Bluebell Nursing & Residential Home

People and relatives gave positive feedback about staff. Inspectors found that people were treated with compassion, dignity and respect.

“People received kind and compassionate care. Staff protected and respected people's privacy and dignity.” from the report

Staff understood people's individual needs, likes and dislikes. Care plans described the support people required, including end-of-life preferences.

“People received personalised care that was responsive to their needs.” from the report

The home offered regular activities and helped people maintain important relationships. There was a dedicated lead for social activities.

“People using the service and relatives told us there were regular activities available at the service.” from the report

Staff supported people to attend healthcare appointments and worked with other professionals. Inspectors found that medicines were generally handled safely.

“Medication practices ensured the proper and safe use of medicines in line with good practice standards and relevant national guidance.” from the report

Not all risks were identified and recorded clearly enough for staff to know how to reduce them. This included risks linked to distress, catheters and evacuation.

“Not all risks to people's safety and wellbeing were identified, assessed, and recorded.” from the report

Some people's fluid targets were not met, with no clear record of how this was being addressed. Repositioning was not always recorded as happening at the required intervals.

“Fluid intake records viewed showed people's fluid targets were not always met.” from the report

Records did not always explain how decisions had been made when people might lack capacity. Sensor mats and bedrails had not always been considered through a capacity or best-interest assessment.

“Where people had a sensor mat or bedrail in place to keep them safe and to stop them falling, no assessment of capacity was completed” from the report

The home's audits had not routinely found the shortfalls identified by inspectors. The provider said weekly clinical governance meetings had been introduced after the inspection.

“Shortfalls identified at this inspection were not routinely identified by the service.” from the report

The home had not routinely told the CQC about some serious injuries and safeguarding concerns, including two significant skin tears in September 2023.

“Statutory notifications were not routinely sent to the Care Quality Commission following a serious injury” from the report