Blue Sky Enabling

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs.

At our last assessment we rated this key question Requires Improvement. At this assessment the rating has changed to Good.

This meant people’s needs were met through good organisation and delivery.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs. During our visit we saw that improvements had been made by the provider since our last inspection. For example we saw staff supporting people in a person-centred way. Care records showed evidence of working with people and their relatives to ensure care was person centred. People told us about the person-centred support they received. An example given was a person being supported to visit an amusement park during Halloween, as they particularly enjoyed the decorations at the venue during this time of year. We were told “Staff have worked tirelessly to discover why there is a decline in [relative’s] health”, “Staff are absolutely flexible” and “Staff stay on beyond their time”. This meant people received responsive support in a person-centred way.

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity. The provider had a plan to ensure continuity of care during adverse events such as poor weather conditions and power cuts. Staffing was planned in advance to ensure people’s support needs were met.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs. Relatives told us managers communicated effectively with them and the people supported. Comments included “I get emails and phone calls, these are accessible to [relative] too” and “[Manager] calls or emails every week”. The Registered Manager told us managers visited people each week to review their support needs and gain their feedback. This meant that people had access to the information they needed to ensure their support was right for them.

The provider gave opportunity for people to share feedback and ideas, or raise complaints about their care, treatment and support. The provider had a complaint policy and recorded any complaints with actions taken to resolve them. The provider completed surveys with both staff and people and their relatives. Information from these were added to action plans and were used to improve care and treatment for people. Staff recorded people’s concerns and comments in the daily care records. These records were audited by managers and actions taken where needed. Staff told us they were confident to raise concerns. People and their relatives told us they knew how to complain and were comfortable to do so. This meant people felt listened to.

The provider made sure that people could access the care, support and treatment they needed when they needed it. People were supported to apply for concessionary cards that supported them to access their local cinema without the need to pay for their carer. People told us they were supported to apply for concessionary bus passes. One person was supported to obtain a fast track pass and this supported the person’s anxiety. This meant people were supported to use resources to ensure they had access to local amenities.

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this. Staff told us how they supported a person to explain their hidden disability when they wished to. This meant that the person felt comfortable in communicating their needs.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life. Staff who required it had completed training to support people at the end of their lives.

The provider supported people with planning. For example, The Registered Manager explained how staff were supporting a person with a complex health condition to plan for their future. This meant that possible life changes for the person were supported in a way that was least distressing for them.