This inspection took place on 25 January 2017 and was announced. The provider registered Rainbow Care Solutions with us to provide personal care to people who live in their own home. At the time of our inspection 56 people living in their own homes received care and support services. Services provided are for children and adults who may have a range of needs which include physical disabilities, varied health conditions, learning disabilities, dementia and sensory impairments.

The provider is also the owner and registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The provider re-registered this service in November 2016 and has not been previously inspected. This is the first rating inspection.

People were supported by staff who knew how to respond to any concerns that might arise so people were kept safe from abuse. People had been supported to avoid the risk of accidents and where required people had been assisted to manage their medicines by staff who had received training to do this. The provider had procedures in place to check people received their medicines as prescribed to effectively and safely meet their health needs. There were enough staff to provide people with the support they needed and background checks had been completed before new staff had been appointed.

Staff had received training and guidance and they knew how to support people in the right way. People were supported by staff to make their own choices and decision’s about their care and support. This was supported by the improved rota system which helped people in having the same staff provide the care they needed and who had become familiar with people’s different ways of making their own daily care decisions. We saw people were actively involved in how their care was planned and their needs met. Where people needed support with their meals and in accessing healthcare assistance staff provided this to help people in keeping healthy and well.

People were treated with kindness and respect by staff who had become to know them well and understood their likes, dislikes and preferences for care and support. Staff recognised people's right to privacy and promoted their dignity when assisting people with their individual care needs. The registered manager had knowledge of how people could access local advocacy services and staff had this knowledge to assist people when required in being involved in their care. Confidential information was kept private.

People had been consulted about the support they wanted to receive and they had been given all of the assistance and encouragement they needed to be as independent as possible. The registered manager had recognised there was a need to combat social isolation and social events had been planned to provide people with opportunities to meet. There was a system for quickly and fairly resolving complaints which the registered manager was determined to use as another method of learning and improving the services provided.

People were encouraged to share their opinions about the quality of the service through telephone conversations, visits with the management team and regular surveys. Quality checks had been regularly completed both internally and externally to ensure people reliably received all of the support they needed. Staff were supported to speak out if they had any concerns and good team work was promoted through staff being recognised for their caring practices. People had benefited from the registered manager working with their staff team to continually drive through improvements to benefit people who used the service.