Rainbow Homecare Limited

Updated 21 September 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because we needed to be sure the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 26 July 2023 and ended on 8 August 2023. We visited the location’s office on the 26 and 27 July 2023.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager, finance manager, field care supervisor, care coordinator, 6 care staff, 7 people who use the service and 13 relatives. We viewed 7 care files and associated risk assessments and 7 staff files including recruitment and training records. We also viewed a variety of records relating to the management of the service, including policies and procedures and quality assurance documentation.

Updated 21 September 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Rainbow is a domiciliary care agency providing personal care support. The service provides support to younger and older adults, people living with dementia, people with a learning disability and/or autistic people, people with mental health needs, physical disability and sensory impairment. At the time of our inspection there were 75 people using the service.

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

Right Support: People were protected from the risk of abuse and potential harm. Risk was assessed, reduced and regularly monitored to keep people safe. An assessment of care needs took place before care began and the management team worked hard to put in place the right type of support for people, to ensure they could live safely and in an unrestricted way. People were supported to have enough to eat and drink. Staff asked for consent to care and respected people’s choices.

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.

Right Care: People’s care was personal to them and met their individual care needs. People and their relatives told us care was personalised and it was regularly reviewed. People’s privacy and dignity was respected, and people’s independence was promoted which empowered them. Communication needs were met, and people appreciated having staff who could speak to them in their chosen language. Equality and diversity was respected and promoted. Staff were patient and treated people with kindness.

Right Culture: The staff team focused on providing people with quality care that met their needs and worked together with management and health professionals to ensure this happened. People and their relatives were pleased with the level of communication from Rainbow Homecare and felt listened to. Openness and transparency was important and regular audits were performed to monitor the service and seek feedback from people, relatives and staff. Learning and development was important to all staff as they valued having up to date skills and knowledge to support people who required 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 4 January 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.