# Rainbow Medical Services Ltd Rainbow Medical Services Ltd is a CQC-regulated home-care agency in Mitcham. ## CQC Ratings | Key question | Rating | | --- | --- | | Overall | Good | | Safe | Good | | Effective | Good | | Caring | Good | | Responsive | Good | | Well-led | Good | Rating published: 16/10/2020 ## Practical info - Postcode: CR4 2AG - Registered manager: Powell, Chenai - Local authority: Merton - Region: London - City: Mitcham - Last CQC check: 13/Apr/2021 - 00:00 ## Inspection findings ### Other - Finding - Evidence: Newly registered manager (February 2020) brought stability, clear management structure and positive culture - Published: 2022-07-27 - Finding - Evidence: Strong partnership working with GPs, local authority and CCGs, with positive external feedback - Published: 2022-07-27 - Finding - Evidence: Annual independent quality audits and quarterly spot checks to monitor care quality and staff practice - Published: 2022-07-27 - Finding - Evidence: Robust infection prevention and control systems including individualised Covid-19 risk assessments and adequate PPE supply - Published: 2022-07-27 - Finding - Evidence: External pharmacist routinely assessing staff competency to manage medicines safely - Published: 2022-07-27 - Finding - Evidence: 24-hour on call rapid response team of managers, nurses and senior staff to cover emergencies and reduce missed visits - Published: 2022-07-27 - Finding - Evidence: Introduction of electronic call monitoring (ECM) system logging exact start/finish times and flagging late, early or missed visits - Published: 2022-07-27 - Finding - Evidence: People received continuity of care from familiar staff who knew their complex health care needs, wishes and daily routines - Published: 2022-07-27 - **medication_management** _(minor)_ - Evidence: the provider had significantly reduced the number of incidents of staff failing to sign for medicines they administered on half of being using the service - Published: 2022-07-27 - **leadership** _(moderate)_ - Evidence: We had specific concerns about the way the service was managed in the past because they did not have a suitably competent person registered with us. - Published: 2022-07-27 - **missed_or_late_visits** _(moderate)_ - Evidence: We had a few problems in the beginning with lots of different carers turning up, sometimes late or not at all, but since [name of registered manager] has been in charge these issues have ceased. - Published: 2022-07-27 - Finding - Evidence: People and relatives reported feeling safe and expressed high satisfaction with the service. - Published: 2021-10-30 - Finding - Evidence: Cultural and ethnic needs catered for in nutrition and care worker matching. - Published: 2021-10-30 - Finding - Evidence: Quality assurance system including four unannounced field observations per care worker per year and monthly monitoring by compliance manager. - Published: 2021-10-30 - Finding - Evidence: Person-centred care with consistent care workers, gender preferences met, and care matched to individual backgrounds and interests. - Published: 2021-10-30 - Finding - Evidence: ISO accreditation for specialised health care and social services quality management, reaccredited June/July 2017. - Published: 2021-10-30 - Finding - Evidence: Excellent staff recognition and reward systems including annual award ceremony, pay review, and benefits package, boosting staff motivation. - Published: 2021-10-30 - Finding - Evidence: Strong risk management plans in place for complex clinical needs including tracheostomy, catheter care and pressure ulcer prevention. - Published: 2021-10-30 - Finding - Evidence: Effective medicines management with newly appointed clinical manager improving competency assessment of staff. - Published: 2021-10-30 - Finding - Evidence: Comprehensive induction, training, supervision (4 sessions/year), and annual appraisal programme for all staff including specialist clinical training. - Published: 2021-10-30 - Finding - Evidence: Robust recruitment processes introduced to select staff with the right attributes, significantly reducing staff misconduct incidents. - Published: 2021-10-30 - **governance** _(moderate)_ - Evidence: The service did not have a registered manager in post...two managers were in post who had both begun the process to register with CQC. - Published: 2021-10-30 - **complaints_handling** _(minor)_ - Evidence: records showed the provider did not always record the action they took in response to complaints and the outcome, including whether people were satisfied, to ensure a complete audit trail. - Published: 2021-10-30 - **record_keeping** _(minor)_ - Evidence: it was not always clear how the provider had carried out the assessments...the provider summarised the risks and the management plan within the care plan without showing their full assessment. - Published: 2021-10-30 - Finding - Evidence: The service had adequate PPE supplies to meet current demand and foreseen outbreaks. - Published: 2021-04-19 - Finding - Evidence: Infection risks to people receiving personal care were thoroughly assessed, including dedicated support bubbles and shielding arrangements for high-risk staff. - Published: 2021-04-19 - Finding - Evidence: IPC and PPE policies were regularly updated to reflect COVID-19 guidance changes, with contingency plans for outbreaks and staff shortages. - Published: 2021-04-19 - Finding - Evidence: The provider participated in a COVID-19 testing programme with adequate supplies of home testing kits. - Published: 2021-04-19 - Finding - Evidence: Staff used PPE correctly and demonstrated a good understanding of current IPC guidance, including safe donning, doffing and disposal. - Published: 2021-04-19 ### safe - Finding - Preventing and controlling infection - Published: 2021-04-19 ## Source Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-2586118781 HomeCare Compass is an independent guide and is not affiliated with the CQC.