Bluebird Care Bournemouth & Poole

The service provides care and support to both older people, some of whom have a diagnosis of dementia and people with a learning disability and autistic people.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

People's experience of using the service and what we found Right Support People were given maximum choice, control and independence with how their care and support was delivered. People were supported to make choices about their daily lives and do things they enjoyed. There were enough staff to meet the needs of the service. Robust recruitment processes were in place to ensure staff had the necessary checks before starting work with the service. People were protected from avoidable harm by a staff team who knew how to raise safeguarding concerns both within the service and outside. Staff told us they were confident their concerns would be acted upon by the management team.

Staff knew people well and supported and encouraged people to live their best lives. Staff understood the importance of social inclusion and supported people to maintain and develop relationships that were important to them and to enjoy visits out to places they enjoyed. People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in this service supported this practice.

Right care: The service provided highly individualised care that provided people with the flexibility, choice and continuity of care. This led to major improvements in their well-being and safety. The provider took a proactive and highly responsive approach to understanding the needs and preferences of different people to ensure people were supported in ways that were specific to them and ensured the best levels of care and support. People's individual needs and preferences were central to the delivery of tailored services.

The provider showed innovation in ensuring people's independence was encouraged and their health, well- being and moral were improved or maintained.

Care promoted people's dignity, privacy and human rights. Support plans provided guidance for staff which ensured people received consistent, care and support. Staff were knowledgeable regarding how people preferred to be supported and understood people's individual behaviours and which events may trigger anxiety.

People received their medicines as prescribed. Medicines management within the service was monitored and staff had received training including assessment of their competency. Care staff had instant access to information about people's medicines and care needs on their mobile phones. This ensured care staff were provided with accurate, up to date information in order to support and administer medicines to people.

People were protected from the risk of avoidable infection. Staff had received training in infection prevention and control. Staff had access to plentiful supplies of personal protective equipment (PPE) and knew how to use it appropriately. The providers infection and prevention control policy and guidance were in line with government and best practice guidance.

Accidents and incidents were recorded, analysed for themes and trends and lessons learned were discussed with staff to ensure a process of continual improvement. There was a range of governance systems in place which supported oversight of the service. Leadership was visible, open and approachable and staff knew their roles and responsibilities. A range of audits supported quality assurance.

Right culture: The ethos, values, attitudes and behaviours of management and care staff ensured people using the service led confident, inclusive and empowered lives. The management team demonstrated high levels of passion and commitment to ensuring the service provided the best care and support to both people and staff. A strong emphasis was placed on developing staff to ensure continual learning and development was key throughout the service. Staff ensured people received their support in ways they wished and were able to make their own choices regarding how they lived their daily lives.

The registered manager understood their statutory responsibilities and had made notifications to CQC as required by law. Staff felt appreciated by the service, and told us about the varied schemes, awards and incentives the service provided to show their thanks and make them feel valued. The provider and management team were passionate about their team and supporting their staff to ensure people received the best care possible. Staff felt involved and regular team meetings ensured all staff were kept fully informed regarding any changes with people's care or in the running of the service.

Bluebird Care Bournemouth & Poole worked closely with external health and social care professionals. The service was working hard to involve themselves in the local community to provide a level of support and guidance to people in the wider community.

The service actively sought feedback on the service it provided, and results of an annual survey were positive. The provider had a large range of processes for people, relatives and staff to feedback their views on how the service was run. These were analysed by the management team and the results fedback to all on a regular basis. People told us the management team of Bluebird Care Bournemouth & Poole were approachable, effective, supportive and fully available.

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 at the previous premises was good published on 15 June 2018.