- Homecare service
Bloom & Care Limited
Report from 4 January 2024 assessment
Contents
Ratings
Our view of the service
Bloom and Care Limited is a domiciliary care agency and provides personal care to people living in their own homes. Not everyone who used the service received personal care. CQC only inspects where people receive the regulated activity of personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of this inspection 28 people were receiving support with personal care. There was strong leadership which put people first and set high expectations for staff. Staff were very caring and knowledgeable about how best to communicate with people and to advocate for them to ensure their views were heard. There was a strong culture within the service of treating people with dignity and respect and staff spent time getting to know people and their specific needs before they provided them with care and support. People were protected by strong and inclusive safety systems, with a focus on openness, transparency. and learning. There were systems in place to make sure the service was safe, with very good staffing levels and highly skilled staff to deliver good quality care. Risks to people were fully assessed and exceptionally well managed. People were supported to take positive risks, to make sure they had greater choice and control of their lives. The positive risk-taking approach showed that staff respected people's right for independence and their right to take risks. People received exceptional compassionate end of life care that was planned with people and their families, in advance and centred around their individual wishes, spiritual beliefs and cultural needs. We carried out our on-site assessment on 16 January 2024; off site assessment activity started on 12 January 2024 and ended 19 January 2024.
People's experience of this service
Without exception, people spoke positively about their experience of using the service. One person told us, “I have been exceptionally lucky to find Bloom and Care. Without them I would not be here today.” Comments from people who used the service and relatives were consistent stating they were extremely happy with the care, treatment and support the service provided. People told us they found staff extremely kind, caring, and supportive. One person said, “The carers are like my family now. We care for each other.” People's dignity and human rights were fully promoted, and people were encouraged to make decisions about their day-to-day routines. A relative told us, “The carers always respect [family members] wishes. Staff fully understood and responded to people's individual needs in a person-centred way. People received care that focused on their quality of life and followed best practice, with input from a range of health and social care professionals. There were sufficient numbers of skilled and competent staff to ensure they could safely support people who used the service. People told us they received care and support form a consistent staff team that knew them well. One person commented, “The girls know exactly how I like things to be done. They know me very well now and we have our routine sorted.” People received exceptional, compassionate end of life care that was planned with people and their families, in advance and centred around their individual wishes, spiritual beliefs and cultural needs. Relatives and health professionals commented how impressed they were with the knowledge of staff and their attention to detail when providing end of life care that fully respected people's diverse needs and human rights.