Background to this inspection
Updated
28 December 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. 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
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
The service had a manager registered with CQC. 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.
Inspection activity started on 8 November and ended on 12 November 2019. We visited the office location on 12 November 2019.
What we did before the inspection
We reviewed information we received about the service. We sought feedback from the local authority safeguarding and contracting teams who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We used all of this information to plan our inspection.
During the inspection
We spoke with two people and one relative over the telephone to ask about their experiences of the care provided. We spoke with four staff including the registered manager, deputy manager and two care workers. The registered manager is also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We look at two people’s care and medication administration records. We looked at three staff recruitment, induction, training and supervision records. We viewed a range of records relating to the management of the service, including meeting minutes and quality assurance records.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and a range of the provider’s policies and procedures. We contacted one social care professional who regularly visited the service.
Updated
28 December 2019
About the service
Rainbow Outreach and Healthcare Solutions Limited is a domiciliary care service providing personal care to people across Bedale, Leeming and Northallerton. The service was supporting four people at the time of our inspection, including older people and people living with mental health needs and physical disability.
People’s experience of using this service and what we found
The provider was committed to providing person-centred care and ensuring staff shared their aim of providing high quality care. People and staff had regular access to the registered manager to share their feedback. The provider’s quality assurance systems had not fully been developed in-line with their policy. They did not always identify the gaps in records we found, including medicines records.
People felt safe with the staff supporting them. Staff knew how to manage risks to people to keep them safe. Appropriate checks were completed to ensure suitable, safe staff and agency staff worked for the provider. We made a recommendation about medicine best practice guidance.
People received effective support and were involved in developing their care plans. Staff had the knowledge and skills required to provide effective care. 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 made a recommendation about mental capacity assessments and best interest records.
People praised the kind, considerate care they received. Family members recognised the positive impact care had on family life. Staff encouraged people to make decisions about their care. People and staff shared caring relationships based on respect and valuing people as individuals.
Care was provided in responsive ways, focused on achieving people’s chosen goals. Staff worked with people and their families to maintain their relationships and facilitate access to community services. Staff knew people’s wishes and preferences, they used this to provide responsive person-centred care.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 26 October 2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on when the service registered.
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.