- Homecare service
AJ Case Management
Assessment report published 3 June 2026
Contents
Ratings
Our view of the service
Date of Assessment: 19 and 27 March 2026. The service is a homecare service providing support to children and adults of all ages living with physical disabilities and sensory impairments. AJ Case Management is a case management service who support people who have sustained a catastrophic injury, such as a brain injury, as a result of clinical negligence or a personal injury. Each person had their own staff team.
Not everyone who used the service received personal care. CQC only inspect where people receive personal care. This is help with tasks relating to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection 14 people were being supported with the regulated activity of personal care. The provider had recently added the regulated activity of Treatment of Disease, Disorder and Injury to their registration. At the time of our inspection, they did not support anyone with this.
The provider had an excellent learning culture where incidents were investigated, themes and trends were identified and lessons learnt were shared with staff. Reflective practice was encouraged to help support staff development, enhance professional learning, and improve outcomes for people using the service. People were protected and kept safe. Staff understood and managed risks to people and their environment. People were supported by staff teams who had the right skills, qualifications and experience. Medicines were managed safely.
Assessment of people’s needs met best practice and national guidance and legislation to provide them with highly effective care. Staff worked with external professionals to achieve positive outcomes for people. People’s human rights and equality and diversity needs were understood, respected and met.
Staff supported people with extreme kindness and respect. They respected people as individuals and placed them at the centre of their care so they could live their lives in the way they chose and access services as they wanted and needed. Staff acted as people’s advocate and worked as part of a multi-disciplinary team to remove any barriers to people’s goals and aspirations.
Governance and quality monitoring systems were highly effective in identifying and managing risks and focused on continual improvement. Staff wellbeing was fully supported. The service had capable and competent leaders who ensured good practice was consistently embedded in all areas. The culture of the service was person-centred and focused on kindness, equality, dignity, and a deep understanding of people’s individual needs and challenges.
People's experience of this service
Feedback about the service was consistently positive. People received outstanding caring and compassionate support. Relatives spoke about the extremely positive impact the service had on their family members. One relative told us their family member was, “Living their best life,” and another told us they had seen a “massive improvement in independence and general wellbeing,” of their family member, due to the support they received.
Because people were supported by small staff teams, they had consistency of care by staff who knew them exceptionally well. People were supported to access a wide range of activities to improve their physical and mental wellbeing. One person told us staff knew what they liked and supported them to attend their chosen hobbies. They said, “I choose, they support me.”
People and their relatives were involved in their own care and supported to make decisions about their routines, lives and goals. Relatives praised staff for supporting their family members to receive bespoke care in order to improve their lives. One relative told us, “Staff know [Person’s name] very well, they have a built really good relationship with them.” Another relative told us staff could not do anything better and they, “looked after [Person’s name] so well.”