Positive OT & Case Management Ltd

Updated 8 February 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Positive OT & Case Management Ltd is a specialist Case Management service providing oversight of support to adults and children with complex injuries.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours' notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 27 July 2022 and ended on 17 August 2022. We visited the location's office on 3 August 2022.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we had received about the service, such as details about incidents the provider must notify CQC about, for example incidents of abuse. We reviewed all other information sent to us from stakeholders such as the local authority and members of the public. We used all of this information to plan our inspection.

During the inspection

We spoke with one person using the service and eight relatives about their experience of the care provided. We spoke with nine staff members including the registered manager. We looked at three care records and three medicine records. We looked at three staff files regarding recruitment. We also looked at quality monitoring records relating to the management of the service, such as audit plans.

Updated 8 February 2023

About the service

Positive OT & Case Management Ltd is a specialist Case Management service providing oversight of support to adults and children with complex injuries. At the time of our inspection eight people were receiving a regulated activity. 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.

People's experience of using the service and what we found

Recruitment was managed safely, and people were involved in the recruitment process. Systems were in place to make sure staff and family members were recruited safely. This included a criminal record check (DBS) and references from previous employers.

Staff were up to date with training. People told us they were supported by staff who were kind and caring and staff respected their dignity and privacy.

Care plans were personalised to reflect peoples care needs. People's likes, dislikes and what was important to the person were recorded. Relatives and people were involved in care planning and care plans included preferences for their care. There were personalised activities available for people. Relatives told us people enjoyed the activities arranged.

Systems of governance were not yet fully embedded. However, there was a robust audit plan in place to address this issue. The audit plan demonstrated how the provider would ensure they were up to date with audits in a timely manner. The feedback about management and leadership was positive. Staff said management was approachable and supportive. There was enough staff to support people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection

This service was registered with us on 4 November 2021, and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.

We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified a breach in relation to good governance at this inspection.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.