Bluebird Care (Nottingham)

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 newly registered 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 75 (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 had comprehensive assessments that considered their health, care, wellbeing, and communication needs, to enable them to receive the right care and treatment. They included information about how people liked to communicate, for example when someone was hard of hearing this was clearly defined in their assessment.

People and their relatives felt involved in completing their needs assessments and felt confident their needs had been appropriately documented and understood by staff. People confirmed their needs were regularly reviewed.

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 had comprehensive assessments that considered their health, care, wellbeing, and communication needs, to enable them to receive the right care and treatment. They included information about how people liked to communicate, for example when someone was hard of hearing this was clearly defined in their assessment

People and their relatives felt involved in completing their needs assessments and felt confident their needs had been appropriately documented and understood by staff. People confirmed their needs were regularly reviewed.

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.

People’s care plans provided staff with information on how to maintain good levels of hydration and nutrition, indicating what to prepare for them in a way that would make them most likely eat and drink. People’s needs and preferences were documented in the care plans in line with best practice guidelines.

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 were happy about the way staff supported them with any referrals required to other agencies and how information about their care was shared between the agencies.

Staff had access to the information they needed to appropriately assess, plan and deliver people’s care, treatment and support. When people’s need changed, staff referred them to other agencies and health care professionals.

Leaders told us about examples how staff worked with external agencies to support people, for example how staff worked with district nurses to support a person with their skin needs.

The provider had processes in place to ensure prompt referrals were taking place when needed. For example, referrals to occupational therapy when people’s mobility declined and supporting people to get additional equipment, such as a commode

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Provider has systems in place to ensure that people were supported to prevent deterioration. This was achieved by regularly monitoring people's health and wellbeing and taking prompt actions when people became unwell. Referral pathways were in place to ensure support for people could be request when needed, for example from the GP.

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The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People told us staff consistently asked them for consent before doing anything. One person said, "[Staff are] excellent at this [asking for consent] and always introduce themselves when they enter the house and explain each task they are doing." People felt their views and wishes were always considered by staff. Relatives of people confirmed they were involved in planning, managing and reviewing their care and treatment.

Staff told us they completed training and understood the importance of obtaining consent before they delivered care. There was an advocacy policy in place.

The provider had systems and practices to ensure that people understood the care and treatment being offered. This allowed people to make informed decisions about their care. Information about care was given to people in the format they could understand. People's consent to specific decision's was clearly documented. People's capacity to make decisions was taken into account and assessed in line with relevant legislation when needed. When people lacked the capacity to make certain decisions staff acted in their best interest.