We carried out a review of the data available to us about Thera East Anglia 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 Anglia, you can give feedback on this service.
Thera East Anglia is a domiciliary care agency which is registered to provide people with personal care. The service operates in Cambridgeshire, Peterborough and Norfolk and supports people who have a learning disability. Support is provided in people's own homes which includes independent flats and supported living settings where staff support is available up to 24 hours per day. At the time of our inspection the service was providing personal care support to 108 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.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People were supported by exceptionally caring staff that knew them very well and understood how to support them to maximise their communication and opportunities. People’s independence and right to privacy were consistently respected.
People received their medication as prescribed and there were sufficient staff on duty to keep them safe and ensure their needs were met. A package of induction and training was provided to staff in developing the skills they needed to safely and effectively deliver care and support to people.
People were supported by staff who had a good understanding of how to recognise and report potential harm or abuse and were confident in local safeguarding procedures.
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.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.
As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.
The service used positive behaviour support principles to support people in the least restrictive way. On occasion, the service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.
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 24 October 2018). Since this rating was awarded the provider had a change to their registration that altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the new registration for this service.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Thera East Anglia under the ‘archived’ reports on our website at www.cqc.org.uk.