We carried out a review of the data available to us about Thera East Midlands on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Thera East Midlands, you can give feedback on this service.
Thera East Midlands provides care and support to people with a learning disability living in supported living accommodation. At the time of our inspection the service was supporting 297 people.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People were supported to be safe and protected from discrimination. Safety was a high priority for managers and staff, systems and processes to identify risk or potential abuse were robust. Peoples freedom was respected, and they were supported to be as independent as they could be.
There were enough staff with the right skill mix to meet people’s needs and support them to stay safe. People were supported to have their medicines at the right time in in the right way. Staff ensured people’s medicines were regularly reviewed to make sure they were still working effectively and that any benefits outweighed any side effects.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
People were supported in in a person-centred way. The culture of the service was empowering and inclusive. Staff promoted people’s human rights and protected people’s privacy and dignity. People were consulted and included in decisions about their care and support and about the development of the service.
Staff knew how to communicate with people effectively and understood people’s needs well. People led active lives and were able to follow the hobbies and interests they enjoyed. Where possible people accessed learning and education. People liked the staff and had confidence in them.
There was a strong framework of accountability and systems to monitor the quality of the service were well embedded into the running of the service. There was a clear organisational structure and staff understood their responsibilities. People, staff and relatives told us managers were supportive, approachable and accessible. A relative said, “I am delighted with the care and if there any issues or if there’s something I am not happy with I will contact the registered manager.”
Performance management processes were effective, reviewed regularly, and reflected best practice. Managers provided feedback to staff and there was clear evidence this led to improvement and good outcomes for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 30 May 2019).
Why we inspected
The inspection was prompted in part due to concerns received about the management of people’s medicines. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the ‘safe’ and ‘well led’ sections of this full report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
We inspected the service Thera East Midlands on 14 March 2019. We spent time at the head office in Grantham and visited locations on 02 April 2019. The service is registered for 146 people for the regulated activity personal care, there were 146 people using the service at the time of our inspection.
People’s experience of using this service:
The outcomes for people using the service reflected the principles of Registering the Right Support in the following ways; promotion of choice, control and independence and inclusion. People’s support focused on them having opportunities to gain new skills and live a full life as possible. People received safe care and were kept safe from harm. Risks to people’s safety was monitored recorded and their needs changed when risk were identified. Staff were recruited in a safe way. People received their medicines as prescribed and in a timely way. Staff followed protocols for infection control. Arrangements were in place to analyse information and monitor incidents, so lessons could be learnt.
The service followed the principles of the Mental Capacity Act 2005. People’s needs were assessed in line with their needs and choices. Staff received training, inductions and supervision that was relevant to their roles. People were supported to have their nutrition and dietary needs met. People had access to other healthcare professionals to ensure their care was effective. Each person had a healthcare passport to make sure health information was correct and up to date.
Staff were kind, compassionate and caring. People’s choices were respected, and they were supported to express their views. The service promoted people’s dignity, privacy and independence.
Staff used a variety of new methods and different ways of involving people in their care and support. Care planning was focused on person centred care that achieved exceptional results. The service carried out comprehensive investigations into complaints and concerns and learnt from the outcomes. Staff had specific skills to support people at the end of their life and ensure they had a comfortable and dignified death.
The service was extremely well-led. The management team supported staff with robust monitoring systems to ensure they provided a high-quality service. There was a strong framework for accountability across the service. The management discussed, promoted and implemented new ways to improve high quality working practices.
Rating at last inspection: 25 April 2016 rated as Good
Why we inspected: This was a scheduled inspection based on the rating at the last inspection.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per out re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk