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Archived: Thera East Good

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 24 February 2017

This announced inspection was carried out between 29 November 2016 and 23 January 2017. Thera East is a domiciliary care service which provides personal care across the eastern counties of Essex and Suffolk to people with learning disabilities who are living independently in their own accommodation. Some of these are shared tenancies with other people who also receive personal care and support from Thera East, and others are single tenancies. Prior to the inspection the provider informed us that they were providing services to 256 people receiving personal care. Staff work in small teams and provide personal care and support to people into a single or small number of properties in these geographical areas.

The service had a registered manager in place at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, 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.

People were supported by staff who understood the risks people could face and knew how to make people feel safe. People were encouraged to be independent and risks were mitigated in the least restrictive way possible.

People were supported by consistent staff who they knew. People who required support to take their medicines received assistance to do so when this was needed.

People were provided with the care and support they wanted by staff who were trained and supported to do so. People’s human right to make decisions for themselves was respected and they provided consent to their care when needed. Where people were unable to do so the provider followed the Mental Capacity Act 2005 legal framework to make the least restrictive decisions in people’s best interest.

People were supported by staff who understood their health conditions and ensured they had sufficient to eat and drink to maintain their wellbeing.

People were treated with dignity and respect and their privacy was protected. Where possible people were involved in making decisions about their care and support.

People were able to influence the way their care and support was delivered and they could rely on this being provided as they wished. People were informed on how to express any issues or concerns they had so these could be investigated and acted upon.

People were supported by a service which was person centred and put their interests first. However the systems in place to monitor the quality of the service were not being followed so that improvements could be made when needed.

Inspection areas

Safe

Good

Updated 24 February 2017

The service was safe.

People felt safe using the service because staff looked for any potential risk of abuse or harm and knew what to do if they had any concerns.

People were supported in a way that protected them from risks whilst encouraging their independence.

People were provided with the amount of support they had been assessed to require to meet their planned needs by a consistent team of staff.

People were provided with the support they required to take their medicines as prescribed.

Effective

Good

Updated 24 February 2017

The service was effective.

People were supported by an enthusiastic staff team who were suitably trained and supported to meet their varying needs.

People‘s rights to give consent and make decisions for themselves were encouraged. Where people lacked capacity to make a decision about their care and support, their rights and best interests were protected.

People were supported to maintain their health and have sufficient to eat and drink.

Caring

Good

Updated 24 February 2017

The service was caring.

People were supported by staff who were committed to providing them with the best service possible and treated them with respect.

People were able to plan and influence how they were provided with their support.

People were encouraged and supported to maintain their independence by staff who understood the importance and value of respecting their privacy and dignity.

Responsive

Good

Updated 24 February 2017

The service was responsive.

People were involved in planning their care and support and this was delivered in the way they wished it to be.

People were provided with information on how to make a complaint and staff knew how to respond if a complaint was made.

Well-led

Requires improvement

Updated 24 February 2017

The service was not entirely well led.

Systems to monitor the service were not being used effectively to recognise when improvements were needed and how these could be made.

People had opportunities to provide feedback regarding the quality of care they received and about their involvement with Thera East.

People used a service where staff were motivated through encouragement and support to carry out their duties to the best of their ability.