Background to this inspection
Updated
20 November 2019
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector and one assistant inspector.
Service and service type
Bluebells Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had two registered managers registered with the Care Quality Commission. 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with two people who used the service and one relative about their experience of the care provided. We spoke with one of the registered managers, the cook and one care worker. We carried out general observations throughout the inspection.
We reviewed a range of records. This included three people’s care records and four people’s medicines and associated records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including audits were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at staff training data and quality assurance records. We received feedback on the service, via email from one relative and a health care professional. A second relative completed a ‘Share your experience’. This is a CQC form that people can access from the CQC website to provide their views on a service.
Updated
20 November 2019
About the service
Bluebells Care Home is a residential care home providing personal care, but not nursing care, to nine people aged 65 and over at the time of the inspection. The service can support up to 13 people in one bungalow.
People’s experience of using this service and what we found
At the June 2019 focused inspection we found audits and checks had improved in some areas but had not fully identified where there were issues with information in people’s records and medicine records. At this inspection, we could see changes had been made to drive up improvements and provide a caring and safe place for people to live in.
Care records clearly outlined people’s needs and personal preferences. Risks to people's safety and well-being were managed through a risk management process. There were sufficient staff deployed to meet people's needs. Medicines were managed safely and people received their medicines as prescribed.
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.
People living at Bluebells Care Home received safe care from skilled and caring staff. Staff understood their responsibilities to identify and report any concerns. The provider had safe recruitment and selection processes in place.
Complaints were handled and responded to in line with the provider's complaints policy. People and their relatives could give their views on the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 22 July 2019 ). We carried out a focused inspection in June 2019 and prior to this a comprehensive inspection in October 2018 (where the service was first rated requires improvement). The provider completed action plans after the two inspections to show what they would do and by when to improve. At this inspection improvements had been made and the provider was no longer in breach of a regulation.
Why we inspected
This was a planned inspection based on the previous rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bluebells Care Home on our website at www.cqc.org.uk.
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.