About the service Bluebird Care (Winchester, Eastleigh & Romsey) is a domiciliary care service providing personal care to people in their own homes. The service is registered to support children, people who may be under or over 65 and who may have a learning disability or be living with dementia, physical disabilities or sensory impairments.
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. At the time of the inspection, the provider was providing personal care to 127 people.
People’s experience of using this service and what we found
The service had robust systems and processes in place to safeguard people from abuse. Staff were highly trained and passionate, proactively taking responsibility to keep people safe. Risks to people were creatively assessed and safely managed in partnership with them, their relatives and health and social care professionals. There were enough skilled and safely recruited staff available to meet people’s needs in a person-centred way. People’s medicines were managed safely. The provider had robust infection prevention and control measures in place.
The service was exceptionally well-led. People, relatives and staff told us they felt valued by the management team, who were approachable, listened and took prompt, responsive actions when required. The provider maximised the use of electronic systems and processes to monitor people’s experiences of care and the quality of the service. We saw and heard of numerous examples of the provider showing a forward-thinking, innovative and creative approach to continuously reviewing and improving the service. The service worked closely with other organisations and professionals.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
Based on our review of the key questions safe and well-led, the service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.
Right support:
• Model of care and setting maximises people’s choice, control and
independence
Right care:
• Care is person-centred and promotes people’s dignity, privacy and human
rights
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people
using services lead confident, inclusive and empowered lives
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 outstanding (published 12 January 2018).
Why we inspected
We received concerns in relation to how the service responded to safeguarding incidents and worked with agency live-in care staff. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service remains outstanding. This is based on the findings at this inspection. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well-led sections of this report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bluebird Care (Winchester, Eastleigh & Romsey) on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.