Core Case Management Ltd

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.

This is the first assessment for this service. This key question has been rated good.

This meant people were safe and protected from avoidable harm.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a proactive and positive culture of safety, based on openness and learning. Staff understood their responsibilities to raise concerns and were confident to do so, describing clear escalation routes to managers, safeguarding teams and the CQC. Incident reporting systems enabled concerns to be recorded and reviewed, and managers used this information to identify themes through monthly oversight meetings. Staff and relatives confirmed they were informed of issues promptly and that learning was shared to improve care.

The provider worked effectively with people and professionals to establish and maintain safe and coordinated systems of care. Care plans included clear escalation pathways, key contacts and accessible summaries used when people transferred to other services. Records demonstrated multidisciplinary involvement, including GP, SALT, physiotherapy and occupational therapy, and staff described effective communication when supporting hospital transfers. Relatives confirmed care was well coordinated and consistent across services.

The provider worked with people and partners to ensure safety was understood and maintained. Staff had received safeguarding training and were confident in recognising and reporting concerns. One staff member said, “I wouldn’t hesitate to share anything of concern, and I know it would be acted on.”

The registered manager demonstrated a clear understanding of safeguarding thresholds and reporting requirements. People and relatives said they felt safe and had no concerns, and systems were in place to record, escalate and review any issues appropriately. One relative said, “I have never had any safeguarding concerns. I trust the staff completely.”

The provider worked with people to understand and manage risks in a way that supported independence. Risk assessments were highly detailed and person specific, covering areas such as choking risks, mobility, behaviour and environmental safety. People were supported to take part in activities such as holidays, community access and cooking, with risks managed appropriately. Staff described encouraging independence while maintaining safety, and relatives confirmed people were able to live active and meaningful lives stating, “There’s nothing [Name] is reasonably unable to do because staff manage any risks.”

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

Risks within people’s home environments were assessed and controlled. Environmental risk assessments, PEEPs and fire evacuation plans were in place and regularly reviewed. Assistive equipment, hoists and technology were used safely to support people’s needs.

One staff member described adapted environments saying, “The property is designed around [Name’s] abilities and supports full mobility and accessibility.” Equipment checks and guidance were embedded into care plans, supporting safe delivery of care.

The provider ensured there were enough skilled and experienced staff to meet people’s needs. Staffing arrangements were consistent, supporting continuity and familiarity. Recruitment processes included relevant checks, and new staff completed shadow shifts before providing care. Staff received induction, supervision and appraisal, and training covered key areas such as moving and handling, medicines and safeguarding. The provider had identified the need to strengthen refresher training and competency checks and had plans in place to embed this.

The provider assessed and managed the risks of infection. Staff had access to PPE and understood appropriate processes for its use and disposal. Infection control guidance was included in care planning and supported safe daily practice.

The provider ensured medicines were managed safely and met people’s needs. Records were complete and accurate, with no gaps identified. Staff were trained and supported to administer medicines safely, and systems were in place to manage changes, including PRN (as required) medicines. People and relatives confirmed medicines were administered as prescribed.

One person told us, “Staff support me with my medicines, never a problem.”