Rainbow Homecare Limited received an overall rating of Good across all five key questions at its inspection on 26–27 July and 8 August 2023, maintaining the same rating from its previous inspection in January 2018. The service demonstrated strong person-centred care, robust risk and medicines management, effective communication support, and an open, well-led culture with active quality assurance systems.
Strengths
· People felt safe with staff who were patient, used equipment correctly, and followed risk assessments consistently.
· Staff completed in-depth medicines training including practical competency checks before administering medicines.
· Care was personalised and staff accommodated language preferences, with some staff speaking people's chosen languages.
· Communication needs were well met using Makaton, visual timetables, easy read, braille, audio formats and pictorial information.
· Strong training culture with a fully equipped training room, workshops, care certificate, regular supervision and annual appraisals.
Quality-Statement breakdown (24)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; Working in partnership with othersGood