Background to this inspection
Updated
17 July 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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. Though the service has been inspected it has not been rated because at the time of the inspection visit a limited service was being provided, two people were receiving minimal support with personal care.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service provides care and support to people living in a ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
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.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about. 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.
During the inspection
We spent time with the registered manager during the inspection site visit and two directors. We reviewed a range of records. This included two people’s care records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
Following the inspection site visit we spoke with one person by telephone to ask about their experience of the care provided. We sought the views of three support workers by e-mail, we received responses from two of them.
Updated
17 July 2019
About the service
Rainbow of Care Agency Ltd Agency provides personal care to people living in a supported living setting. People shared communal area’s in the supported living setting, including the kitchen and lounge. Staff had an office and sleep in arrangements. At the time of the inspection site visit it was providing personal care to two people.
People’s experience of using this service and what we found
Recruitment procedures were not always thorough to ensure prospective staff were suitable to care for people receiving personal care in their own homes, because all the required pre-employment checks were not in. Full employment histories were not in place on the files we looked at. The registered manager agreed to follow this up and include this information on staff recruitment files.
The registered manager assessed people’s needs before they used the service to ensure their needs could be met. Where risks were identified, risk assessments were not in place to manage these. Medication support plans did not provide information on the level of support people required with their medication to ensure this was provided consistently.
Staff understood their responsibility in protecting people from the risk of harm. Staff told us they had received training and an induction that had helped them to understand and support people. When needed, people were supported to maintain their dietary requirements. People were supported to access healthcare services.
People's privacy, dignity and independence was promoted. 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 provider’s complaints policy and procedure were accessible to people who used the service and their representatives. People knew how to make a complaint and felt their concerns would be listened to and addressed. Staff thought the service was well run. Systems were being developed to monitor the quality of the service to enable the registered manager to drive improvements.
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 10 October 2018 and this is the first inspection.
Why we inspected
This was a planned first inspection in line with our inspection schedule. Though the service has been inspected it has not been rated because at the time of the inspection visit a limited service was being provided, two people were receiving minimal support with personal care.
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.