We carried out a review of the data available to us about Bluebird Care (Chorley, Ormskirk and Leyland) on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Bluebird Care (Chorley, Ormskirk and Leyland), you can give feedback on this service.
Bluebird Care (Chorley, Ormskirk and Leyland) provides home care services enabling people to be cared for while living in their own homes. The service is managed from the registered office in Tarleton near Preston. At the time of this inspection 22 people were receiving regulated personal care and support from the service. 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.
People’s experience of using this service and what we found
Risks relating to people's needs had been identified and records provided a detailed plan for managing those risks. Medicines were being administered and managed safely. We noted the timing of administration for some time specific medicines were not in line with the prescribers instructions. The manager took iimmediate action to address this.
Systems were in place to record accidents and incidents. However, these were not consistently monitored to identify any potential lessons to be learned, themes or trends. The manager implemented a more robust recording process during the inspection.
There were enough staff on the rota to support the number of people using the service. We received positive feedback from people about the consistency of their visit times. Information in the staff recruitment files was not always completed in full and some needed to include more details to ensure the process was robust. The manager completed a full audit of the recruitment files and acted during the inspection to ensure they were completed in full.
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. Consent to care and treatment had been obtained and where people lacked capacity relevant others had been involved in supporting people's decision making.
Training records seen demonstrated appropriate and relevant training was provided. Referrals were made to other healthcare services when necessary. People told us they thought the care they received was very good and spoke positively about the staff who supported them.
People told us the staff treated them with respect and dignity and were kind and caring towards them. Care plans demonstrated a person-centred approach. Concerns and complaints were promptly responded to. End of life care where relevant was done co-working with the community nurses.
Quality monitoring and auditing systems were not all fully established. There was some regular oversight of the safety and quality of the service was this not always being formally recorded. There was no recorded analysis or reviews completed in a format to see where improvements to the service could be made. We have made a recommendation the provider develops and establishes the systems and processes to oversee the quality and safety of the service.
Electronic care planning and rota systems were used. People and their relevant others could access the electronic care planning and rota system remotely to view information about their visits and care. People said very positive things about the management and staff and described the service as a ‘quality service’.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 9 June 2021 and this is the first inspection.
Why we inspected. This inspection was partly prompted by a review of the information we held about this service.
Recommendations
We have made a recommendation the provider develops and establishes the systems and processes to oversee the quality and safety of the service.
The registered manager responded immediately during and after the inspection to address the completion of records and improve information in order to mitigate any potential risks.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.