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 service had been rated as ‘Good’ at their previous inspection (report published on 20 November 2018), and we carried out this inspection because it was an aged rating. This inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.”

“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. We also received feedback from 11 of the provider’s care staff.”

“At the time of this inspection, 67 people received support from this provider. However, only 43 people received the regulated activity of personal care. We therefore only reviewed the specific care provided to those 43 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 visited 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 re-occurrences.”