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Inspection Summary


Overall summary & rating

Good

Updated 26 September 2018

This inspection took place on 5 and 30 July 2018 and was announced.

This service is a domiciliary care agency. It provides personal care to people living in their own houses in the community. It provides a service to older adults and younger disabled adults.

Not everyone using Blue Sky Enabling receives regulated activity; CQC only inspects the service being received by people provided with 'personal care', and help with tasks related to personal hygiene and eating. For people who receive a regulated activity, we also take into account any wider social care provided.

The last inspection took place on 7 and 31 October, and 16 November 2016. We identified one breach in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because records did not consistently demonstrate a robust recruitment procedure.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when, to improve the key question of whether the service was safe, to at least good. At this inspection, improvements had been made.

There was a new registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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. The registered manager was available throughout the inspection.

The registered manager began their role in December 2017. Since their appointment, they had developed the culture of the agency and various management systems. The registered manager had an open approach and encouraged people and staff to share their views about the service. This was on a day to day basis and more formally through surveys. Feedback was being used to enhance service delivery.

People and their relatives were happy with the service they received. However, feedback from health and social care professionals was variable. The registered manager told us they would consider this and make amendments where needed.

Whilst people had comprehensive support plans in place, staff did not always use objective terminology when writing daily records. The registered manager told us a staff training session would be arranged to develop this area. There were clear plans regarding the management of risk.

There was a strong focus on enablement and promoting independence. People were encouraged to make decisions and aspire to achieving their goals. They received a range of support from various health and social care professionals and enabled to lead healthy lives. People received support with meal preparation if needed and had enough to eat and drink.

There were enough staff to support people safely. People and their relatives were given the opportunity to be involved in recruiting the staff who would be supporting them. This enabled a sense of ownership and encouraged successful relationships. People were supported by a small team of staff which ensured consistency.

Staff received a detailed induction when they joined the agency. This was “signed off” by the registered manager to ensure all new staff were competent to work with people. Staff received support on a day to day basis and more formally through one to one meetings. They undertook a range of training to be able to support people safely and effectively.

A range of audits and monitoring visits assessed the quality of the service provided. The introduction of a new electronic record management system, was being used to give an overview of service provision.

Inspection areas

Safe

Good

Updated 26 September 2018

The service was safe.

Risks to people’s safety had been identified and properly assessed.

There were enough staff to support people safely.

New staff were recruited safely.

Effective

Good

Updated 26 September 2018

The service was effective.

People were encouraged to make decisions.

Staff were well supported and received a range of training to equip them to do their job effectively.

People received good support to meet their health care needs.

Caring

Good

Updated 26 September 2018

The service was caring.

Systems were in place to ensure staff treated people with kindness and compassion.

People and their relatives were complimentary about the staff.

People’s rights to privacy, dignity and independence were promoted.

Responsive

Requires improvement

Updated 26 September 2018

The service was not always responsive.

Some records lacked clarity and contained subjective information.

People had a detailed support plan, which was devised using a multi-disciplinary approach.

People received a reliable service based on enablement and promoting independence.

Well-led

Good

Updated 26 September 2018

The service was well led.

There was a new registered manager in place.

Improvements had been made to the culture of the service and its systems.

There was a clear auditing process to ensure on-going monitoring.