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Archived: Thera East Midlands

Overall: Good read more about inspection ratings

The West House, Alpha Court, Swingbridge Road, Grantham, Lincolnshire, NG31 7XT 0300 303 1282

Provided and run by:
Thera Trust

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

All Inspections

4 February 2016

During a routine inspection

Thera East Midlands is a domiciliary care agency which is registered to provide people with personal care. The service operates in Lincolnshire, Derbyshire, Nottinghamshire and Staffordshire and supports around 350 people with learning disabilities living independently, or in communal ‘supported living’ services where staffing support is available to people 24 hours a day.

We inspected the service on 4 February 2016 and spent time at the head office in Grantham. We also visited two local supported living services, one in Derbyshire and one in Lincolnshire. The inspection was unannounced although, before entering the two supported living services, we established that the people living there were happy for us to come into their home.

The service had a registered manager. A registered manager is a person who has registered with CQC to manage the service. Like registered providers (‘the provider’), 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.

CQC is required by law to monitor the operation of the Mental Capacity Act, 2005 (MCA) and to report on what we find. Although the provider had delivered training in this area, some staff appeared to lack understanding of what might constitute an illegal deprivation of liberty under the MCA.

Staff demonstrated they were aware of the assessed risks and preventive strategies within each person’s support plan and used them to provide effective support in the least restrictive way. Staff also knew how to recognise signs of potential abuse and how to report any concerns.

Staff worked together in a friendly and supportive way. Staffing levels were planned around people’s needs and preferences and people were receiving the hours they were entitled to.

The provider ensured staff received a range of core training and encouraged them to study for advanced qualifications.

Staff worked closely with local healthcare services to ensure people had access to any specialist support required. The management of people’s medicines was in line with good practice and national guidance.

Staff knew people as individuals and provided warm person-centred support. People were treated with dignity and respect and were supported to eat and drink in a way that reflected their individual needs and wishes.

People’s personal support plans were written in a person-centred way and were understood and implemented by staff. The provider encouraged people to exercise as much control over their own lives as possible and ensured people’s lifestyle preferences were met through a rich variety of individual and group activities.

The provider had a strong commitment to giving people opportunities to get involved in the running of the service. People were also encouraged to raise any issues and concerns. Formal complaints were managed effectively.

The provider used a range of audit and quality monitoring systems to ensure the service was being delivered effectively in a way that met people’s needs and wishes. Systems were also in place to ensure significant incidents were reviewed, to reduce the likelihood of them happening again in the future.

24, 25, 26 February 2014

During a routine inspection

Prior to the inspection we reviewed all the information we had received from the provider. We spent two days visiting people in their houses as a method of gaining people's views and experiences. This involved visiting 26 people who lived in eight separate houses and included looking at people's support files. We also used observation to help us understand the experiences of people using the service, because some people had communication needs which meant they were not able to tell us their experience. We also spoke with ten relatives and asked them for their views.

We visited the provider's office to look at service records and information. Over the course of the inspection we spoke with the registered manager, the personal assistant (PA) for the provider, three operational managers and eight senior members of staff, including community support leaders, team coordinators and 12 support workers.

We found people's needs had been assessed and support workers had clear guidance and information available instructing them how to meet people's needs.

A person who used the service told us, 'I'm happy with my support, the staff are nice and good company. I choose how much support I want. I like to go to the doctors by myself but I like the staff to go to the dentist with me.'

Support workers received appropriate training and support. The provider had internal quality, monitoring and audit systems in place.

5, 6 September 2012

During a routine inspection

We found that people were encouraged to make choices for themselves and were asked about what was important to them and how they would like their care delivered. One relative told us people were supported to choose what they would like to do during support sessions and that staff were very caring. People said that before any service had started a staff member called a 'new support advisor' had visited them to ask them to ask about how they wanted things doing and the way they wanted their care to be delivered.

People were involved in planning the way staff would support and care for them. One person said, 'They (staff) asked me what I wanted help with and I told them. I get help to be safe when I go out because they come with me. They (staff) help me remember to take my tablets and to make sure my house is secure.'

The people we spoke with also said that staff understood how to meet their needs, were caring, supportive and helpful. They told us how they listened to them and that they were competent in their work. One person told us, 'They know what to do, I like them (staff) a lot and they (staff) listen to me.'

People also said they felt confident taking any suggestions or concerns to the manager or any of the staff team. One person said, 'They help me when I am worried so I feel very safe.'

We found staff were given training to enable them to do their job safely and they were given regular feedback by the management team on how well they were working.