Bluebird Care Oswestry

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last inspection we rated this key question good. At this inspection the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People were involved in individualised assessments of care including, but not limited to, their health, care, wellbeing, and communication needs, to enable them to receive care that had good outcomes. These plans were regularly reviewed or if there was a change of circumstance. For example, 1 person told us they were feeling unwell and needed a change of medicine. This was reviewed with them and communicated to all staff, so they received consistent support.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. People’s individual care plans included assessments using recognised best practice tools. For example, mobility, diet and nutrition. People told us these assessments accurately recorded their needs and wishes for support.

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. One person told us the staff always engage their relative with decisions about their care and support. If there are any updates or changes of need their relative arranges for additional healthcare appointments. They found the coordination between the staff and their relative was very good and this reassured them.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. People were encouraged to manage their own health. One person said, “They (staff) do not just come in and do everything for me. I am quite capable and fiercely independent. I don’t want anyone to take over, but they do advise and encourage me when I need it.”

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. All those we spoke with told us their care and support was reviewed frequently. However, 1 person went on to say, “If anything ever changes, one of them from the office will come out and see me to make sure everything is okay, and the plans are up to date.”

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Everyone we spoke with told us they agreed for the care and support they received. Where necessary the provider had procedures in place to engage people with legal authority or responsibility to make decisions within the requirements of the Mental Capacity Act 2005. This included the duty to consult others such as carers, families and/or advocates, where appropriate. We saw 1 person’s records had indicated an increased level of confusion. The provider had arranged an assessment review of their decision making abilities to ensure they remained in control of their care and support as much as possible.