Bournemouth Rainbow Ltd

Updated 5 September 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.’

We reviewed the notifications the service had sent us since we carried out our last inspection; however, none had needed to be sent. A notification is information about important events which the service is required to send us by law.

This inspection took place on 3 and 4 July 2018. We contacted the provider two days before the inspection date to arrange the time of the visit to ensure that people we needed to talk to would be available. One inspector carried out the inspection on both days of the inspection. The first day was spent in the office with registered manager and on the second day we contacted a relative of the person receiving personal care from the agency.

We looked at the person’s care and support records who was receiving personal care from the agency. We also looked at records relating to the management of the service such as, staffing schedules, staff recruitment and training records, provider’s audits, policies and quality assurance surveys.

Updated 5 September 2018

Bournemouth Rainbow is a domiciliary care agency. It provides personal care to younger disabled adults living in their own houses and flats in the community. The service was registered in December 2016. We inspected the agency October 2017 but we did not rate the service because it was new and we did not have enough evidence to make robust judgements. This was the first inspection at which the service was rated.

This inspection was announced and took place on 3 and 4 July 2018. We told the provider two days before our visit that we would be coming to ensure that the people we needed to talk to would be available.

At the time of this inspection the agency was providing a service to around 10 people. However, of these, only one was receiving personal care. CQC only inspects the service being received by people provided with the regulated activity 'personal care'; help with tasks related to personal hygiene and eating. The inspection therefore focused on the care of this one person.

We spoke with the relative of this person as they themselves were not able to tell us about the care and support they had received. The relative highly valued the service provided and were very satisfied with the support their relative received.

The small team of staff employed at Bournemouth Rainbow had all been trained in safeguarding adults and were knowledgeable about the types of abuse and how to take action if they had concerns.

There had been no accidents and incidents from which any trends could have been identified and where action could be taken to reduce likelihood of recurrence.

Robust recruitment systems had been followed to make sure that suitable, qualified staff were employed in the right numbers for effective running of the service.

Assistance to the person being supported with their medicines was managed safely.

The staff team were trained so that they were equipped with the knowledge and skills for them to fulfil their role effectively.

Staff were well supported through supervision sessions with the provider, and an annual performance review.

The provider was aware of the requirements of the Mental Capacity Act 2005. The person being supported was able to give their consent.

The relative told us that the agency was very responsive and accommodating. They said their relative was treated compassionately and staff were knowledgeable about their needs.

These needs had been thoroughly assessed and a care plans put in place to. The plan was person centred, up to date and accurate.

There were complaint systems in place and the relative we spoke with was aware of how to make a complaint.

The agency was well led with the provider/manager aware of all the legislation and guidance relating to the effective running of the service.

With only a small service being provided, there was not much need for auditing and monitoring of the quality of service. We discussed the systems that would be put in place as the service develops and grows.