3 August 2022
During a routine inspection
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.