Our current view of the service
Updated
31 March 2026
Date of assessment: 8 April to 23 April 2026. Blue Fountain Care Limited is a domiciliary care agency. The service provides personal care to people living in their own homes, supporting adults with a range of needs including physical disabilities, sensory impairments, dementia and complex health conditions. At the time of the assessment, the service was supporting 45 people.
This is the first assessment for this newly registered service. We assessed quality statements in the safe, effective, caring, responsive and well-led key questions. The overall service rating is good.
Overall, people experienced safe, effective and compassionate care and told us they felt respected, listened to and well supported. People and relatives consistently described staff as kind, caring and attentive, and we observed a strong culture of dignity, compassion and person-centred practice. Staff knew people well, treated them as individuals and supported choice, independence and least restrictive approaches.
People were protected from abuse and avoidable harm through effective safeguarding systems, safe staffing arrangements and good infection prevention and control practices. Staff assessed risks and managed these in partnership with people and families, and staff responded promptly to changes in people’s needs, often exceeding expectations. Staff managed medicines safely, care was evidence-based and coordinated with external professionals to ensure continuity, particularly during transitions. The environment in people’s homes was assessed, and staff took actions to reduce risks.
The service was well led by visible, compassionate and values-driven leaders who promoted openness, learning and staff wellbeing. Staff felt supported, able to raise concerns and motivated to deliver high-quality care. Governance systems were used effectively by senior staff to monitor quality and drive improvement, Overall, the service demonstrated a positive, person-centred culture with strong leadership and a commitment to continuous improvement.
However, some people and relatives felt staff could promote independence and involvement more consistently at busy times. Some governance processes relied heavily on the registered manager. Learning and feedback could be more consistently analysed to support future planning.
People's experience of the service
Updated
31 March 2026
We spoke with 2 people who used the service and 12 relatives. An expert by experience supported the inspection. An expert by experience is someone who has experience of this type of service.
People using the service and their relatives consistently described positive experiences of care that was person centred, kind and responsive to their needs. People told us they felt safe with staff, trusting them to provide care in a way that respected their wishes and supported their wellbeing. Continuity of care was valued, with people and relatives saying that seeing familiar carers helped build strong relationships and reassurance. People said staff explained what they were doing, sought consent and involved them in decisions about their care, including day to day choices and changes in support.
People and relatives confirmed staff always respected people’s privacy and dignity. Staff were described as compassionate, respectful and attentive, taking care to protect people’s modesty during personal care and to work at a pace that suited the individual. People felt listened to and said staff knew them well, including their routines, preferences, cultural and religious needs, and how they liked to be supported.
People told us staff were skilled and competent in meeting complex health needs, including medication support, mobility assistance and monitoring of changing health conditions. People and relatives said staff recognised changes in health and escalated concerns promptly to health professionals, which gave them confidence in the service. Communication with the office was described as responsive and supportive, with people knowing who to contact if they had concerns.
People were supported to maintain independence and quality of life. This included being supported to access the community, attend appointments, take part in meaningful activities and maintain social and family connections. Relatives and professionals spoke positively about partnership working and the service’s willingness to adapt care in response to feedback or changing needs. One professional commented, “I have had some very thorough communications from staff,” highlighting the quality and consistency of engagement.
While people expressed high levels of satisfaction overall, some relatives said that changes in carers could affect people’s experience. The provider had taken action to address these concerns through communication, reviews and staff feedback.
Overall, people experienced care that was safe, compassionate and tailored to their individual needs, with strong relationships between people, relatives, staff and the management team.