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Tj Adamson

North West,

Consultant

Specialises in Dementia Care Nursing Care Interim/Turnaround Management Training Mentorship and Coaching

About the consultant

I’m a Registered Nurse and experienced Care Home Consultant with a background spanning clinical leadership, care home management, service improvement and operational governance.

I started my career in care management at just 18 and have since worked across a wide range of services, from managing individual homes to overseeing regional operations and supporting services through periods of significant challenge and change.

Much of my work now focuses on helping care services understand what isn’t working, why, and—most importantly—how we can put it right. I have particular experience in service turnaround, clinical governance, medicines management, safeguarding, care planning, workforce development and CQC compliance.

One of my most significant projects involved supporting a failing care home in Chester from an Inadequate CQC rating to Good. I continue to work alongside managers, nurses, care teams, commissioners and other stakeholders to strengthen systems, improve practice and create sustainable change.

My approach to consultancy is deliberately hands-on. I don’t simply audit a service, produce a report and walk away. I work alongside teams to make improvements happen—whether that means reviewing care plans, coaching staff, developing competencies, strengthening medicines management, improving governance systems or spending time on the floor understanding how a service really operates.

I also have a strong interest in dementia and person-centred care, including creative approaches to wellbeing and therapeutic interventions.

Ultimately, my role isn’t to make a service dependent on a consultant. It’s to share knowledge, build confidence and leave managers and teams with practical, sustainable systems that enable them to continue delivering safe, effective and genuinely person-centred care.

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