First inspection of Rainbow Support Limited Domiciliary Care Office, a supported living/domiciliary service in Cornwall, rated Good overall and across all five key questions. Inspectors found a strong person-centred culture, safe medicines and recruitment practices, well-managed transitions, and effective leadership with no regulatory concerns identified.
Strengths
· Strong person-centred culture with staff demonstrating in-depth knowledge of how people communicated
· Robust recruitment practices and consistent staffing without use of agency staff
· Safe medicines management with competent staff and weekly medication audits
· Comprehensive transition programmes praised by relatives and professionals
· Effective infection control and PPE practices in line with COVID-19 guidance
Quality-Statement breakdown (26)
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; supporting people to access healthcareGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Adapting service, design, decoration to meet people's needsGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
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 and take part in activitiesGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Promoting a positive, person-centred, inclusive cultureGood
well-led: Duty of candour and opennessGood
well-led: Clear roles, quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people, public and staffGood
well-led: Continuous learning and improving careGood