What life is like for people using this service:

Rainbow Care Solutions uses an electronic care system to record all details regarding the care and support required for people using the service. Paper copies of people’s care plans are kept in their own homes to ensure staff and other relevant people have access to update relevant information including call times, identified risks and individualised care and support needs. This ensures that people receive the right care and support in a safe way. Staff are provided with electronic devices to allow them to log in and out of people’s homes to ensure that visits are completed at the right time.

People told us they felt they received care in a safe way. Individual risks to people and the environment had been identified and assessed and measures put in place to manage them and minimise the risk of avoidable harm occurring. Staff showed a good understanding of their roles and responsibilities for keeping people safe from harm. Medicines were managed safely by trained staff who ensured that people received medicines at the right time.

Sufficient numbers of suitably qualified and skilled staff were deployed to meet people’s individual needs. Staff had received a wide range training and support to enable them to carry out their role safely. People told us they received the right care and support from staff who were well trained and competent at what they did

Staff showed a genuine motivation to deliver care in a person centred way based on people’s preferences and likes. Staff treated people with kindness, compassion and respect and staff ensured that people’s dignity was maintained at all times. People spoke positively about the care and support they received.

People’s needs and choices were assessed and planned for. Care plans identified intended outcomes for people and how they were to be met in a way they preferred. People received support to maintain good nutrition and hydration and their healthcare needs were understood and met.

Records relating to consent for care were not always accurately completed, however people told us they were always offered choice and control over the care they received. We have made a recommendation regarding this.

Care was delivered in a personalised way which was in line with information recorded in people's care plans. People and family members knew how to make a complaint and they were confident about complaining should they need to. They were confident that their complaint would be listened to and acted upon quickly.

The leadership of the service promoted person centred care and a positive culture within the staff team. People, family members and staff all described the registered manager as supportive and approachable. The registered manager and provider showed a continued desire to improve on the service and displayed a good knowledge and understanding around the importance of working closely with other agencies and healthcare professionals where needed. Effective systems were in place to check on the quality and safety of the service and improvements were made when required.

Rating at last inspection: This was newly registered and therefore had not been previously inspected by the Care Quality Commission.

About the service: Rainbow Care Solutions is a small domiciliary care service that provides support and personal care to older people in their own homes. At the time of our inspection the service was supporting 27 people with personal care.

Why we inspected: This was a planned comprehensive inspection for a newly registered service.