Blossom Care For You LTD

During this assessment we looked at 4 quality statements in the key question of safe. The overall rating for this key question combines scoring from quality statements we looked at during this assessment and quality statements scores in line with findings from our last inspection. At our last inspection this key question was rated good. At this assessment the quality of care had declined and the key question of safe is now rated requires improvement. We found breaches in regulation related to medicines optimisation and safeguarding. There were not effective systems in place to oversee the safe management of medicines. This included shortfalls in care planning, risk assessment and record keeping. Safeguarding concerns and incidents were not always robustly investigated, and actions were not always recorded or reported to demonstrate how people were kept safe. People received support from consistent staff, who had a good understanding of their care needs. The provider had identified issues related to their staff recruitment processes. They had started work to retrospectively obtain required recruitment documentation for all staff. The provider had recognised where handovers of care to alternative providers could be improved and where improvements were needed, and lessons could be learnt for future transitions. We have asked the provider for an action plan in response to the concerns found at this assessment.

During this assessment we looked at 3 quality statements in the key question of well led. The overall rating for this key question combines scoring from quality statements we looked at during this assessment and quality statements scores in line with findings from our last inspection. At our last assessment, the key question well led was rated requires improvement. At this assessment we identified shortfalls in the quality of care and the service remains requires improvement. We found a breach in regulation in relation to good governance. The provider did not have effective governance systems in place to monitor and improve the quality of care and safety of the service. The provider had not always reported significant incidents to local safeguarding teams or CQC as required. Records and documents requested by CQC as part of this assessment were not always in place or available for inspectors to review. The service had not had a registered manager in place since July 2021. The provider confirmed that the manager and office manager had both recently submitted applications to CQC to register as manager of the service. The provider and leadership team were receptive and open to our feedback throughout the assessment, making changes where possible to begin to make improvements in areas identified. The leadership team were working to foster a positive/open relationship with people and staff. People and staff told us the leadership team was dedicated, approachable and that since the change of provider earlier in 2024, there had been improvements made to the consistency of the leadership and care. We have asked the provider for an action plan in response to the concerns found at this assessment.