Cera - Derbyshire

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.

The Cera Derbyshire homecare service had been rated as ‘Good’ at their previous inspection (report published on 20 November 2018). The provider had recently added the ‘supported living’ service type to their CQC registration details for this location. We therefore carried out this inspection because the supported living part of the service had not yet been rated. This inspection was carried out by one inspector.

We gave the provider 24 hours’ notice of our inspection. This was because we needed to ensure the registered manager would be available to meet with the inspector at the provider’s office.

At the time of this inspection, 3 people received supported living support from this provider. However, only 2 people received the regulated activity of personal care. We therefore only reviewed the specific care plans relating to those 2 people, but we did inspect the general staffing, and management arrangements in place.

The provider had a learning culture and people could raise concerns. Managers investigated incidents thoroughly. Staff understood and managed risks well when they supported people. There were enough staff with the right skills, knowledge, and experience to meet people’s needs. Staff had received relevant training. Staff understood their roles and responsibilities. Staff managed people’s prescribed medicines well.

People were involved in deciding how they individually received care. People’s person-centred care plans and risk assessments took account of their individual communication needs as well as their personal care and health care needs. Staff monitored people’s health, where required, to encourage healthy living. Staff made sure people understood their care and treatment to enable them to give informed consent. Staff ensured an appropriate best interest decision making process was followed where people did not have the capacity to make decisions for themselves.

People were treated with kindness and compassion. Staff treated people as individuals and protected their privacy and dignity.

The registered manager was working to create a shared vision and culture based on listening, learning, and trust. The registered manager was knowledgeable, they treated staff fairly and respected their wellbeing. The registered manager collaborated with the community healthcare teams to ensure people received consistent and effective healthcare support. There was a culture of continuous improvement and of learning lessons from incidents to help reduce reoccurrences.