# ASRA - Smethwick

*Operated by Smethwick Asra Limited.*

ASRA - Smethwick is a CQC-regulated home-care agency in Smethwick.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 12/02/2022

## Practical info

- Postcode: B66 1HR
- Registered manager: Mahmood, Samera
- Local authority: Sandwell
- Region: West Midlands
- City: Smethwick
- Last CQC check: 12/Feb/2022 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2019-10-02
- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2019-10-02

### Other

- Finding
  - Evidence: Registered manager supported staff development including language courses for those with English as a second language.
  - Published: 2022-02-12
- Finding
  - Evidence: Strong person-centred culture with consistent positive feedback from people and relatives about staff kindness, dignity and respect.
  - Published: 2022-02-12
- Finding
  - Evidence: Governance improved following previous breach of Regulation 17; audit systems now provide effective oversight of quality and safety.
  - Published: 2022-02-12
- Finding
  - Evidence: Communication needs met through bilingual staff and documentation available in people's chosen languages, resolving previous breach of Regulation 10.
  - Published: 2022-02-12
- Finding
  - Evidence: Complaints policy overhauled following previous breach of Regulation 16; complaints now categorised, analysed for trends, and used to inform training.
  - Published: 2022-02-12
- Finding
  - Evidence: Care plans included up-to-date risk assessments, people's communication needs, and protected characteristics under the Equality Act 2010.
  - Published: 2022-02-12
- Finding
  - Evidence: Staff trained in IPC with regular spot checks to ensure PPE use in practice.
  - Published: 2022-02-12
- Finding
  - Evidence: Medicines administered safely using electronic MAR charts with regular competency checks and manager audits.
  - Published: 2022-02-12
- Finding
  - Evidence: Recruitment practices strengthened following previous breach of Regulation 19; DBS checks and references consistently obtained.
  - Published: 2022-02-12
- Finding
  - Evidence: Safeguarding systems improved from previous breach of Regulation 13; staff demonstrated clear understanding of abuse recognition and reporting responsibilities.
  - Published: 2022-02-12
- Finding
  - Evidence: People involved in care planning, reviews, and provided feedback via six-monthly questionnaires
  - Published: 2020-01-29
- Finding
  - Evidence: Monthly record audits and spot checks on staff competency conducted by registered manager
  - Published: 2020-01-29
- Finding
  - Evidence: Open culture with 24-hour emergency phone, regular staff meetings, and whistleblowing awareness
  - Published: 2020-01-29
- Finding
  - Evidence: Complaints investigated fully with follow-up monitoring to prevent recurrence
  - Published: 2020-01-29
- Finding
  - Evidence: Dignity award received from local health trust following staff training and observations
  - Published: 2020-01-29
- Finding
  - Evidence: People supported in their preferred language, including Punjabi-speaking staff matched to service users
  - Published: 2020-01-29
- Finding
  - Evidence: Staff received regular training, induction including Care Certificate, and quarterly supervisions
  - Published: 2020-01-29
- Finding
  - Evidence: Medication Administration Records completed fully with monthly manager audits
  - Published: 2020-01-29
- Finding
  - Evidence: Robust recruitment procedures including DBS checks and references in place
  - Published: 2020-01-29
- Finding
  - Evidence: Staff understood how to recognise and report abuse; no safeguarding concerns identified
  - Published: 2020-01-29

### responsive

- Finding
  - End of life care and support
  - Published: 2019-10-02
- Finding
  - Planning personalised care to ensure people have choice and control
  - Published: 2019-10-02
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2019-10-02
- Finding
  - Meeting people's communication needs
  - Published: 2019-10-02

### well_led

- Finding
  - Engaging and involving people using the service, the public and staff, fully considering their equality characteristics
  - Published: 2019-10-02
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2019-10-02
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2019-10-02
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2019-10-02

## 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/1-114059238

HomeCare Compass is an independent guide and is not affiliated with the CQC.