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.