Bluezone Care Ltd

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This is the first assessment for this service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People told us they were involved in planning and reviewing their care. There were systems in place to assess people’s needs; prior to care commencing, when care recommenced after hospital admission and at regular intervals thereafter. This helped to ensure people received the level of care they required.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. The provider assessed people’s nutrition and hydration needs and care plans reflected the support they required to eat and drink well. Where required, care records in relation to fluid monitoring were clear and consistently completed by staff. Staff had a good knowledge of when to raise concerns to senior staff around people’s eating and drinking. This helped to ensure referrals to healthcare professionals were promptly completed. The provider had policies and procedures developed in line with best practice guidelines. The registered manager was a member of a number of professional networks. This helped to ensure they were aware of current best practice and policies and procedures were reflective of this.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. People’s care plans detailed where other stakeholders had input into their care, such as occupational therapists, who helped to provide training for staff. This helped to ensure staff were competent in the use of equipment or monitoring of people’s medical conditions. Care plans were clear in identifying the breadth and limit of the tasks staff carried out. For example, one person had a percutaneous endoscopic gastrostomy, as they were unable to eat orally. Their care plan detailed clear instructions for staff and when tasks were outside of the scope of their training. This helped to ensure staff were clear about their role and when to seek advice from professionals.

The provider did not always support people to manage their health and wellbeing, so people could not always maximise their independence, choice and control. People’s healthcare needs and details of medical conditions were documented in their care plans. However, there was limited information around how people’s health and medical conditions affected their everyday life and how staff should support people to manage these conditions. People gave us feedback the provider was flexible with care call times to accommodate healthcare appointments. This helped to ensure people could access the healthcare services they required.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met the expectations of people themselves. The provider effectively used their electronic care planning system to monitor how staff completed key tasks related to people’s care. This helped to ensure senior staff had a good overview of the care. Senior staff use care records to demonstrate to commissioners why people required their care levels adjusting when their needs changed. This helped to ensure people’s outcomes were monitored effectively.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People told us staff sought their consent to care. Staff were knowledgeable around people’s abilities to consent to care. They understood sometimes people needed extra time and a patient approach, but it did not mean they lacked the capacity to make important decisions. Where people had appointed legal representatives to act on their behalf, the provider understood the need to verify these powers. This helped to ensure only appropriate parties participated in discussions about people’s care.