This was an announced inspection which took place on 29, 31st October and 1st November 2018. The registered provider was given 48 hours' notice of the inspection, to ensure that the registered manager or other responsible person would be available to assist with the inspection visit as well as giving notice to people who used the service that we would like to speak with them. This was the first comprehensive rated inspection of the service following their registration with the Care Quality Commission.

Chester Healthcare Ltd T/A Jane Lewis Health and Social Care is registered with the Care Quality Commission (CQC) for personal care and nursing care. The service is located in Crewe close to local amenities and to local transport links. At the time of the inspection the service supported 5 people in their own homes.

The service had a 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.

We received positive comments from people who used the service, relatives and staff. Most of the relatives we spoke with told us they felt safe in the care of the staff who worked for the service. They felt the staff were well mannered and respectful to them.

Staff were aware of their responsibilities in keeping people safe and had received training in safeguarding adults.

Staff responsible for supporting people with their medicines had ¿received training to ensure they had the competency and skills required.

There were sufficient staff to complete the scheduled visits for each person. The service had a monitoring system that checked the promptness of staff visits and could take action, if staff were running late for any reason.

Staff were recruited following a safe and robust process to make sure they were suitable to work with vulnerable people.

Staff were given appropriate support through a programme of training and on-going supervision, and appraisal. Staff were positive about the training provided to them which gave them the skills and knowledge they needed to do their job.

Support plans for people receiving support contained up to date, detailed information about their care needs, including risk assessments and action plans. Staff were knowledgeable about the needs of the people they supported.

The complaints procedure was available to everyone and appropriately managed.

The registered provider and registered manager used a variety of methods to assess and monitor the quality of the service. They carried out a lot of checks to all aspects of the service to make sure that each part of the service was operating appropriately.