Bluebird Care (Bristol, Bath & N E Somerset)

However, the information shared with CQC about the incident indicated potential concerns about the management of the live-in care service and how risks for people were being managed. This inspection examined those risks.

We looked at all key questions and quality statements in safe, effective, caring, responsive and well led.

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. We found the model of care was in line with current best practice guidance right support, right care, and right culture.

We found that people were safe and protected from abuse and avoidable harm. Where concerns had been raised, the provider took action to understand what went wrong and adapted their working practices to ensure learning was taken to prevent reoccurrence.

People’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. The provider involved people and treated them with compassion, kindness, dignity and respect. The service leadership, management and governance assured quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. The provider had a very clear shared vision, strategy and culture and there was clear responsibilities, roles and systems of accountability.

However, we found recruitment practices required some improvement to align with the provider’s own policy. Audits around recruitment practices had not been effective in identifying the concerns we found. During the inspection, the provider acted immediately to put in additional oversight to ensure recruitment concerns could be identified in the future. Furthermore, some staff raised concerns about their well-being in relation to travel times between calls and sometimes not being able to have regular breaks.