Care @ Rainbow's End

We assessed 8 quality statements in the safe key question and found areas of good practice. Improvements had been made since our last visit. Staff were trained and supported to understand safeguarding and how to raise concerns. Staff understood their duty to protect people from abuse. Staff knew how and when to report any concerns they had to managers. Safety risks to people were managed well. The Registered Manager and staff assessed and reviewed safety risks to people. This meant people, health professionals, and those important to them, were involved in making decisions about how they wished to be supported to stay safe. There were enough staff to support people with their needs. Staff received relevant training to meet the range of people’s needs at the service. Staff received support through staff meetings, supervisions, and appraisals, to support their continuous learning and improve their working practice. The Registered Manager was able to explain what recruitment checks are required for staff, to ensure only those individuals that were deemed suitable and fit, would be employed to support people at the service.

We assessed 6 quality statements in the effective key question and found areas of good practice. Since our last visit improvements have been made. People’s needs and rights were supported. Care and support for people was effective. People had their health, care, well-being, and communication needs assessed. Care plans were reflective of people’s support needs and reviewed in a timely manner. Staff were aware of people’s preferences and respected these. The Registered Manager had good knowledge of the Mental Capacity Act, including capacity and consent.

We assessed 7 quality statements in the well-led key question and found areas of good practice. A new Registered Manager had been recruited since our last visit. Improvements had been made and the service was well-led. Management and staff understood their role and responsibilities. There were clear and effective governance, management, and accountability arrangements. The Registered Manager had clear oversight of the service and was able to identify areas of concern or improvement. Notifications were submitted to external organisations as required. Information was used effectively to monitor and improve the quality of care. Staff told us the new manager has made a difference in managing Care @ Rainbow’s End. Staff felt the manager had a strong leadership style and ensured people were receiving good quality care.