13 July 2021
During a routine inspection
The Rainbow Care Group is a domiciliary care agency providing personal to people living with dementia in their own homes. The service was supporting 10 people at the time of inspection.
Not everyone who used the service received personal care. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
There was no established auditing system to improve the quality and safety of the service. This meant the provider had failed to identify the improvements required at the service.
When checks were carried out such as medicine checks, spot checks and surveys they had not been used to improve the service. Records were not always accurate, up to date or fully complete.
Records were not always completed for staff induction, and systems were not effective to record and monitor training.
Recruitment records were not robust. We have made a recommendation about recruitment.
Tools were used to assess the risk levels, but control measures were not always put in place when required. Staff had knowledge of how to mitigate risks to people. We have made a recommendation about the management of risk.
People were happy with the support they received with their medicines; however, best practice was not always followed.
People were supported by a consistent staff team who they had developed positive relationships with. Staff treated people with respect and maintained their privacy and dignity.
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.
The service worked in collaboration with health and social care professionals and we received positive feedback regarding the service and partnership working. People were supported with their nutritional needs when this was part of their care package.
People received person centred care. The provider was passionate about ensuring people received stimulation and activities.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection This service was registered with us on 06 March 2020 and this is the first inspection.
Why we inspected
This was a planned inspection.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We have identified breaches in relation to governance. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.