About the service Circle Case Management Ltd is a specialist agency which provides bespoke case management support and advice to both adults and children with life changing injuries, including spinal cord injuries, acquired brain injury and complex orthopaedic injuries. They also work with adults and children who have sustained life changing disabilities as a result of clinical negligence. Case managers work with people to set up and coordinate their rehabilitation, care and support needs. This is mainly funded by legal compensation claims. Circle Case Management 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. At the time of our inspection there were seven people receiving the regulated activities provided by the service.
People’s experience of using this service and what we found
People were supported by a service which had systems in place to identify and report concerns. Staff had received training in safeguarding, which helped them to recognise the signs of abuse and actions to take if they had any concerns.
Circle Case Management Ltd support some children. Staff had received safeguarding training specific to children and the provider had an up to date child protection policy in place.
Relatives told us people received safe care. Comments included, “My son is always kept safe at all times.”
People received support from their own staff team who were recruited safely by Circle Case Management Ltd. Staff received an induction and the provider’s mandatory training as well as specific training relevant to the person they support. Staff were trained to administer medicines safely and discussed medicine administration as part of their supervisions.
Staff had received training in infection control, had access to PPE and were part of the government’s Covid-19 testing program.
People's needs were comprehensively assessed and staff with the right skills helped to meet these. Staff supported people with their eating, drinking and to access healthcare support.
People were cared for by staff who were very caring and considerate. Relatives felt involved in their care and able to express their views. People received care and support which was personalised to them and their unique circumstances and wishes.
People's independence was promoted and respected and were supported by staff in a dignified and respectful way.
People benefited from a staff team who enjoyed their jobs and were proud to work for the service. Staff had a good knowledge about the people they supported and told us they were proud and enjoyed working at the service. This was evident from the positive feedback we received. One staff member said, “I believe I am surrounded by an excellent team of people and they will always try and help and if they can’t then they find somebody who can.”
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.
The provider had a complaints procedure but the registered manager said they had not received any complaints.
People, their families and legal representatives were able to give feedback about their care through care reviews and surveys.
The provider had systems and processes in place to retain oversight of people's care and ensure good standards were consistently met.
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 12 July 2019 and this is the first inspection.
Why we inspected
This inspection was carried out due to the length of time the provider had been registered with CQC without receiving a formal rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.