About the service: Bluebird Care Selby and part East Riding is a domiciliary care agency. This service provides care and support to young disabled adults and older people, either living with their family, in care or independently. They can provide companionship and assistance with household tasks, everyday activities, hobbies, outdoor pursuits and personal care. There were 16 people being supported with personal care at the time of our inspection.

People’s experience of using this service: The service had been inconsistent in the quality of the care and support they provided.

Medicines were not always managed safely and the management team had raised safeguarding alerts about these with the local authority.

Care plans and risk assessments lacked detail and were not robust. Quality of record keeping varied and some care records did not have the right information in them to manage people’s care safely.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. However, the recording of this in the care plans was inconsistent and needed to be better. We have made a recommendation around this.

Accidents and incidents were being recorded and action was taken to reduce risk when issues occurred. However, the management team were not analysing the information to look for trends and patterns.

People told us they felt safe and well cared for and staff afforded them respect and dignity. Staff had positive links with healthcare professionals which promoted people’s wellbeing.

People said they received care in a timely way from a regular team of care workers and they had good communication with the office. Although they were not given information about which care staff would be making their visits, they were satisfied with the support they received.

Staff had received appropriate induction, training and support to enable them to carry out their role.

The provider and manager worked with the staff team and led by example to ensure people received a good service. People and staff told us the management team were approachable and listened to them when they had any concerns. Feedback from people and relatives was being used to make continuous improvements to the service.

Recent changes to the management team had been positive and resulted in better and consistent care being provided The provider demonstrated their motivation to improve by working with us during the inspection.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk.

Rating at last inspection: There is no previous rating for this service. The service registered with CQC in February 2018. This is the first inspection of the service since it registered.

Why we inspected: This was a planned inspection based on it being a ‘new’ service.

We identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 around safe care and treatment and good governance. Details of action we have asked the provider to take can be found at the end of this report.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.