Background to this inspection
Updated
16 August 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the registered persons continued to meet the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.
We used information the registered persons sent us in the Provider Information Return. This is information we require registered persons to send us at least once annually to give some key information about the agency, what the agency does well and improvements they plan to make. We also examined other information we held about the agency. This included notifications of incidents that the registered persons had sent us since its registration. These are events that happened in the agency that the registered persons are required to tell us about.
We visited the agency on 18 and 19 June 2018. We gave the service 48 hours’ notice of the inspection visit because staff may be out of the office supporting other staff or providing care. We needed to be sure they would be in. The inspection team consisted of one inspector and an expert by experience. An expert by experience is a person who has personal experience of using this type of service.
During the inspection we spoke with six people who used the service and with four relatives. We also spoke with two members of care staff, the registered manager, the care co-ordinator and the administrator. We reviewed a range of records. This included three people’s care plans and records including care planning documentation, risk assessments, nutrition and hydration information and medicine records. We looked at documentation that related to staff management and staff recruitment including three staff files. We also looked at records concerning the monitoring, safety and quality of the service.
Updated
16 August 2018
We inspected the service on 18 and 19 June 2018. This was our first inspection since the service was registered on 6 June 2017.
Bluebird Care (Ashford) is a domiciliary care agency which provides care and support for people in their own homes. Care is provided for a range of people including older people, people living with dementia and children up to the age of 12. The agency operates within the Ashford area. Not everyone using Bluebird Care (Ashford) receives a regulated activity; 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. At the time of the inspection there were 13 people receiving a regulated activity.
There was a registered manager in post who was also the registered provider. 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.
People felt safe with their care staff. Staff understood the importance of keeping people safe and knew the action to take if they had any suspicions that someone was at risk of harm. Risks to people within their home environment and out in the community had been assessed and where issues were identified action was taken to mitigate the risk of harm. People were protected by the prevention and control of infection. Staff understood their responsibilities to report safety incidents, and improvements were made when things went wrong.
There were enough staff to meet people’s assessed needs. People were provided with consistency and continuity of care, with a small staff team that knew them well. Safe recruitment practices were followed to reduce the risk of unsafe staff working with people. Staff were trained and supported to have the skills and knowledge to meet people’s needs. Staff enjoyed their role and felt valued by the registered manager.
People that received support with their medicines did so safely. Staff had been trained in medicine administration and regular checks were made to ensure people were receiving their medicines safely.
People’s needs were assessed before staff began to support them. The assessments took into account peoples protected characteristics such as their ethnicity and religious beliefs. Where staff were responsible, people were supported to eat and drink enough to maintain a balanced diet. Referrals and advice was sought from relevant health care professionals to ensure people remained as healthy as possible.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were asked for their consent prior to any care or support tasks being completed. The registered manager had taken the necessary steps to ensure that people only received lawful care that was in line with legislation.
People received a personalised, person-centred service that was responsive to their needs. People informed staff how they wanted their care and support needs met and these were followed by staff. People were supported to maintain and increase their independence. People were supported to maintain links with the local community and continue to practice their religious beliefs, if this was part of their care package. Care records were regularly reviewed with people to ensure they were meeting people’s needs.
Staff treated people with kindness and respect, whilst maintaining people’s privacy and dignity. People were regularly asked for their views about the service and be actively involved in their care. Staff understood the importance of maintaining people’s confidential information. The systems in place supported the management of confidential personal information, in line with legislation.
People and their loved ones were encouraged and supported to raise any issues or concerns with the registered manager. There was a formal complaints procedure in place, and details of how to complain were held with the person’s care records at their home.
The registered manager had made the necessary arrangements to ensure that regulatory requirements were met. People that were supported by the agency, their relatives and members of staff were actively engaged in developing the service. Systems were in place to monitor and improve the quality of the service that was provided to people. The registered manager and the staff team actively worked in partnership with other agencies to support the development of joined-up care.