The Cube Disability Ltd

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• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

The provider did not have adequate systems to monitor and identify where the service had not recognised people's risks or met their needs. The provider failed to implement systems to monitor and improve the service since the last inspection, however there had been a recent change in management who were committed to making the required changes. People did not have their care planned and delivered in line with Right Support, Right Care, Right Culture. People did not have a real choice of holidays as these were allocated by the provider without consideration of who they would go with, or which staff would provide their care. Staff were not matched with the emotional, physical or social aspects of people's needs. People and families did not receive comprehensive information about the holiday arrangements or have the opportunity to meet up with the group they would be travelling with. This was a continued breach of the regulation relating to governance. The risk was currently mitigated as there were no people requiring personal care booked on the remainder holidays in 2024.

This service scored 36 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People could not currently rely on the service to understand and meet their needs as systems to monitor and improve the service had not been embedded and some were still in their infancy.

The provider recognised the service required systems and processes to be implemented and embedded; they had put the resources in place to manage this. The new management team understood they needed to implement new systems and processes so that staff would have all the information and skills they required to meet people's needs. Staff had not been involved in developing the service through team meetings or seeking their feedback.

People did not have their care planned and delivered in line with Right Support, Right Care, Right Culture. People did not have a real choice of holidays as these were allocated by the provider without consideration of who they would go with, or which staff would provide their care. Staff were not matched with the emotional, physical or social aspects of people's needs. People and families did not receive comprehensive information about the holiday arrangements or have the opportunity to meet up with the group they would be travelling with. Staff were supported by the management team to gain the skills they required to meet people's needs.

The provider had appointed two experienced managers to oversee the management of the service. The implementation of systems and processes were in their infancy, however, the provider had committed resources to ensure the service would develop in a way that met people's needs.

Staff referred any concerns to the manager and during supervisions; formal speak up systems had not been implemented.

The provider had systems for staff to raise concerns during supervisions. Further systems needed to be implemented to ensure all staff know who to raise concerns with and how to escalate if they do not get an appropriate response.

Staff did not have all the systems in place to monitor the quality and safety of the service during the holidays. For example, the monitoring of daily records, hot water and management of medicines.

The provider did not have adequate systems to monitor and identify where the service had not recognised people's risks or met their needs. The provider failed to implement systems to monitor and improve the service since the last inspection, however there had been a recent change in management who were committed to making the required changes.

Managers and staff were new to the roles and did not have all the experience and systems in place to ensure all people had their risks assessed and managed.

The provider failed to have used the learning from the last inspection as they had not implemented all the systems and processes required to monitor and improve the service.