Case Management Solutions Ltd received a Good rating across all five key questions at its first CQC inspection, demonstrating safe, person-centred care for adults and children with complex needs including brain injuries. Two recommendations were made regarding MAR completion oversight and ensuring all staff complete MCA and learning disability/autism training.
Concerns (3)
moderate
Medication management
: “it was not always noted on the MAR when other parties had administered medicines. This could result in errors or omissions by staff not being picked up immediately.”
minorStaff training: “not all staff working with adults had completed training in the Mental Capacity Act. The provider was also still to update their training program...to include training in learning disability and autism”
minorConsent / capacity: “although staff were working within the principles of the MCA, not all staff working with adults had received formal training in this area.”
Strengths
· Strong safeguarding culture with knowledgeable staff and positive relative feedback on safety
· Robust recruitment process with full involvement of people and families
· Person-centred care with strong rehabilitation focus and individual care teams providing continuity
· Effective partnership working with health professionals including occupational therapists and physiotherapists
· Experienced and qualified case management team providing accessible line management support to staff
Quality-Statement breakdown (22)
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Staff support: induction, training, skills and experienceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candour; Continuous learning and improving careGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood