Background to this inspection
Updated
9 April 2020
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Rainbows House is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The registered manager was in the process of developing the deputy manager with a view to taking over this role. The current registered manager would then concentrate on overall provider management.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because the service is small, and people are often out and we wanted to be sure there would be people at home to speak with us.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with two people who used the service and three relatives about their experience of the care provided. We spoke with five members of staff including the registered manager, deputy manager, governance and oversight manager and care workers. We observed staff interacting with people who used the service.
We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at a variety of records relating to the management of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
9 April 2020
About the service
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.