Case Management

It is simplistic to confine care or clinical governance discussion to any number of so-called “pillars” of care/clinical governance.
We operate a dynamic caseload management structure that enables us to actively engage with our service users, their families, and other stakeholders to provide care and support. Each of the service users in our homes is allocated a Team of Four Staff (Named Carer, Keyworker, Caseworker and Case Manager). These frontline staff provide hands-on care and support to the service user. They work closely together, they are aware of the service users’ affairs, issues, concerns, conditions, or circumstances for as long as they remain allocated, and are involved in the care decisions to be made about the service user.

The benefits of this team arrangement are that it:

  1. Provides a strong team base, as the point of contact for effective communication about the service user’s care, issues, or conditions.

  2. Enables a lasting rapport to be built with the service user and their families, enabling the staff to become a confident advocate for the service user.

  3. Encourages a more personal knowledge of service users’ needs and raises the team’s knowledge and awareness of their care needs.

  4. Supports the continuity of care management, coordination, and the implementation of action plans agreed upon.

  5. Provide immediate support to the service user’s decision-making, closer to the point of care delivery.

  6. Ensures a robust monitoring and evaluation of the care being provided.

Key Features:

  1. Comprehensive and holistic care needs assessment

  2. Service user’s dependency screening.

  3. Care and Support planning, and implementation.

  4. Multi-professional Care Management and Co-ordination (known as Care Co-ordination)

  5. Practice Supervision: Regular staff support sessions, underpinned by an individual staff supervision contract.

  6. Care Reviews: Fortnightly Case Management Meetings, Quarterly Case Reviews, Medical Reviews, and Annual Placement Reviews.

  7. Effective Communication: Care Needs Alert – Our automated system for the provision of timely notification, alerts, or communication with relevant stakeholders on issues or concerns about the service user, Care and Legal Record Management- Our automated timely sharing of critical care records with professionals.