Cheshire Quality Care Ltd

Updated 14 June 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 26 April 2018 and was announced. We gave the provider 48 hours’ notice that we would be visiting the service. This was because Cheshire Quality Care provides a domiciliary care service, and we needed to make arrangements to speak with the people using the service, staff and have access to records. The inspection was undertaken by one adult social care inspector.

Before we visited the service we reviewed the information we held about the service, including the Provider Information Return (PIR) that the provider had completed in August 2017. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed notifications sent to us by the provider. Statutory notifications are information the provider is legally required to send to us about significant events.

We were unable to speak directly with people who used the service due to the nature of their health status. We did however speak with the relative of one person over the telephone. We spoke with the registered manager and one team manager. We looked at two people’s care records, three staff personnel files and staff training records. We also looked at records used by the provider to monitor and assess the quality of the service being provided.

Updated 14 June 2018

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.