Background to this inspection
Updated
19 March 2024
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 Health and Social Care Act 2008.
Inspection team
The inspection was completed by 2 inspectors on both days of inspection and 2 Experts by Experience on 1 day. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Bluebell Nursing and Residential Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Bluebell Nursing and Residential Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
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. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 14 people who use the service and 17 relatives about their experience of Bluebell Nursing and Residential Home. We spoke with the operations manager, registered manager, and the deputy manager. We also spoke with 9 members of staff, including a qualified nurse, senior care staff, care staff and a dedicated lead who facilitates social activities.
We reviewed a range of records. This included 12 people’s care records and 14 people’s medication administration records. We looked at 4 staff files in relation to recruitment, and a further 4 staff files relating to training and supervision records. A variety of records relating to the management of the service, quality assurance information and policies and procedures were viewed.
Updated
19 March 2024
About the service
Bluebell Nursing and Residential Home is a care home providing the regulated activities of personal and nursing care to up to 80 people. The service provides support to older people, people living with dementia and those people who require nursing care. At the time of our inspection there were 80 people using the service.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
Right Support:
Improvements were required to assess people’s mental capacity, supporting decision-making and best interest decision-making. We have made a recommendation about this. Staff supported people to take part in social activities. People benefitted from an environment that met their needs. Staff communicated with people in ways that met their needs. Staff supported people with their medicines in a way that promoted their health outcomes.
Right Care:
Information about risks for people using the service were not routinely identified but there was nothing to suggest the lack of information impacted on the delivery of care provided. People had a care and support plan. Staff understood how to protect people from abuse and harm. Staff had received training on how to recognise and report abuse. There were enough appropriately skilled and competent staff to meet people’s needs. People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. People were protected by the service’s infection, prevention, and control of infection arrangements.
Right Culture:
Governance processes were generally effective, but improvements were required to ensure shortfalls were identified and addressed at the earliest opportunity. The registered manager had the skills, knowledge, and experience to perform their role. Staff gave honest information and suitable support, and applied duty of candour where appropriate. Feedback and complaints were dealt with in an open, transparent, and timely way. The provider sought feedback from people, those important to them, staff and professionals and used the feedback to develop 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 the service under the previous provider was Good, published on 25 July 2021.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.