We carried out a review of the data available to us about Rainbow Care Solutions (Redditch) on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Rainbow Care Solutions (Redditch), you can give feedback on this service.
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.
Rainbow Care Solutions (Redditch) is a domiciliary care agency that provides care and support to adults who may have a range of needs which include physical disabilities, varied health conditions, dementia and sensory impairments. When we inspected, 76 people were being provided with personal care by the service.
Not everyone who used the service received personal care. 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
People had detailed care plans and risk assessments which included information about their people’s support preferences. Staff told us they understood people’s individual needs.
Staff were recruited safely. Where staff were sourced from oversees there were robust procedures to ensure that only suitable staff were employed and all relevant references and checks were made.
Staff were trained in safeguarding people and were able to describe what they needed to be aware of to keep people safe. Where there had been concerns over the management of people’s finances for shopping the provider was in the process of reviewing their procedures to protect people from risk of financial abuse.
Feedback from most people was positive. Where concerns had been raised about the time care staff arrived, the provider had made contact with the families and addressed the concerns raised.
People told us the care and support they received matched their expectations.
People were supported by staff who had access to training and who felt supported in their roles.
People were treated with dignity and respect and staff showed warm and caring attitudes to the people they supported.
People were supported to access appropriate health care professionals and services to ensure care remained responsive to their individual needs.
The provider had processes to monitor and improve the quality of the service, . The provider maintained an overview of how the service was performing. There were systems to identify where lessons needed to be learned in response to concerns or complaints.
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 30 August 2019).
Why we inspected
The inspection was prompted in part due to concerns received about people being at risk of financial abuse. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained the same at good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rainbow Care Solutions (Redditch) on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Rainbow Care Services (Redditch) is a domiciliary care agency that provides care and support to adults who may have a range of needs which include physical disabilities, varied health conditions, learning disabilities, dementia and sensory impairments. living in their own homes. When we inspected, 50 people were being provided with personal care by the service.
People’s experience of using this service and what we found
People had comprehensive assessments, care plans and risk assessments which included information about their care and support needs and preferences. Staff understood t people’s individual needs.
Staff had received training about safeguarding adults. Although staff did not always understand some of the terms used to describe some processes, they understood their responsibilities in reporting any allegation or suspicion of harm or abuse.
Safe recruitment procedures made sure staff were safe and suitable for the work they would be undertaking. New staff did not work with people until satisfactory references and criminal record disclosures had been received.
People were treated with dignity and respect and staff showed warm and caring attitudes to the people they supported. The care and support people received reflected their personal needs and preferences. People were supported to access appropriate health care professionals and services to ensure care remained responsive to their individual needs.
The provider had processes to monitor and improve the quality of the service, there was a culture of openness and of reflection and learning. Feedback from people using the service showed people were satisfied with the care and support they received.
Rating at last inspection:
The last rating for this service was good (published 24 February 2017).
Why we inspected:
This was a planned inspection based on the previous rating.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
The provider is also the owner and 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.
The provider re-registered this service in November 2016 and has not been previously inspected. This is the first rating inspection.
People were supported by staff who knew how to respond to any concerns that might arise so people were kept safe from abuse. People had been supported to avoid the risk of accidents and where required people had been assisted to manage their medicines by staff who had received training to do this. The provider had procedures in place to check people received their medicines as prescribed to effectively and safely meet their health needs. There were enough staff to provide people with the support they needed and background checks had been completed before new staff had been appointed.
Staff had received training and guidance and they knew how to support people in the right way. People were supported by staff to make their own choices and decision’s about their care and support. This was supported by the improved rota system which helped people in having the same staff provide the care they needed and who had become familiar with people’s different ways of making their own daily care decisions. We saw people were actively involved in how their care was planned and their needs met. Where people needed support with their meals and in accessing healthcare assistance staff provided this to help people in keeping healthy and well.
People were treated with kindness and respect by staff who had become to know them well and understood their likes, dislikes and preferences for care and support. Staff recognised people's right to privacy and promoted their dignity when assisting people with their individual care needs. The registered manager had knowledge of how people could access local advocacy services and staff had this knowledge to assist people when required in being involved in their care. Confidential information was kept private.
People had been consulted about the support they wanted to receive and they had been given all of the assistance and encouragement they needed to be as independent as possible. The registered manager had recognised there was a need to combat social isolation and social events had been planned to provide people with opportunities to meet. There was a system for quickly and fairly resolving complaints which the registered manager was determined to use as another method of learning and improving the services provided.
People were encouraged to share their opinions about the quality of the service through telephone conversations, visits with the management team and regular surveys. Quality checks had been regularly completed both internally and externally to ensure people reliably received all of the support they needed. Staff were supported to speak out if they had any concerns and good team work was promoted through staff being recognised for their caring practices. People had benefited from the registered manager working with their staff team to continually drive through improvements to benefit people who used the service.