At Bush & Co Care Solutions we provide peace of mind with direct employment of support workers and nurse-led packages as a CQC registered service. From sourcing candidates and seamless onboarding to comprehensive training and ongoing supervision, our team is dedicated to ensuring that care staff are fully equipped to deliver exceptional support. We handle essential aspects including:
HR
- Recruitment advertising
- Interview support
- Onboarding
- Payroll and pensions
- Employee relations including abscence management
- Leaver processing
Care Support and Management
- Care planning and care reviews
- Supervision
- Medication management
- Nursing
- Rotas
- Family liason
Clinical Governance
- Vlinical training
- Competency sign-off
- Risk assessment
- Training support
- Annual case audits
- Safeguarding
Our Care Managers
Our experienced team of care managers offer a range of tailored support solutions to assist you as an independent case manager in overseeing cost-effective, well-led and safe care packages for a fixed fee. This allows you to concentrate on your clients' rehabilitation while offering them the reassurance and confidence they need as an 'employer'.
Danielle Marchant
Danielle has worked in the care sector for over 20 years in a number of settings including Deputy Manager for Brain Injury Rehabilitation, Deputy Manager in Learning Disability Services, Care and Compliance Management and Care Co-ordinator for complex healthcare including spinal cord injury. She is responsible for a case load of clients, overseeing care planning, risk assessments, staffing and medication support. She also works closely with case managers to review care plans and risk assessments to support in maintaining CQC compliance.
Carolyn Morris
Carolyn's varied career pathway has provided her with a solid foundation to deliver exceptional support to her clients. She combines her skills and passion for the role to ensure her clients' needs are holistically met. Carolyn has experience working with adults and children with a range of needs and is responsible for a complex case load of care management with the home.
Kirsty Palmer
Kirsty is an experienced Care Manager who has worked with different patient groups in a variety of settings. She has worked at management level in residential care and is QCF level 5 trained in Leadership and Management. She is passionate about advocating on behalf of her clients and ensuring they receive high quality person centred care.
Gareth Hankin
Gareth has worked in the care sector for over 15 years, working in Brain Injury rehabilitation as well as supporting those living with mental health conditions, learning diabilities and dementia. He has held a number of clinical roles, working his way up from support worker, through t o care coordinator, team leader and then onto managing services within the mental health sector. He is passionate about improving the quality of people’s lives and advocating for the support they need as well as building professional, supportive relationships with clients and understanding their backgrounds and cultures. He also has a keen interest in new technology and innovations.
Natalie Sylvester
Natalie has worked in care and education for over 16 years achieving a level 5 qualification in children & young people services. Natalie has worked in private care provisions and community settings where she has developed strong interpersonal skills which have helped her achieve positive relationships with the teams and clients she has worked with. She has experience working with both adults and children with a range of needs and uses all of the skills that she has leant and developed over the years to help adapt and manage a variety of cases. Natalie endeavours to ensure that all clients have the correct care in place to meet their needs and maximise the quality of life.
Case study: A calm and steady pace
At Bush & Co Care Solutions we work with many young people who are extremely resistant to external support and much, if not all, of the care is provided by the family. We find this can be attributed to a number of reasons including the trauma from an accident, fear of safety or sometimes even typical adolescent behaviour, as they not only transition through childhood but do so following trauma and managing all the emotions and concerns that can bring.
When all the care a young person needs is provided by the family, this can create several concerns, such as stress, anxiety, and feelings of overwhelm. For family members, becoming a full-time carer as well as a parent or relative, in addition to an employer of support workers and/or nurses, is a dramatic shift. We find parents in particular struggle with having to adopt several new roles on top of simply being mum or dad and watching the family dynamic they once knew become unrecognisable.
When external support is resisted, this can put undue pressure on both the family and the external case manager involved.
If a case manager is in place, their primary role is to manage rehabilitation for the young person, manage the MDT, and support the family. However, in so many cases, they also serve as the main point of contact for the young person and their family. When care management needs are added to that, it’s our experience that external care management can provide much-needed support and resource for all involved.
Our care managers work with external case managers to recruit care teams of various sizes, including full care teams for the provision of 2:1 support. They then become the first point of contact for the staff and manage care planning, while risk assessing supervision and employee relations/HR management. This gives case managers the confidence that care management is safe, effective, caring, well-led, and responsive.
