# AJB Care Ltd *Operated by AJB Care Limited.* AJB Care Ltd is a CQC-regulated home-care agency in Barnsley. ## CQC Ratings | Key question | Rating | | --- | --- | | Overall | Good | | Safe | Good | | Effective | Good | | Caring | Good | | Responsive | Good | | Well-led | Good | Rating published: 31/05/2023 ## Practical info - Postcode: S75 5DH - Registered manager: Spencer, Janine - Local authority: Barnsley - Region: Yorkshire & Humberside - City: Barnsley - Last CQC check: 31/May/2023 - 00:00 ## Inspection findings ### Other - Finding - Evidence: Registered manager and provider understood duty of candour and regulatory responsibilities. - Published: 2023-06-17 - Finding - Evidence: Service worked closely with other health and social care professionals including GPs, district nurses and social workers. - Published: 2023-06-17 - Finding - Evidence: Positive culture with people feeling known as individuals and not 'just a number'; feedback mechanisms in place including annual surveys. - Published: 2023-06-17 - Finding - Evidence: Effective governance and audit systems identified issues and drove continuous improvement, resolving previous Regulation 17 breach. - Published: 2023-06-17 - Finding - Evidence: Robust recruitment process including DBS checks to ensure suitable staff were employed. - Published: 2023-06-17 - Finding - Evidence: People felt safe; staff knowledgeable about safeguarding procedures and how to report concerns. - Published: 2023-06-17 - Finding - Evidence: Medicines managed safely with clear guidance in support plans, well-maintained MARs, regular training, competency assessments and audits. - Published: 2023-06-17 - **communication_with_families** _(minor)_ - Evidence: Two people and a relative felt communication between 'the office' and themselves could be better, saying on one occasion a call wasn't returned. - Published: 2023-06-17 - **missed_or_late_visits** _(minor)_ - Evidence: Some people did say they would like more consistent call times. - Published: 2023-06-17 - Finding - Evidence: The registered manager considered good practice guidance to keep systems up to date. - Published: 2020-10-31 - Finding - Evidence: The registered manager investigated concerns to learn from them and reduce recurrence. - Published: 2020-10-31 - Finding - Evidence: People and staff had opportunities to provide feedback and were confident concerns would be addressed. - Published: 2020-10-31 - Finding - Evidence: Staff understood their roles and felt well supported by management. - Published: 2020-10-31 - Finding - Evidence: Staff were trained in medicines administration and competency was regularly checked. - Published: 2020-10-31 - Finding - Evidence: People were happy with the support they received with their medicines and relatives raised no concerns. - Published: 2020-10-31 - **incident_learning** _(moderate)_ - Evidence: Systems were either not in place or were not robust enough to assess, monitor and improve the quality and safety of the service. - Published: 2020-10-31 - **governance** _(critical)_ - Evidence: Although the provider's medicines audits had identified some areas that needed to improve, they had not identified all the issues we found with medicines records during this inspection. - Published: 2020-10-31 - **record_keeping** _(critical)_ - Evidence: People's medicines records did not contain enough information when staff reminded or prompted people to take their medicines. There were no records kept about what medicines staff were prompting people to take. - Published: 2020-10-31 - **medication_management** _(critical)_ - Evidence: Records about the support people needed with their medicines were not always up to date and some did not contain enough information to support staff to manage medicines in the most effective way. - Published: 2020-10-31 - Finding - Evidence: Registered manager was accessible and approachable; staff and people praised leadership and management support. - Published: 2020-01-29 - Finding - Evidence: Staff demonstrated prompt and effective responses to health emergencies, with documented examples of life-saving interventions. - Published: 2020-01-29 - Finding - Evidence: Strong caring relationships evidenced by overwhelmingly positive feedback from people and relatives about staff dignity, respect and kindness. - Published: 2020-01-29 - Finding - Evidence: Regular supervisions (minimum four per year) and annual appraisals were in place and confirmed by staff records. - Published: 2020-01-29 - Finding - Evidence: Staff received comprehensive training including Care Certificate, MCA/DoLS, medication management, and a wide range of clinical topics via an in-house training officer. - Published: 2020-01-29 - Finding - Evidence: Sufficient staffing levels with consistent care teams providing continuity; no missed visits reported by people using the service. - Published: 2020-01-29 - Finding - Evidence: People felt safe and expressed confidence in care staff, with all questionnaire respondents confirming they felt safe from abuse and harm. - Published: 2020-01-29 - **complaints_handling** _(minor)_ - Evidence: the complaints policy required updating to include the correct information about the procedure to follow if people remained dissatisfied after the agencies response - Published: 2020-01-29 - **governance** _(minor)_ - Evidence: policies that we looked at had passed the annual review date. - Published: 2020-01-29 ### safe - Finding - Using medicines safely - Published: 2020-10-31 ### well_led - Finding - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving care - Published: 2020-10-31 ## Source Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-1140582998 HomeCare Compass is an independent guide and is not affiliated with the CQC.