Rainbow staffing services

Updated 29 May 2021

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 and an assistant inspector. Both inspectors visited the office on 19 April 2021. Telephone calls were made to people, their relatives and staff on 14, 15 and 20 April 2021.

Service and service type

This service is domiciliary care agency. It provides personal care to people living in their own houses and flats.

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 short notice of the inspection. We were mindful of the impact and added pressures of the COVID-19 pandemic on the service. This meant we took account of the exceptional circumstances and requirements arising as a result of the COVID -19 pandemic.

What we did before inspection

We reviewed information we had received about the service since it was registered. We sought feedback from the local authority. We did not ask for a 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. We used all this information to plan our inspection.

During the inspection

We spoke with six staff this included the registered manager and five care staff. We also spoke with a health care professional. We spoke with seven people and or their relatives about their experience of the care provided.

We reviewed a range of records. This included three people’s care records. We looked at three staff files in relation to recruitment. We also looked at a variety of records relating to the management and quality assurance of the service.

After the inspection

We looked at further records and continued to seek clarification from the registered provider to validate evidence found.

Updated 29 May 2021

About the service

Rainbow Staffing Services is a service that provides personal care to people living in their own homes. At the time of inspection nine people were receiving a service and all were in receipt of the regulated activity of personal care.

CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they did, we also consider any wider social care provided.

The service is also registered to provide the regulated activity of treatment of disease, disorder or injury (TDDI) this was not being provided when we inspected.

People’s experience of using this service and what we found

The provider had some quality monitoring systems in place, however these did not identify the issues we found and therefore were not always effective. Recruitment of staff did not ensure staff were recruited safely. Care plans did not contain all the required information needed to guide and inform staff. Some risks to people’s safety had not been assessed.

There was enough staff to meet people’s care and support needs. People told us they were very happy with their care and staff understood their needs. People told us they knew what to do if they were unhappy with their care and felt confident speaking to staff or the registered manager. People told us they were involved with planning their care.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way and in their best interests: the policies and systems in the service supported this practice.

Appropriate Personal Protective Equipment (PPE) was made available and worn by staff and they had received information and training, so they understood the importance of this. Staff felt supported by the registered manager.

Rating at last inspection

This is the first rating of this service.

Why we inspected

The decision for us to inspect was in part triggered by a safeguarding investigation in relation to risk management and safe care. We had not inspected this service since it was registered with us in, so a decision was made for us to carry out a full rating inspection.

We found evidence the provider needs to make improvements. The overall rating for the service is requires improvement. This is based on the findings at this inspection.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to safe care, good governance and recruitment. Please see the action we told the provider to take at the end of this report.

Follow up

We will work alongside the provider and local authority to monitor progress.