Bluewood Care Limited

At our last inspection, the provider was in breach of regulation as the provider had failed to assess and manage risks associated to people’s care. The service had made improvements and is no longer in breach of regulations. However, the improvements made needed to be sustained and embedded to ensure the safety of people. Individual and environmental risks were assessed and regularly reviewed. People received their medicines safely, when needed, by staff trained in medicines management. People told us they felt safe. There were sufficient staff available to meet people’s needs and staff were recruited safely. Where accidents or incidents had occurred, action was taken to reduce the chance of reoccurrence and any learning was shared with the staff team.

At our last inspection the provider had failed to ensure people received effective care and support. For example, we found gaps in staff training and competency checks on staff practice were not fully documented. At this inspection improvements had been made however, these needed to be sustained and embedded to ensure people consistently received effective care and support to meet their needs fully.

People’s needs were assessed and planned for. People told us they were involved in planning their care and were supported by trained staff. Guidance was in place for staff on how to meet people’s needs and care records were regularly reviewed.

Staff knew people well and worked with health and social care professionals to monitor people’s health and wellbeing.

We assessed 1 quality statement in the caring key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last inspection, which was inadequate.

Though the assessment of this area indicated areas of good practice since the last inspection, our rating for the key question is requires improvement.

People’s rights were promoted and respected by staff who understood the importance of providing person centered care. Independence and choices were promoted, and people were involved in planning their care and support.

We assessed 1 quality statement in the responsive key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last inspection, which was inadequate.

Though the assessment of this area indicated areas of good practice since the last inspection, our rating for the key question is requires improvement.

People were involved in their care planning and their preferences, likes and needs were recorded. People's equality and diversity needs were respected. Staff worked in line with these and demonstrated a commitment to promoting people’s rights and choices.

At our last inspection, the provider was in breach of the regulation as they had failed to operate effective systems and processes to maintain effective governance and oversight of the service. The service had made improvements and is no longer in breach of regulations.

The provider had implemented a range of quality audits and checks to drive forward improvements in the service. This demonstrated lessons had been learned. However, further time was needed to fully embed these systems to ensure they continued to improve the quality of the service provided. Staff told us they were able to speak up and described the management team as approachable. The provider worked in partnership with other professionals to achieve good outcomes for people.