About the service:
Blue Tree Care Limited provides personal care within people’s homes and when they access the community.
People’s experience of using this service:
At the last inspection we found that Blue Tree Care Limited required improvement and we identified breaches of three of the regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These were in relation to the safe management of medicines, lack of detail in care plans and lack of an auditing system to monitor the quality of the service.
At this inspection we found that the service had improved and was meeting all the required regulations.
Medicines were managed safely in line with recent and best practice.
Care plans were person-centred and contained pertinent information.
A number of quality audits were in place to ensure and improve the quality of care.
Relatives and staff were complimentary of the service. People, relatives and staff were asked for feedback on their experience of the service through surveys and telephone calls.
Staff were professional and competent. Staff felt supported, listened to and able to contribute to the running of the service.
Relatives said the service was safe. Staff demonstrated a good awareness of each person's safety and how to minimise risks for them.
Staffing levels were good. Relatives told us that people received consistent support from the same carers.
Staff were recruited safely and the appropriate pre-employment checks were in place.
Staff were given an induction and training suitable to their job role. Staff were assessed for their competency which helped to ensure they were safe to work with people.
Staff told us they were given time to get to know people as part of their induction. Relatives felt this was good practice as staff got to know the people they were supporting on a personal level.
People’s calls were on time or staff called if they were going to be late.
The service worked in line with the Mental Capacity Act 2005 and staff had a clear understanding of how to support people with fluctuating capacity and giving support with decision making.
Feedback from relatives and staff was that the service was well-led. They told us the management team was always available to speak with.
People told us they would feel confident to raise any complaints they might have.
Rating at last inspection: The service was last rated as requires improvement (12 April 2018)
Why we inspected:
This was a planned inspection based on the last inspection rating.
Going forward we will continue to monitor this service and plan to inspect in line with our reinspection schedule for services rated good.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk