14 March 2019
During a routine inspection
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