns we found during our site visit in relation to the transcribing of medicines, despite the person, who completed the audit, had recorded they had checked the details on peoples' medication administration (MAR) charts as ‘correct and up to date’. We found one quality audit which had taken place last year, which identified that a person’s care and support needs were not clearly documented around eating and drinking. This had not been rectified despite being recorded as a completed action, as we also identified this during our assessment of the service. We raised this with the manager during feedback, but the manager did not provide us with assurances this would be amended.

Partnerships and communities

Score: 3

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Learning, improvement and innovation

Score: 3

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.