Breakthrough Case Management received an Outstanding overall rating at its first inspection, with Outstanding in Effective and Well-led, and Good in Safe, Caring and Responsive. The specialist domiciliary service delivered exceptional bespoke care for people with complex life-changing injuries, supported by robust governance, innovative practice and strong multidisciplinary partnerships.
Strengths
· Exceptional, person-centred bespoke care packages tailored to individuals with complex life-changing injuries
· High level of specialist staff training including cerebral palsy, spinal/brain injury, Eye-Gaze, sign language, gastronomy tube and emergency medicines
· Robust governance with detailed individual audits shared with legal finance deputies and quality assurance action plans
· Strong multidisciplinary working with health professionals, lawyers and specialist therapists, including secure video feedback
· Bespoke recruitment with people and families involved in choosing their staff team
Quality-Statement breakdown (25)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to live healthier lives, access healthcare services and supportNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Supporting people to develop and maintain relationships to avoid social isolationNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated