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Blue Ocean Services Requires improvement

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 3 August 2019

About the service:

Blue Ocean Services is a domiciliary care agency. It provides personal care to older and younger disabled adults living in their own homes. At the time of this inspection 50 people were using the service.

People's experience of using this service:

The provider completed checks to ensure suitable staff were employed at the service. However we found that some of the recruitment records were not accurate.

People said that staff were kind and caring towards them. However, we witnessed an incident were staff spoke about people in an unkind way.

People had their medicines as prescribed. However we found that medicine administration records were not always completed as required.

People had an assessment that identified risks to their health and wellbeing. Risk mitigation plans were in place to manage risks but this was not always consistent.

There was safeguarding policy and processes that guided staff to manage allegations of abuse to keep people safe.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Assessments were completed with the input from people and their relatives. Each person had an assessment of their needs before beginning to receive care.

There were processes in place for people to make a complaint if they were unsatisfied with the quality of care of the service.

Positive feedback was provided by people and their relatives about the care and support received.

Staff knew how to support people to receive appropriate care and support at the end of their lives.

The registered manager reviewed the service and the standard of the care provided.

Rating at last inspection: The rating for this service was rated Requires Improvement (The inspection report was published on 26 May 2018).

At the previous inspection on 9 January 2018. We found that the service did not meet the regulation we inspected. We found that the service was rated requires improvement overall and in safe and well-led. We found that risk management plans were not sufficiently detailed for staff. We found care plans did not always contain people's assessed needs for staff to care for people in an effective way. We also found medicine administration records were not always completed accurately. Notifications were not always sent to the Care Quality Commission and quality assurance systems did not identify the concerns we found.

We asked the provider to send us a plan to describe how they would improve each key question of safe and well-led to at least good.

At this inspection some action had been taken to improve safe, but new and continued concerns were found with the recruitment of staff and medicines management therefore safe and well-led remain requires improvement. Overall the service has remained requires improvement. We have made a recommendation about the subject of dignity and respect and effective communication with people using the service.

Why we inspected: This was a planned inspection based on the rating of the service at the last inspection.

Follow up: We will continue to monitor this service and will return within 12 months to check that improvements have been made.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Inspection areas

Safe

Requires improvement

Updated 3 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 3 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 3 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 3 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 3 August 2019

The service was well-led.

Details are in our well-Led findings below.