18 July 2023
During a routine inspection
Leafield JD Limited is a case management service providing comprehensive, person-centred case management service to adults with complex needs. Case managers work with people to set up and coordinate their rehabilitation, care, and support needs. Leafield JD Limited oversee the training and performance management of support workers employed directly by the people using the service. At the time of our inspection there were 5 people using the service.
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.
People’s experience of using this service and what we found
The provider has systems and processes in place to monitor the quality and safety of the service. We found that medicines audits needed to be strengthened and we made a recommendation about this.
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. 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.
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.
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.
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.
People and relatives spoke positively of the staff team and registered manager. 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
Rating at last inspection This service was registered with us on 9 March 2022, and this is the first inspection.
Why we inspected
This was a planned inspection.
Recommendations
We have recommended that the provider strengthens some of their governance systems.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
This was an ‘inspection using remote technology’. This means we did not visit the office location and instead used technology such as electronic file sharing to gather information, and video and phone calls to engage with people using the service as part of this performance review and assessment.