This inspection took place on 26 April 2018 and was announced to ensure someone would be present at the service to provide us with any information we needed to support the inspection process.

This was the first inspection since the service was registered with the Care Quality Commission in September 2015. Cheshire Quality Care Limited is a domiciliary care service providing support for people living in their homes who may need support with aspects of their daily living.

There was a registered manager in place. 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.

Staff who worked for Cheshire Quality Care had completed training in safeguarding adults and this training was refreshed on an annual basis. One relative told us that staff provide safe care when supporting the care needs of their relative.

Staff supported people to take their medicines safely.

A consistent team of staff supported people in a personalised way taking into account people’s needs, preferences and choices. Where able, people were involved in the planning and review of their care and support. Information was in place for the staff team to respond to concerns or complaints from people using the service and their representatives.

People were supported by a team of staff that had had training and management support to enable them to maintain their skills and knowledge to meet their needs.

People using the service and their relatives / representatives had developed positive relationships with the staff.

Evidence was available to indicate that staff had received regular training and on-going supervision.

The registered manager provided evidence of regular audits they completed to check the quality of service provision. This included weekly update reports containing details of completed staff training, medicine management and competency checks, staffing levels and health and safety matters. Other audits included regular reviews of care plans and risk assessments and spot checks whilst staff carried out their caring duties.