Case Management Solutions Ltd

Updated 11 May 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 2 inspectors.

Service and service type

This service is a domiciliary care agency with rehabilitation services. It provides personal care to people living in their own homes.

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. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be in the office to support the inspection.

Inspection activity started on 29 March 2023 and ended on 21 April 2023. We visited the location’s office on 4 April 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We also contacted Healthwatch Sheffield. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.

During the inspection

We received feedback from 2 relatives about their experience of the care provided and met with 1 person who used the service by video. We spoke with the registered manager, a case manager, a team leader and 2 support workers. We emailed 7 staff across 3 teams and received 4 responses. We attempted contact with 3 health and social care professionals who have experience of the service and we received 1 response.

After the inspection

We reviewed 3 people's care plans and risk assessments.

We reviewed 3 staff files in relation to recruitment, training, and supervision.

A variety of records relating to the management of the service, including policies and procedures were reviewed.

We continued to seek clarification from the registered manager to validate evidence found.

Updated 11 May 2023

About the service

Case Management Solutions Ltd is a specialist agency which provides bespoke case management support to both adults and children with complex needs, often as a result of a serious brain injury. Case managers work with people to set up and coordinate their rehabilitation, care, and support needs. Case Management Solutions Ltd oversee the recruitment process, training and performance management of support workers employed directly by the people using the service.

The service is registered to provide personal care. 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.

At the time of our inspection there were 3 people receiving the regulated activities provided by the service.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

This provider was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

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.

Right Support:

The provider had processes to safeguard people from the risk of abuse. Staff were knowledgeable about safeguarding and knew how to act on concerns. Relatives told us they felt that their relative was safe. One relative commented, “Care Management Solutions are massively supportive and really well organised. Can rely on them and trust them with [Name].”

There was a recruitment system to ensure appropriate staff were employed and there were enough staff to support people. People and their relatives were fully involved in the recruitment process and had access to experienced case managers who were qualified health and social care professionals.

Risks associated with people’s care had been identified and assessments were in place to minimise risks occurring.

Quality audits were in place and completed regularly by the senior team.

Right Care:

People received care and support from staff who knew them well and understood their needs and considered their preferences.

People were supported to achieve their goals and there was a strong focus on rehabilitation and increasing independence.

Staff worked in partnership with health professionals to ensure people received the right care and support. One professional commented, “They are dedicated and proactive as a team, and they will make all efforts to take our expert recommendations as required in the client's best interest.”

Right Culture:

Staff at all levels worked hard to promote a culture that was person centred and inclusive.

Staff told us should they have any concerns about poor practice they would feel confident to raise them and for their concerns to be acted upon. One staff commented, “I know I can speak to my senior or a manager.” Relatives spoke positively of the staff team and registered manager. One relative commented, “To be honest we couldn’t really wish for any better, they are brilliant.”

Staff supported people to explore and embrace their identity and provided care that was sensitive to equality and diversity.

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

Why we inspected

This service was registered with us on 1 February 2022 and this is the first inspection.

Recommendations

We have made recommendations about ensuring staff have all training appropriate to their role and the safe management of medicines.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.