Background to this inspection
Updated
7 December 2017
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 provider is meeting 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.
This inspection took place on 25 October 2017 and was announced. Following the visit, we spoke with people who use the service and staff by phone before returning to the office on 2 November 2017 to provide feedback to the manager.
The inspection was completed by one inspector. Before the inspection, we reviewed all of the information we hold about the service, including notifications sent to us by the provider. Notifications are information about specific important events the service is legally required to send to us. We reviewed the Provider Information Record (PIR). The PIR was information given to us by the provider and sets out their assessment of the service provided and any improvements they intend to make.
As part of the inspection we spoke with four people who use the service, one relative, the manager, nominated individual for the provider company, the recruitment and marketing manager and five members of care staff. We looked at the records relating to care and decision making for six people. We also looked at records about the management of the service. We received feedback from a healthcare professional who has contact with the service.
Updated
7 December 2017
Bluebird Care (Wiltshire South) provides a care at home service for adults in Salisbury, Amesbury and the surrounding area. At the time of our inspection 47 people were receiving personal care from the service. The service was registered in March 2016 and this is the first inspection.
This inspection took place on 25 October 2017. This was an announced inspection which meant the provider knew two days before we would be visiting. This was because the location provides a home care service. We wanted to make sure the manager, or someone who could act on their behalf, would be available to support our inspection.
A registered manager was not in post at the service. 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 and associated Regulations about how the service is run. The previous registered manager left their post at the service in April 2017. A new manager was in post and had submitted an application to be registered with the Care Quality Commission. The provider had a condition of registration that a registered manager must be in post at Bluebird Care (Wiltshire South). We will monitor this to ensure the service does not continue to operate without a registered manager.
People who use the service and their relatives were positive about the care they received and praised the quality of the staff and management. Comments from people included, “They know my needs and will anticipate what I would like doing”, “The carers always ask me what I would like doing” and “They’re super. They always do what I want them to do. They have the right skills”.
People told us they felt safe when receiving care and were involved in developing and reviewing their care plans. Systems were in place to protect people from abuse and harm and staff knew how to use them. Comments from people included, “I get details of who’s coming out to me and they usually stick to that. I feel safe with the staff coming out to me from Bluebird” and “I feel safe with the carers they send round to us”. The relative we spoke to also felt safe, commenting “We’re confident with the care they provide and feel safe with them in our home”.
Staff understood the needs of the people they were providing care for. Staff were appropriately trained and skilled. They received a thorough induction when they started working for the service and demonstrated a good understanding of their role and responsibilities. Staff had completed training to ensure the care and support provided to people was safe and effective to meet their needs. Comments from staff included, “It’s a well managed service and they are very supportive. The good support [we receive] makes all the difference”, “The management is very good and organised. They value us as staff and want to provide a good service to people” and “We receive good support and feel valued and cared for. It has the feel of a small family company, with the back up of a big brand”.
The service was responsive to people’s needs and wishes. People had regular meetings to provide feedback about their care and there was an effective complaints procedure. People and their relatives felt they could contact the office if needed and were confident they would receive help with their enquiry.
The provider regularly assessed and monitored the quality of the service provided. Feedback from people and their relatives was encouraged and was used to make improvements to the service.