Rainbow staffing services

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.