Rainbow Trust Children's Charity 6 received an overall Good rating across all five key questions at its announced inspection on 30 November 2016, providing domiciliary care to 60 children and families living with terminal and life-threatening conditions. The service was distinguished by its outstanding whole-family approach, exemplary end-of-life and bereavement support, and a well-led, transparent culture with no complaints received and no regulatory breaches identified.
Strengths
· Staff demonstrated holistic, person-centred care supporting whole families including siblings, with outstanding end-of-life and bereavement support.
· Robust safeguarding processes with staff confident in identifying and reporting abuse.
· Sufficient staffing levels with consistent allocation of named support workers to families in the same geographical area.
· Safe recruitment practices including DBS checks, references, and eligibility verification.
· Regular training, supervision, and annual appraisals supporting staff development.
Quality-Statement breakdown (21)
safe: Safeguarding and protection from abuseGood
safe: Risk assessment and managementGood
safe: Staffing levels and deploymentGood
safe: Recruitment practicesGood
safe: Medicines managementGood
effective: Staff training and developmentGood
effective: Supervision and appraisalGood
effective: Consent and Mental Capacity Act awarenessGood
effective: Nutrition and hydrationGood
effective: Access to healthcareGood
caring: Kindness, compassion and dignityGood
caring: Person-centred relationships and independenceGood
caring: End of life care and bereavement supportGood
responsive: Person-centred care planning and assessmentGood
responsive: Whole-family and sibling supportGood
responsive: Complaints handlingGood
responsive: Record keeping and care record accuracyGood
well-led: Leadership and governanceGood
well-led: Quality monitoring and auditGood
well-led: Staff engagement and organisational valuesGood
well-led: Partnership working with external organisationsGood
Rainbow Trust Children's Charity 6 received a Good rating across all five key questions at its December 2019 inspection, maintaining its previous 2017 rating. The service demonstrated strong person-centred, whole-family care for children with serious illnesses, with no failures, breaches or complaints identified.
Strengths
· Consistent, long-term support workers fostered deep family bonds, with families describing workers as 'like family'
· Robust pre-assessment and risk assessment processes tailored to each child and family's individual circumstances
· Monthly managerial and non-managerial supervision provided to support workers to manage emotional demands of the role
· Person-centred care plans developed with whole-family involvement, including sibling and child participation where appropriate
· Bereavement-trained staff and post-bereavement support offered to families for up to a year after a child's death
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: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
safe: Using medicines safelyGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
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
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 controlGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
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: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; Working in partnership with othersGood