The Cube Disability Ltd

Updated 8 May 2024

Date of assessment 8 May to 11 July 2024. The Cube Disability Ltd. is a domiciliary care agency providing personal care during short breaks to people living with a learning disability or autism who usually attend their day centres. At the time of our assessment there were 37 people using the short breaks service, however, only 2 people received personal care. As part of our assessment activity, we undertook on-site visits on 24 June and 11 July 2024. This assessment was carried out to follow up from our previous inspection to assess them for improvements. We assessed a total of 25 quality statements. At the last inspection, this location was rated requires improvement. During this assessment, we found concerns with the quality of the oversight of people’s care. We identified a continued breach of one of the legal regulations in relation to governance. The overall rating of this service has remained requires improvement. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

Updated 8 May 2024

People had expressed a wish to go on holiday which gave them the opportunity access pre-determined activities. Information about the types of holidays were shown to people in the form of pictures of people enjoying previous holidays. However, people did not choose which holiday or who would go with them, as these were allocated without consultation with the person. People’s families did not receive detailed information about the accommodation, staffing or arrangements for the holidays. People did not always get the opportunity to meet with all the care staff and other people going on the same holiday to gain understanding of what would be happening on holiday and who they would be spending time with. People could not be assured they would be cared for by staff they knew well, or that staff had all the information documented to ensure a smooth transfer to health professionals in the event of an emergency. The handover between family and staff accompanying people on their holiday was not robust enough to enable staff to understand how to meet all people’s needs whilst on holiday. People’s risks had not been assessed using evidence-based tools or procedures. People did not always have a comprehensive assessment of all their needs as the level of assessment was inconsistent. People’s holiday accommodation had been assessed as fit for purpose, however, people’s moving and handling equipment had not been tested to ensure it was working before use. People were at risk of not receiving their ‘as required medicines’ appropriately as staff did not have the required protocols to refer to. People were at risk of not receiving the medicines they required for pain and for constipation. Families knew they could approach the manager to make any complaints.