The Cube Disability Ltd

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

The provider did not have a reliable system or use evidence-based tools to assess all of people’s needs. Staff did not always have all the information they needed to understand how to meet people’s needs. The provider did not have systems to ensure people were cared for by staff they knew or have a comprehensive handover from their established care team. The provider did not have a system to plan and provide a balanced diet, or to monitor that people received their food as detailed in their plans. Although people chose to go on holiday, their options were limited to availability and people could not choose who they went on holiday with, or which staff provided their care. The provider did not have systems to identify specific goals or record people’s preferences or outcomes. The provider had systems in place to assess people’s mental capacity and enable people to make choices about their care.

This service scored 46 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People did not always have a comprehensive assessment of all their needs. The level of assessment was inconsistent, where one person’s moving and handling assessment was complete, their assessment for pain control was not.

Staff did not always have all the information they needed to understand how to meet people’s needs.

The provider did not have a reliable system to assess all of people’s needs.

People’s risks had not been assessed using evidence-based tools or procedures; staff did not have all the information they needed to mitigate risks and meet people's needs.

Staff did not know how to assess people’s risks using evidence-based tools or procedures. People were at risk of not receiving the care that mitigated their risks and not meeting their needs as staff did not have the information they needed.

The provider did not have policy or processes to assess people’s risks using evidence-based tools or procedures. People were at risk of not having their risks identified, mitigated and at risk of not having all their needs met.

People did not always know the staff that provided their personal care.

Staff did not always know each other, or the people they provided care for. None of the staff had looked after the people overnight before they took them on holiday.

The provider did not have systems to ensure people were cared for by staff they knew or have a comprehensive handover from their established care team.

The provider did not have systems to ensure people were cared for by staff they knew or have a comprehensive handover from their established care team.

People did not always receive the balanced diet they required to maintain their health and wellbeing. The impact of this, one person returned home with constipation.

Staff had not ensured people always received the balanced diet they required to maintain their health and wellbeing. Staff did not have the information they needed to know how to manage one person’s epilepsy.

The provider did not have a system to plan and provide a balanced diet, or to monitor that people received their food as detailed in their plans. The provider did not have a system or procedure to manage people’s epilepsy.

People had expressed a wish to go on holiday which gave them the opportunity to try new activities.

Staff facilitated people to achieve their goal for a holiday and supported people to take part in activities.

The provider did not have systems to identify specific goals or record people’s preferences or outcomes. There was a system for people to choose from a list of holidays, but these were then allocated by the provider with no liaison with people.

People chose to go on holiday, but their options were limited to availability. People could not choose who they went on holiday with, or which staff provided their care.

Staff offered people the choice of meals and to take part in activities.

The provider had systems in place to assess people’s mental capacity and enable people to make choices.