Tania Brown provides Case Management, rehabilitation and specialist clinical services for both adults and children in addition to an expert witness service for the courts along with specific services for independent and statutory sectors including the NHS.

The organisation offers a nationwide service with consultant clinicians and case managers located across the country, all of whom are highly trained with considerable expertise to work alongside adults and children with complex physical, emotional and social needs.

Tania Brown is a domiciliary care service offering a wide range of specialist community services on a nationwide basis for people with life changing, chronic and degenerative neurological conditions in addition to specialist services for people who have sustained serious or catastrophic injuries such as brain injury and spinal cord injury.

Services are also provided for people who have sustained serious multiple orthopaedic injuries including amputation as well as services for people with chronic pain conditions and those suffering from industrial disease. At the time of our inspection 76 people were using the service across the whole country.

Not everyone using Tania Brown receives a regulated activity; Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

There was a registered manager in post. A registered manager is a person who has registered with CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The registered manager was extremely dedicated, enthusiastic and knowledgeable. They were very visible in the team and proactive throughout the inspection in demonstrating how the service operated and how they worked closely with other health and social care professionals to lead improvements in the service. Feedback about the service from other professionals was overwhelmingly positive and complimentary.

The management team had incredible oversight by scrutinising all areas before issues occurred, which showed they had strong control measures in place. Staff confirmed the management team were keen to listen to their ideas and encouraged them to raise any concerns.

People told us they felt safe because of the care and support they received. The service had comprehensive safeguarding policies and procedures in place and all staff had received training in safeguarding vulnerable adults and children which was regularly refreshed and demonstrated an excellent understanding of how to report both safeguarding and whistleblowing concerns. Staff were confident any concerns raised would be actioned by management.

During this inspection, we found multiple examples to demonstrate the staff and management team were passionate about providing an innovative, excellent service. People were provided with a service that was bespoke to them and they were fully involved in identifying their needs and goals to be achieved for the future.

To ensure outstanding care and consistency continued to be delivered, the service completed regular monitoring, spot checks and formal audits of service provision. The management team also worked alongside staff to provide support and complete additional observations of practice; staff received high levels of support to enable them to provide outstanding care. In depth induction training was provided upon commencing employment and ongoing refresher training, regular supervision, team meetings and appraisals were also provided.

All staff were viewed as being an integral part of the service and were very much involved in providing feedback on how to improve the service. Staff were highly motivated and prou