Attention: The information on this website is currently out of date and should not be relied upon..

Care Services

carehome, nursing and medical services directory


L & N Services Ltd t/a Bluebird Care (York), Green Lane Trading Estate, Clifton Moor, York.

L & N Services Ltd t/a Bluebird Care (York) in Green Lane Trading Estate, Clifton Moor, York is a Homecare agencies specialising in the provision of services relating to personal care and services for everyone. The last inspection date here was 24th September 2019

L & N Services Ltd t/a Bluebird Care (York) is managed by L&N Services Limited.

Contact Details:

    Address:
      L & N Services Ltd t/a Bluebird Care (York)
      8 Devonshire Court
      Green Lane Trading Estate
      Clifton Moor
      York
      YO30 5PQ
      United Kingdom
    Telephone:
      01904691992
    Website:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2019-09-24
    Last Published 2018-07-25

Local Authority:

    York

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

27th June 2018 - During an inspection to make sure that the improvements required had been made pdf icon

We carried out an announced comprehensive inspection of this service on 19 October and 3 November 2016. A breach of legal requirements was found. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Well led.

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for L & N Services Ltd t/a Bluebird Care (York) on our website at www.cqc.org.uk.

This service is a domiciliary care agency. It provides personal care to people who live in their own homes in and around the city of York. At the time of the inspection there were 62, predominantly older people receiving care and support services.

Not everyone using L & N Services Ltd t/a Bluebird Care (York) receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

There was a registered manager in place who was registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The provider had made improvements to the recording of people’s information. They had fully implemented an electronic system to record information about people’s care and support and information was accessible to everybody who required access.

The systems and processes in place enabled the provider to monitor and mitigate risks relating to people's health and safety. Staff used the information to provide people with safe care and support.

The provider had implemented a new system and process that ensured policies and procedures were available as a point of reference for staff and these were kept up to date with the latest regulatory requirements and best practice.

There was positive feedback about the leadership and management of the service from everybody we spoke with.

The registered provider had systems and processes in place to obtain feedback on the service and this was evaluated with resulting actions implemented.

19th October 2016 - During a routine inspection pdf icon

This inspection took place on 19 October and 03 November 2016 and was announced. The provider was given 48 hours' notice because the location provides a domiciliary care service and we needed to be sure that someone would be available to speak with us.

At our previous inspection in October and November 2015, we identified a breach of Regulation 12 Safe Care and Treatment under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The registered provider had submitted an action plan with information on how they intended to meet the breach. During this inspection, we checked and found the actions implemented meant the registered provider was not in breach of this regulation.

The service provides personal care to people who live in their own homes in and around the city of York. At the time of the inspection there were 75, predominantly older people receiving care and support services from Bluebird Care York.

There was a registered manager in place who was registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The registered provider had implemented a new system and process that electronically managed records for the care and support people received and we saw this was in place in conjunction with paper records for people. We found information in these records was not consistently recorded, accurate, complete or reflective of people’s current needs.

The registered provider completed medication audits that were designed to ensure people received their medication in line with their prescription and that information was available that ensured this was done safely. We found that people received their medication safely but medication records for people were not detailed, accurate and consistent. Audits completed were ineffective, as they had not addressed the lack of complete and accurate records that we found.

The registered provider had measures in place to keep people safe from avoidable harm. Care plans included risk assessments for people and their environment but we found there was ineffective monitoring that ensured this information was up to date, accurate and complete. We also found the information did not guide staff on how to mitigate the identified risks.

During our inspection, we found policies and procedures provided for staff were not always up to date. This meant they did not always have access to current guidance.

The above concerns meant that at the time of our inspection systems and processes implemented to assess, monitor and improve the quality and safety of the service had not been fully established and were not always effective. This was a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we asked the provider to take at the end of the full version of this report.

People receiving a service were protected from avoidable harm and abuse by staff who had received training in safeguarding. Staff had access to policies and procedures on safeguarding adults from abuse and understood how to raise any concerns.

Sufficient competent and skilled staff were employed and staff deployment was managed electronically. The registered manager told us they recognised the importance for people in receiving care and support from a regular group of caring people and we saw rotas were planned to ensure people had contact with familiar staff who had sufficient time to travel between calls. This ensured people received their care and support at the times they wanted.

The registered provider had completed pre-employment checks on care workers that helped to ensure they were of suitable character to work with vulnerable

1st January 1970 - During a routine inspection pdf icon

We inspected this service on the 22 October and 4 November 2015. The inspection was announced. The registered provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in the location offices when we visited.

L & N Services Ltd t/a Bluebird Care (York) is a domiciliary care agency and is registered to provide personal care to people in their own homes. At the time of our inspection the service was supporting approximately 70 people in and around York, although not all of these people received support with personal care.

The service was registered at a new location in April 2015 and this was the first inspection of this service at this location.

The registered provider is required to have a registered manager in post and on the day of the inspection there was a manager registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The people who used the service told us that they felt safe with care workers in their home. We saw that there was a system in place to assess risks and that proportionate risk assessments were put in place to manage these risks to keep people safe and prevent avoidable harm. Care workers we spoke with knew how to identify signs of abuse and what to do if they had concerns.

We found that the registered manager did not always sign off accident and incident forms to record what action had been taken to prevent future incidences of avoidable harm and there had been no analysis of accidents and injuries across the service. This meant that we could not be certain that wider patterns or trends would be identified. These issues could place people who used the service at risk of otherwise avoidable harm. We have made a recommendation about improving the management of accident and incidents in our report.

We found gaps in recording on Medication Administration Records increasing the risk of medication errors occurring. This was a breach of Regulation 12 (2) (g) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.

There was an effective recruitment and induction programme and on-going training to make sure care workers had the necessary skills for their roles. Care workers told us they felt supported in their roles and there were system to monitor the quality of the care provided. There were regular spot checks and competency checks of care worker’s practice and they were supported through team meetings and supervisions to improve and develop in their roles.

People using the service were supported to make decisions and signed consent was sought in line with relevant legislation and guidance. Care workers encouraged people to make decisions and have choice and control over the support they received.

There was strong evidence of a person centred culture when planning care and support. People’s needs were assessed and care plans were very detailed, specific and person centred; this enabled care workers to provide effective care and support tailored to the individual needs of people using the service. Care workers understood the needs of the people they were supporting and provided compassionate care and support. People using the service felt that care workers took an interest in their lives and we could see that there were systems in place to enable people to develop positive caring relationships with their care workers.

People using the service and care workers told us it was well-led. We found that the registered manager kept up-to-date with changes in legislation and guidance on best practice and information was communicated to care workers. There was an open person centred culture, people using the service and care workers felt able to raise issues or concerns.

 

 

Latest Additions: