Bluebell Support Services was rated Good overall at its June 2017 inspection, with a Requires Improvement rating for Safe due to gaps in risk assessment, medicines management, and incomplete record-keeping. The service demonstrated strong caring relationships, responsive person-centred care, and effective leadership, with the registered manager actively working to address identified shortfalls.
Concerns (6)
critical
Medication management
: “staff had often not given one person prescribed eye drops... person consistently refused to take their medicines... had not been followed up by the service.”
moderateCare planning: “the registered manager had not always assessed risks where it was appropriate to do so... no information to guide staff on how to reduce this risk.”
moderateRecord keeping: “no records of these audits had been made... records relating to the completion of staff training or staff competence had not been made.”
moderateConsent / capacity: “In one person's record it stated 'lacks capacity to make decisions' but no other information about how staff could support the person with this was recorded.”
moderateStaff competency: “there was no recorded evidence that the registered manager had assessed new staff as being competent before they worked on their own.”
minorGovernance: “no action plan had been put in place to monitor these improvements had been made.”
Strengths
· Staff were kind, caring and compassionate, treating people with dignity and respect, and developed strong caring relationships with those they supported.
· Systems were in place to protect people from abuse; concerns were thoroughly investigated and reported to relevant authorities.
· There were enough staff to meet people's needs; contingency plans were in place to cover short-notice absences.
· People felt listened to and empowered to make decisions about their care, with regular reviews and personalised care planning.
· Complaints were recorded, investigated, and responded to with action plans; feedback was actively sought from people and relatives.
Quality-Statement breakdown (14)
safe: Risk assessment and managementRequires improvement
safe: Medicines managementRequires improvement
safe: SafeguardingGood
safe: Staffing levels and recruitmentGood
effective: Consent and Mental Capacity ActRequires improvement
effective: Staff training and supervisionGood
effective: Nutrition and hydration supportGood
effective: Healthcare supportGood
caring: Relationships and person-centred approachGood
caring: Dignity, respect and independenceGood
responsive: Care planning and individual needsGood
responsive: Complaints handlingGood
well-led: Leadership and cultureGood
well-led: Governance and quality monitoringRequires improvement