This announced inspection took place on 19 & 20 July 2016. This was the provider’s first inspection since their registration in October 2014. Rabiannah Care provides personal care for people in their own homes. At the time of this inspection only two people were using the service for few hours a week. Therefore we were not able to rate the service against the characteristics’ of inadequate, requires improvement, good and outstanding. We did not have enough information about the experiences of a sufficient number of people using the service to give a rating to each of the five questions and therefore could not provide an overall rating for the service.

The service had a registered manager in post. 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.

People who used the service told us they felt safe with the staff. The service had clear procedures to recognise and respond to abuse. All staff completed safeguarding training. The registered manager completed risk assessments for every person who used the service. However, some improvement was required in the recording of plans to minimise risk and provide sufficient guidance to staff. Staff supported people so they took their medicine safely, some improvements was required in the assessment of staff competency. The service had a system to manage accidents and incidents to reduce reoccurrence.

The service had enough staff to support people and carried out satisfactory background checks of staff before they started working. The service provided induction and training for its staff and supported staff through supervision and appraisal to help them undertake their role.

People’s consent was sought before care was provided. Staff understood the importance of asking for consent before they supported people. Staff supported people to eat and drink sufficient amounts to meet their needs. People’s relatives coordinated health care appointments and health care needs, and staff were available to support people to access health care appointments if needed.

People told us they were consulted about their care and support needs. Staff supported people in a way which was caring, respectful, and protected their privacy, dignity, and human rights.

Staff prepared care plans for every person tailored to meet their individual needs. However, their personal likes and dislikes, choice and preferences were not reflected in their care plan and this required improvement.

The service had a clear policy and procedure about managing complaints.

The service sought the views of people who used the services and their relatives to improve the service. Staff felt supported by the manager. The service had system to assess and monitor the quality of the care people received. The service used these checks to learn how to improve the service. However, improvement was required because the provider’s quality assurance process did not identify that there were no risk management plans and the care plans did not reflect people’s preferences.