We carried out a review of the data available to us about Bliss Care and Training Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Bliss Care and Training Ltd, you can give feedback on this service.
Bliss Care and Training Ltd is a domiciliary care agency and was providing personal care to 28 people at the time of the inspection.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
Any risks to people were assessed with individual support plans in place to help support them safely. Each support plan was personalised, detailed and kept up to date.
People were supported by sufficient numbers of staff. People and their relatives told us they were being supported by consistent staff who were caring and knew them well.
Staff had good supplies of personal protective equipment (PPE) and had been trained on how to use it safely. Staff received training on a range of topics such as moving and handling, safeguarding and medicines management. Refreshers were provided when needed and staff had observations and assessments carried out to help ensure their competence.
New staff received an induction and given support to learn their role. Care staff had regular supervisions and an annual appraisal to discuss training and development needs.
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.
Quality monitoring systems were in place to help identify any improvement. There was good oversight of the service including regular checks on staff and regular audits of key areas such as medicines and call times. People, relatives and staff told us they felt able to raise concerns and knew how to do this.
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 good (published 19 July 2018)
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
This inspection took place on 19 June 2018 and was announced. 48 hours before the inspection we contacted the service to let them know that we will be coming to inspect them. We wanted to make sure that the registered manager would be available on the day of inspection.
This service has not previously been inspected.
At the time of the inspection the service had a registered manager. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Adult safeguarding procedures were in place for staff to follow to protect people from potential harm and abuse. Staff were required to undertake the necessary pre-employment checks to determine their suitability for the post before they started working with people. The service provided staff with guidance on how to minimise the risk of infection. The management team had systems in place to monitor any incidents and accidents occurring and took actions to prevent such events taking place in the future.
Staff’s training needs were assessed and monitored to ensure they had appropriate skills to support people as necessary. People had assistance to meet their dietary needs and requirements. Staff supported people to access health care professionals if they needed assistance to ensure their wellbeing. Staff had knowledge and applied the Mental Capacity Act 2005 (MCA) in practice which meant that people’s capacity to make their own decisions was supported as necessary. People’s care needs were assessed and based on their wishes.
Information about people’s culture, personal history and preferences was collected and available for staff to follow so they could provide effective care for people. Staff provided support that was respectful towards the people’s care needs and privacy. People had assistance to be as independent as possible and staff helped people to make choices about their daily activities.
People and their relatives had guidance on how to raise concerns and complaints should they have any. Care records had detailed information on people’s health conditions and the support they required to be safe. Family members felt confident to talk to the registered manager for making changes to their relative’s care plan if necessary.
The registered manager was in regular contact with the relatives to monitor care delivery. The registered manager was aware of when to notify the CQC about important incidents so they could ensure safe care for people. Staff felt supported by the registered manager when they required guidance and assistance. The service worked in partnership with other agencies to share information and good practice.