# Blue Ribbon Community Care (Tyne and Wear)

*Operated by Hughes and Daughters Care Ltd.*

Blue Ribbon Community Care (Tyne and Wear) is a CQC-regulated home-care agency in Sunderland.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Outstanding |
| Safe | Good |
| Effective | Good |
| Caring | Outstanding |
| Responsive | Good |
| Well-led | Outstanding |

Rating published: 14/06/2018

## Practical info

- Postcode: SR5 2TA
- Registered manager: Jeffries, Leanne
- Local authority: Sunderland
- Region: North East
- City: Sunderland
- Last CQC check: 14/Jun/2018 - 00:00

## Inspection findings

### caring

- Finding
  - Dignity and respect
  - Published: 2021-10-30
- Finding
  - People's experience of care
  - Published: 2021-10-30

### effective

- Finding
  - Nutritional support
  - Published: 2021-10-30
- Finding
  - Mental Capacity Act compliance
  - Published: 2021-10-30
- Finding
  - Staff training and induction
  - Published: 2021-10-30

### Other

- Finding
  - Evidence: Registered manager was described as approachable and responsive.
  - Published: 2021-10-30
- Finding
  - Evidence: Complaints were logged, investigated, and actioned appropriately.
  - Published: 2021-10-30
- Finding
  - Evidence: Personalised care plans with step-by-step guidance were developed following detailed needs assessments.
  - Published: 2021-10-30
- Finding
  - Evidence: People were treated with dignity and respect, and staff were attentive to individual preferences.
  - Published: 2021-10-30
- Finding
  - Evidence: Structured quality assurance including questionnaires, service user reviews, and unannounced spot checks.
  - Published: 2021-10-30
- Finding
  - Evidence: Comprehensive induction programme including three shadowing sessions with experienced staff before independent working.
  - Published: 2021-10-30
- Finding
  - Evidence: Staff had a good understanding of the Mental Capacity Act and supported people to make day-to-day decisions.
  - Published: 2021-10-30
- Finding
  - Evidence: People were supported by a consistent staff team who were punctual and stayed for the full duration of visits.
  - Published: 2021-10-30
- Finding
  - Evidence: Staff demonstrated a good understanding of safeguarding alerts, whistleblowing procedures, and how to report concerns.
  - Published: 2021-10-30
- Finding
  - Evidence: People gave consistently positive feedback, describing care as 'Excellent', 'Brilliant', and 'Fantastic'.
  - Published: 2021-10-30
- **governance** _(moderate)_
  - Evidence: The registered provider's approach to medicines audits was inconsistent. We saw a date and signature on some MARs to show they had been checked, whilst on others there was no signature.
  - Published: 2021-10-30
- **record_keeping** _(moderate)_
  - Evidence: Where staff members had used this code on the MAR, there wasn't always a full explanation in the daily log to explain the reason for its use.
  - Published: 2021-10-30
- **medication_management** _(critical)_
  - Evidence: On four consecutive days the daily logs for the person stated 'left [the person's] tablets on the table for [the person] to take.'
  - Published: 2021-10-30
- **medication_management** _(critical)_
  - Evidence: Medicines records did not accurately account for individual medicines given to people. We found unaccounted for gaps in medicines administration records (MARs) for three out of four people.
  - Published: 2021-10-30

### responsive

- Finding
  - Complaints handling
  - Published: 2021-10-30
- Finding
  - Care planning and needs assessment
  - Published: 2021-10-30

### safe

- Finding
  - Incident and accident management
  - Published: 2021-10-30
- Finding
  - Staffing and recruitment
  - Published: 2021-10-30
- Finding
  - Risk assessments
  - Published: 2021-10-30
- Finding
  - Safeguarding
  - Published: 2021-10-30
- Finding
  - Medicines management
  - Published: 2021-10-30

### well_led

- Finding
  - Staff engagement
  - Published: 2021-10-30
- Finding
  - Quality assurance
  - Published: 2021-10-30
- Finding
  - Leadership and management
  - Published: 2021-10-30
- Finding
  - Engagement with people, relatives and external stakeholders
  - Published: 2021-10-30

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-674032332

HomeCare Compass is an independent guide and is not affiliated with the CQC.