Archived: Rainbows House

Rainbows House is a care home providing respite care for younger people with a learning disability. It can accommodate up to four people at any one time. At the time of our inspection there were 13 people who regularly accessed the service.

The service had been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.

People’s experience of using this service and what we found

The provider had systems in place to safeguard people from the risk of abuse. Staff were knowledgeable about recognising and responding to abuse. Risks associated with people's care had been identified and plans were in place to ensure risks were minimised. Accidents and incidents were analysed to ensure trends and patterns were identified to reduce future incidents. Medicines were managed in a safe way and people received their medicines as prescribed.

The premises were maintained, and routine maintenance checks were carried out. Equipment had been serviced and was safe to use. There were sufficient staff available to meet the needs of people who used the service.

People's needs were assessed and care was provided in line with their preferences. People had access to a healthy and balanced diet and their dietary needs were met. Staff were trained and supported to carry out their role and a series of competency checks were in place.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

We observed staff interacting with people in a caring and sensitive way. Staff provided support which was inclusive, and caring and staff knew people well.

Care plans identified people's preferences and choices. People had access to activities while staying at the service. The provider had a complaints procedure to receive and act on complaints.

The management team completed several audits to monitor the quality of the service. When issues were raised an action plan was drawn up to address them. People had a voice and could contribute their views about the service. The service worked with others to achieve a quality service and to ensure continuity of care.

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

Rating at last inspection

The last rating for this service was good (published 20 September 2017).

Why we inspected

This was a planned inspection in line with our current methodology.

Follow up

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

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Rainbows House, on our website at www.cqc.org.uk’

Rainbows House is a care home providing respite care for younger people with a learning disability. It can accommodate up to four people at any one time. One of the four bedrooms has an en-suite bathroom. One room can meet the needs of people with physical disabilities, with tracking hoist and walk in shower installed. There is a communal lounge and kitchen and a small accessible well maintained garden. The service is situated in West Melton, near Rotherham. At the time of our inspection there were 15 people who regularly accessed the service. Two people were staying at the service on the day of our visit.

At this inspection on 24 August 2017 we found the service remained Good. The service met all relevant fundamental standards.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff were knowledgeable about how to recognise signs of potential abuse and aware of the reporting procedures. Assessments identified risks to people and management plans to reduce the risks were in place.

We received extremely positive from relatives of people who used the service. Relatives told us the service provided safe care.

Recruitments procedures ensured the right staff were employed to meet people’s needs safely. However, not all pre employment checks had been obtained but procedures were being improved at the time of our inspection.

Medication systems were in place to ensure people received medication as prescribed and safely. Staff had received training to administer medications safely.

At the time of the inspection there was sufficient staff on duty to meet people’s needs. Relatives told us that during the respite stays there was adequate staff to facilitate regular activities.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible.

People were treated with respect .Relatives told us staff were kind and very caring. Staff we spoke with understood how to respect people’s preferences and ensure their privacy and dignity was maintained. We observed staff took account of people’s individual needs and preferences while supporting them.

There was a system in place to tell people how to raise concerns and how these would be managed. Relatives we spoke with told us they hadn’t had to raise any concerns but wouldn’t hesitate if required. They added they would feel comfortable raising any concerns with the management team.

Relatives were very happy with how the service was run. There were systems in place to monitor and improve the quality of the service provided. Action plans were implemented for any improvements required and these were followed by staff. The quality monitoring had identified that some improvements were required and had been commenced.

Staff were clear about their roles and responsibilities and had access to policies and procedures to inform and guide them.

Further information is in the detailed findings below.