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Archived: Amazing Rainbow Healthcare Ltd

Overall: Requires improvement read more about inspection ratings

93-95 High Street,, Brownhills, Walsall, WS8 6HL 07475 093389

Provided and run by:
Amazing Rainbow Healthcare LTD

Latest inspection summary

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Background to this inspection

Updated 4 April 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of two inspectors 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:

Amazing Rainbow Healthcare is a domiciliary care agency. It provides personal care to people living in their own homes.

The service had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We gave the service eight days’ notice of the inspection visit because it is small and the manager is often out of the office supporting staff or providing care. We needed to be sure they would be in.

Inspection site visit activity started and ended on 14 March 2019. We visited the office location to see the registered manager and office staff; and to review care records and policies and procedures.

What we did:

Before the inspection we reviewed information available to us about this service. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the local authority. The provider sent us a provider information return prior to the inspection. This is information we require providers to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection;

¿ We spoke with the registered manager and provider,

¿ Spoke with three care staff,

¿ Spoke with five relatives and one person receiving care from the service.

¿ Made a home visit to one person after obtaining their consent for this.

¿ Reviewed three people’s care records including medication administration records.

¿ Reviewed records of accidents, incidents, complaints and compliments.

¿ Checked training and personnel records.

¿ Reviewed audits and quality assurance reports.

Overall inspection

Requires improvement

Updated 4 April 2019

About the service:

Amazing Rainbow Healthcare is a domiciliary care agency. This service provides care and support to people with a physical disability and people living with dementia. They can provide companionship and assistance with household tasks, everyday activities, hobbies, outdoor pursuits and personal care. There were six people being supported with personal care at the time of our inspection.

People’s experience of using this service: The service had been inconsistent in the quality of the care and support they provided.

Medicines were not always managed safely. People did not always get creams as prescribed and there was a lack of instructions to ensure medication was administered safely.

Auditing systems had failed to identify some areas of concerns found at inspection, such as unsafe medication practice and inconsistent information in care plans. We made a recommendation regarding the quality assurance systems in place.

People told us they felt safe, staff had knowledge of safeguarding procedures.

Staff had received appropriate induction, training and support to enable them to carry out their role.

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

People and their relatives were consistently positive about the care they received and told us staff were kind and caring.

People were supported to access health care services when required.

People and staff told us the management team were approachable and listened to them when they had any concerns. People and staff were involved and engaged with the running of the service.

Rating at last inspection:

The service registered with CQC in December 2017. This is the first inspection of the service since it registered.

Why we inspected: This was a planned inspection based on it being a 'new' service

Enforcement:

We identified one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 around safe care and treatment and good governance. Action we told provider to take, refer to end of full report.

Follow up:

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

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