Background to this inspection
Updated
15 October 2021
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
We gave a short period notice of the inspection. This was because it is a small service and we needed to be sure a manager would be in the office to support the inspection.
Inspection activity started on 9 September 2021 and ended on14 September 2021. We visited the office location on 9 September 2021.
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 notifications. These inform us of events that happen in the service which the provider is required to tell us about by law. We sought feedback from the local authority. We used all of this information to plan our inspection.
During the inspection
We visited the office and spoke with the registered manager, operations manager, office manager and head of recruitment. We also spoke with five people that used the service, two relatives, three case managers, five support workers and the director following our visit.
We reviewed a range of records. This included four people’s care records and associated documentation. We also looked at the staff training records and a variety of records relating to the management of the service, including policies and procedures.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
15 October 2021
About the service
Community Case Management Services is a domiciliary care agency that is registered to provide personal care to people living in their own homes. 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 the inspection, fifty-one people were supported with their personal care needs.
The service specialised in providing specialised and bespoke rehabilitation, personal care and case management services to people both nationally and internationally who have sustained serious injuries specifically acquired brain injury and complex health conditions. The services provides support to people of all ages from children to adults.
People’s experience of using this service and what we found
People were kept safe by staff who understood how to safeguard people from abuse and effective safeguarding procedures. There were sufficient staff to meet people's needs and ensure safe care. Robust recruitment procedures helped to ensure the right staff were employed. People received their medicines safely. Risk assessments were detailed, person centred and kept up to date through regular review. There was an emphasis on rehabilitation and maximising the potential of people that used the service. People were protected from the risks associated with the spread of infection.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Policies and systems in the service supported this practice. People had a comprehensive assessment of their needs prior to using the service. The provider had arrangements for the induction of new staff and staff received regular training designed around people's individual needs. People were supported to access healthcare services when required.
People told us staff were kind and caring. People and where appropriate their relatives had been consulted about their care needs and had been involved in the care planning process. Staff promoted people's dignity, privacy and treated people with respect. There was a focus on encouraging and enabling people to live full and active lives.
The provider had established governance and quality assurance systems with regular audits and checks that monitored the standard of the service.
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 9 May 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date the service was first registered with the CQC.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information, we may inspect sooner.
Further information is in the detailed findings below.