However, our care managers bring much more to the young person, the family, and their case manager than just practical support. They find unique and individual approaches and when young people are resistant to external support, they find a safe way to navigate through the challenges. A good and effective approach is to work closely with schools and provide assistance in an education setting. Young people are often receptive to this approach, as school is a structured environment where support is expected. Conversely, external support within the family home can feel threatening, different, and unnatural.
After care management needs have been supported within the education setting, our experience suggests that in time and once trust is built, the resistance to support in the home, including the presence of support workers, disappears, enabling the young person to be fully supported in the home.
Successful care delivery relies on a combination of factors that includes a good relationship between the case manager and care manager, respect for the family dynamic alongside the client’s care needs, space to listen and talk, and a careful pace alongside MDT collaboration.
As an independent case manager, I wanted care management for my client that was CQC registered, compliant, safe, effective and well-led. I found Bush & Co Care Solutions not only offered all of that, but also an experienced, knowledgeable and creative team who put my client and their family’s needs first at all times. They’ve built great relationships and trust with both me and my client and have brought creative solutions to my caseload. This means I can be confident as well as the rehabilitation needs managed by me, the care is in safe hands too.Independent case manager - May 2024
The wider care solutions team
Jo Wilkins
Head of Care Support Services and Registered Manager
Jo has worked in care for over 25 years, all of which have been within the neurological sector. She has experience as a registered manager for both inpatient and community services and has developed and managed services across Bedfordshire, Northamptonshire and Oxfordshire for Acquired Brain Injury and Nursing providers. Jo is charged with both the growth of the service and ensuring the care delivery and provision meets the fundamental standards of care.
Zoe Scott
Clinical Lead Nurse
As a registered general nurse, Zoe has over 14 years' clinical experience working with clients with a variety of physical problems, specialising in the management of adults who have sustained a brain or spinal cord injury or who have sustained multiple injuries that mean they require complex care. This has included swiftly build supporting and therapeutic relationships despite sometimes challenging family dynamics. Zoe is responsible for setting up complex care packages for clients in within the home and manages the ongoing requirements for support workers including recruitment, on-boarding, supervision and training.
Sue Bowers
Support Worker HR & Recruitment Team Leader
Sue has been in her role at Bush & Co for over seven years providing HR administration services to care and case managers, She leads on direct employment tasks and queries ranging from annual leave through to sensitive disciplinary actions.
Angela Wilson
HR & Training Administrator
Ang has worked in a variety of care settings including the NHS, residential care and the private care sector. She is passionate about ensuring all clients are supported in a person centred way and her role as HR and Training administrator is pivotal to this. Ang coordinates all support worker training using both the e learning training portal and arranging specialist client specific training. She is always on hand to assist all support workers, care managers and case managers with training queries and works hard to maintain excellent compliance standards.
Donna Dorbon
Onboarding & Compliance Coordinator
Donna has worked in social care for over 17 years as a support worker, working within the private sector and Local Authority before joining Bush & Co in 2023. Donna is responsible for the recruitment and on boarding for all support workers, ensuring employee supervisions, appraisals and probationary reviews are completed according to CQC guidelines as well as managing Support workers annual leave records.
Claire Hartley
Payroll Administrator
Claire has worked in HR and Payroll for over 15 years in sectors including education and childcare provision. She is driven to resolve queries and provide a high quality service to clients in her responsibilities of co-ordinating the payroll process for Bush & Co Care Solutions clients choosing direct employment; working closely with care managers and finance to ensure legal compliance and exceptional service.
Bush & Co Care Solutions is registered with the Care Quality Commission (CQC) and maintains a ‘Good’ rating by the regulator with no areas for improvement. As we continue to grow, the consistent ‘Good’ rating shows that, despite significant growth, there has been no compromise on the service we deliver and we continue to be recognised for delivering safe, effective, caring, responsive and well-led care in the home.
Emma Robinson
Business Development Manager
We’re so pleased with our recent CQC rating of good, across all areas of the inspection. For me, what’s most important is that despite huge growth across the service over the past 12 months, at no point has that growth compromised the standard of care we provide and how our clients feel they are cared for. It’s a source of great pride and is ingrained in every decision we make. As well as the CQC’s comments, to be recognised by our clients for keeping them safe, enabling them to be at ease in their home and caring for their needs is an honour.Jo Wilkins, Head of Care Support Services
Jo Wilkins
Head of Care Support Services