We carried out a review of the data available to us about Bluebell Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Bluebell Centre, you can give feedback on this service.
The Bluebell Centre is a reablement service which provides support to people in their own homes. At the time of our visit 24 people were using the service. The reablement service involves a multi-disciplinary approach involving support workers, social workers and occupational therapists agreeing a programme of intensive support for people with the aim of skilling them or re-skilling them to manage the activities of daily living. It is particularly used for people who need support to help regain skills and confidence after being discharged from hospital. The service is for a short intense period of support based on the individual's needs.
People have told us they felt safe in their homes around staff who helped to keep them safe. Risks to people’s health and wellbeing were documented for staff to refer to. Staff understood how to keep people safe. People told us there were enough staff to support them. Systems were in place to review the backgrounds of potential staff to assure the registered provider of their suitability to work at the service. People were supported with their medicines according to their needs. The registered manager reviewed practices to ensure any learning could be incorporated to improve the service people received.
People’s needs were assessed prior to them receiving care. This was to ensure everything was in place, which included equipment so that people received the care they needed. Staff worked with other health professionals and stakeholders to support people achieve the outcomes they wanted.
Where appropriate staff supported people with their meals and offered choices.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People told us staff were very caring and help to reassure them. People explained that when they first left hospital they felt vulnerable, but with the attention and care of staff they were able to gain their independence and dignity. Staff understood how to support people to promote their individual lifestyle choices. Staff had received equality and human rights training and understood how to promote peoples’ choices.
People’s care was continually reviewed and updated. People told us during their care package their needs quickly changed and that at every step, staff included them in their care planning to achieve goals they identified with the help of staff. Staff used a number of communication methods to communicate with people, depending on the person’s needs. People understood they could complain if they needed to but did not feel they needed to. The service did not provide End of Life Care but staff knew who to contact should they need to in the event of an emergency.
People felt they received a good service and that the service was well run. The registered manager demonstrated how they were working towards an Outstanding rating. Staff felt part of a team that shared the registered manager’s vision for giving people the best care possible. Communication was open and staff felt communication was two way and that at staff meetings, staff were encouraged to share their thoughts. The registered provider understood their obligations and staff understood their was a whistleblowing policy in place. The registered manager had taken part in a review of the service to ensure the service people received was in line with other similar services. Staff also worked with local partners in the community to help promote people’s independence.
Rating at last inspection
The last rating for this service was Good (published 10 May 2017).
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
We visited the offices of the Bluebell Centre on 16 March 2017. We last inspected this service on 10 September 2015 and rated the service as Good. At this inspection we found the service remained Good.
Pre-employment checks were completed for all new staff to check that they were suitable to work with people who used the service. There were enough staff employed to meet people’s needs and to attend each call. People were kept safe by support workers who had received training on how to recognise and report any suspected abuse. Risks related to people’s care were assessed and procedures were put in place to minimise the risks. Procedures were in place to support people safely when they took their medicines.
Support workers received training to support people effectively. The registered manager understood the principles of the Mental Capacity Act 2005 and support workers understood the need to gain people’s consent before providing care. Referrals were made to health and social care professionals when needed to make sure people received the support they needed.
People received support from support workers that they described as kind who helped them to achieve their goals to regain their independence. Support workers understood the importance of respecting people’s dignity.
People were involved in planning their care and this was reviewed continually to meet their needs. Support workers had good knowledge of people’s preferences and offered choices. People knew how to raise concerns and felt confident to do so however no complaints had been received by the service in the 12 months prior to our visit.
Support workers received support from the registered manager to deliver high quality care. People were given opportunities to give their feedback about the service and this was analysed to make sure that the service continued to meet people’s needs. The registered manager completed regular quality assurance checks to promote continual improvement within the service.
The Bluebell Centre is a promoting independence service which provides support to people in their own homes. At the time of our visit 36 people were using the service.
We visited the offices of the Bluebell Centre on 10 September 2015. We told the provider two working days before the visit we were coming so they could arrange for staff to be available to talk with us about the service.
The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission 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 promoting independence service involves a multi-disciplinary approach involving care workers, social workers and occupational therapists agreeing a programme of intensive support for people with the aim of skilling them or re-skilling them to manage the activities of daily living. It is particularly used for people who need support to help regain skills and confidence after being discharged from hospital. The service is generally provided for a period of six weeks.
People and their relatives told us they felt safe using the service. Care workers were trained in safeguarding adults and understood how to protect them from abuse. There were processes to minimise risks to people’s safety; these included procedures to manage identified risks with people’s care and for managing people’s medicines safely. Checks were carried out prior to care workers starting work to ensure their suitability to work with people who used the service.
Care workers received an induction and a programme of training to support them in meeting people’s needs effectively. Through a system of meetings and appraisals, care workers were encouraged to discuss their training and developmental support needs.
The provider and registered manager understood the principles of the Mental Capacity Act (MCA), and care workers gained people’s consent before they provided personal care.
People received support from kind and motivated care workers who were committed to helping people to regain their independence. By giving people time, care workers gave people confidence to complete their own daily living tasks. Care workers understood the importance of respecting people’s privacy and dignity.
Care plans and risk assessments contained relevant information for care workers to help them provide the personalised support people required to achieve their goals. Weekly multi-disciplinary meetings ensured the level of support people received was continually assessed. People knew how to complain and information about making a complaint was available for people.
Care workers were supported by a management team they found open, approachable and honest. People and care workers were encouraged to provide feedback which was used to assess and improve the service provided. The provider and registered manager took an active role in monitoring the service to ensure the service continuously improved.