Bluebird Care (Chorley, Ormskirk and Leyland)

Systems were in place to record accidents and incidents. However, these were not consistently monitored to identify any potential lessons to be learned, themes or trends. The manager implemented a more robust recording process during the inspection.

There were enough staff on the rota to support the number of people using the service. We received positive feedback from people about the consistency of their visit times. Information in the staff recruitment files was not always completed in full and some needed to include more details to ensure the process was robust. The manager completed a full audit of the recruitment files and acted during the inspection to ensure they were completed in full.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Consent to care and treatment had been obtained and where people lacked capacity relevant others had been involved in supporting people's decision making.

Training records seen demonstrated appropriate and relevant training was provided. Referrals were made to other healthcare services when necessary. People told us they thought the care they received was very good and spoke positively about the staff who supported them.

People told us the staff treated them with respect and dignity and were kind and caring towards them. Care plans demonstrated a person-centred approach. Concerns and complaints were promptly responded to. End of life care where relevant was done co-working with the community nurses.

Quality monitoring and auditing systems were not all fully established. There was some regular oversight of the safety and quality of the service was this not always being formally recorded. There was no recorded

analysis or reviews completed in a format to see where improvements to the service could be made. We have made a recommendation the provider develops and establishes the systems and processes to oversee the quality and safety of the service.

Electronic care planning and rota systems were used. People and their relevant others could access the electronic care planning and rota system remotely to view information about their visits and care. People said very positive things about the management and staff and described the service as a 'quality service'.