The Cube Disability Ltd

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

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.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People’s relatives told us they were involved in care planning. We saw evidence of this, however documentation did not make clear how much involvement people had in devising their plans. People’s relatives told us that people were involved. Whilst some care plans contained detailed information on people’s routines, likes and dislikes, others would have benefitted from additional information. For example one person’s health plan only listed their physical disabilities when they also had a learning disability. This had been identified by the registered manager in their audit of the plans and further training had been arranged for staff involved in writing the plans.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. Staff described techniques they used to manage people’s distress, if it occurred. There were plans in place to give them guidance on this. People and their relatives had opportunities to share what was important to them prior to the holiday.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. People were able to meet staff who would be supporting them before going away. Staff worked together to ensure they had breaks whilst maintaining adequate support levels. People’s relatives felt there were enough staff to meet people’s needs.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. We saw evidence of monitoring people’s health conditions during the holiday. For example, one person who went on the holiday was prone to constipation. Bowel charts were recorded for that person to identify whether they were becoming constipated. Staff were informed of people’s health needs via their care plans. People were supported to make healthy choices of food and drink throughout the trip.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. People and their relatives had opportunities to discuss the outcomes they wished to achieve. For example, they could decide which activities they wanted to take part in during the break. People were able to choose which holiday they wanted to go on.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. There were mental capacity assessments in place where people’s ability to consent was reduced because of a cognitive impairment or learning disability. Staff told us how they would respond if someone refused support from them. One staff member told us “We speak to the clients as we go along. We gain verbal consent from them, maintaining respect and confidentiality.” Another staff member told us “We ask people who they would like to be supported by. We make sure we are communicating and checking with people.” Staff demonstrated an understanding of people’s communication needs and told us how they would give people time to process information.