Bluelight Healthcare Recruitment Limited

Updated 30 April 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was completed by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

This service also provides care and support to people living in a supported living setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we had received about the service. We used all this information to plan our inspection.

During the inspection

We reviewed a range of records. This included three people’s care records, three staff files, training records, staff supervision records and satisfaction surveys. We also looked at audits and a variety of records relating to the management of the service, including policies and procedures. We spoke with the registered manager who facilitated the inspection. We also spoke briefly with the director and two members of the office staff.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We spoke with two people who used the service and two relatives to obtain their views of the service. We also contacted three members of staff to ask them questions about their roles and to confirm information we had received about them during our inspection. We also sought feedback from an external professional in health and social care about working with the service.

Updated 30 April 2022

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

About the service

Bluelight Healthcare Recruitment Limited provides domiciliary care to people in their own homes. Not everyone who used the service received personal care. CQC only inspects where people receive 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 there were 10 people using the domiciliary service.

The service is also a supported living service which is registered to provide personal care. At the time of the inspection, they were supporting one person who had a learning disability and was receiving personal care. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

People’s experience of using this service and what we found

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. This enabled people who used the service to live as full a life as possible and achieve the best possible outcomes.

Right Support

Staff had a good knowledge of people they supported and respected their privacy and dignity. They promoted people’s independence. Confidentiality of people’s personal information was maintained. People’s care needs were documented so staff could provide personalised care and support. Staff monitored people’s health and wellbeing and sought advice or guidance from healthcare professional as needed. People who required support with meals were provided with food and drinks which met their nutritional needs.

Right Care

People's needs had been assessed before they started using the service. The assessment covered areas of the person’s physical, social, psychological and cultural needs. Risks associated with people’s care and support had been assessed and there was guidance in place to keep them safe. People were supported by staff that had received appropriate training and support to do their jobs and meet people’s needs. 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. Where people did not have the capacity to consent, the staff acted in accordance with legal requirements. People were supported to maintain good health and to maintain relationships with friends and relatives.

Right culture

The provider had safeguarding policies and procedures in relation to safeguarding people. Staff understood what abuse was and the actions to take if a person using the service was being abused. There were sufficient staff to meet people’s needs and recruitment processes were safe. People were protected from the risks associated with the spread of infection. There was an open and inclusive culture in the service, with staff, people, relatives and other external professionals encouraged to help improve the service provided to people. There was an effective system in place to monitor the quality of the service and identify shortfalls. The provider worked with a number of health and social care professionals to ensure people’s needs were met.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 18 May 2020 and this is the first inspection. The last rating for the service at the previous premises was good, (report published on 25 September 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service and because the service had not been previously rated.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.