15 December 2022
During an inspection looking at part of the service
About the service
Yewtree Avenue (known as Blueboard Care Services) is a domiciliary care agency registered to provide personal care. At the time of the inspection 118 people were receiving care, 5 of whom lived in 2 supported living services the service managed.
People’s experience of using this service and what we found
Right Support
People had mixed views about staffing and our analysis showed improvements to call planning were required. The service told us they would address this. The service worked with other agencies to support people’s needs.
Right Care
Improvements had been made to medicines management since our last inspection and these were now managed safely. Similarly, improvements had been made to risk assessments and we found these were now being completed correctly and contained appropriate person-centred information.
There were systems in place to safeguard people from harm and abuse. Lessons were learned when things gone wrong. Infection control practice was robust as were recruitment measures.
Right culture
People had mixed views about the culture at the service, though staff were positive about the management. Similarly, there were mixed views about how the service engaged with people or relatives. Some told us they felt the service could improve in this regard.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and what we found)
The last rating for this service was requires improvement (published 16 June 2021) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found some improvements had been made but the service was still in breach of one regulation.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support, right care, right culture and to follow up on action we told the provider to take at the last inspection.
You can see what action we have asked the provider to take at the end of this full report.
Enforcement
We have identified a continued breach in relation to good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.