Bush & Company Rehabilitation Limited provides a bespoke domiciliary case management service for 18 children and 20 adults with catastrophic injuries, rated Good across all five key questions at the December 2023 inspection. The service demonstrated strong person-centred practice, specialist staff training, robust governance and effective multi-agency partnership working with no concerns identified.
Strengths
· Bespoke staff teams recruited to match each person's family culture, lifestyle and language needs, with people and relatives involved in the employment process.
· Comprehensive pre-assessment using evidence-based tools (e.g. MUST) covering protected characteristics, goals and preferences.
· Staff received specialist training tailored to individual needs, including autonomic dysreflexia, epilepsy, PEG tube management and evacuation procedures.
· Strong safeguarding culture with incident reporting, a safeguarding board review process, and lessons-learned approach to prevent reoccurrence.
· Effective partnership working with health professionals, solicitors, local authorities, schools and therapists to coordinate holistic care.
Bush & Company Rehabilitation Limited received a Good rating across all five key questions at its April 2016 inspection, demonstrating safe, person-centred care for individuals with complex rehabilitation needs. The service was characterised by consistent staffing, robust governance, strong leadership, and a commitment to maximising independence and quality of life.
Strengths
· Consistent staff team with strong knowledge of individual needs, supporting complex rehabilitation effectively
· Robust recruitment process including DBS checks, references, and face-to-face interviews
· Medicines managed safely with pharmacy-filled dossett boxes, completed MAR sheets, and regular stock monitoring
· Staff received comprehensive induction, regular training, supervision, and annual appraisals
· Person-centred care plans regularly reviewed, including 'About Me' sections reflecting individual preferences