About the service: Blue Sapphire Care Limited is a domiciliary care service. It provides care and support to people living in their own homes. At the time of the inspection, 35 people were being supported with personal care.
Not everyone using Blue Sapphire Care Limited receives 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.
People’s experience of using this service:
Everyone said the service was well run. However, the provider needed to improve their quality monitoring processes to ensure quality checks were carried out in a timely way. More formal support for staff also needed to be provided regularly, and information from surveys used effectively to improve the service. There was evidence of effective engagement with people, relatives, staff and other agencies involved in people’s care.
Everyone told us the service provided very good care and support to people and their relatives. We had positive feedback about the caring nature of the staff and the registered manager, their skills, and flexibility when required to meet people’s needs. The registered manager planned people’s care in a way that ensured this was provided in a person-centred and responsive way.
People were protected from harm by staff who were confident in recognising and reporting concerns. People were safe because potential risks to their health and wellbeing had been managed well. There were enough staff to support people safely. People were supported well to take their medicines. Lessons were learnt from incidents to prevent recurrence. Staff followed effective processes to prevent the spread of infections.
Staff had the right skills to meet people's needs effectively. Staff had the information they required to meet people’s assessed needs. People had been supported to have enough to eat and drink. People had access to healthcare services when required. This helped people to maintain their health and well-being.
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 fully involved in making decisions about their care and support. People were involved in planning and reviewing their care plans. Staff supported people in a way that respected and promoted their privacy and dignity. They encouraged people to be as independent as possible.
People were happy with how staff supported them to meet their individual needs. They said this had been done in a compassionate way. Complaints were managed well and there was learning from these to reduce the risk of recurrence. The service did not always provide end of life care and people's care wishes were not included in their care plans. The registered manager said they would do more to include this information in everyone’s care plans.
Rating at last inspection:
The last rating for this service was Good (published 24 September 2016).
Why we inspected:
This was a planned inspection based on the previous rating.
Follow up:
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.