# Alliance Care Ltd Alliance Care Ltd is a CQC-regulated home-care agency in Birmingham. ## CQC Ratings | Key question | Rating | | --- | --- | | Overall | Inadequate | | Safe | Inadequate | | Effective | Requires improvement | | Caring | Requires improvement | | Responsive | Requires improvement | | Well-led | Inadequate | Rating published: 02/12/2023 ## Practical info - Postcode: B13 8BB - Registered manager: Logan, Mara - Local authority: Birmingham - Region: West Midlands - City: Birmingham - Last CQC check: 02/Dec/2023 - 00:00 ## Inspection findings ### caring - Finding - Supporting people to express their views and be involved in making decisions about their care - Published: 2023-12-02 - Finding - Ensuring people are well treated and supported; respecting equality and diversity; Respecting and promoting people's privacy, dignity and independence - Published: 2023-12-02 ### effective - Finding - Ensuring consent to care and treatment in line with law and guidance - Published: 2023-12-02 - Finding - Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier lives - Published: 2023-12-02 - Finding - Supporting people to eat and drink enough to maintain a balanced diet - Published: 2023-12-02 - Finding - Staff support: induction, training, skills and experience; Assessing people's needs and choices - Published: 2023-12-02 ### Other - Finding - Evidence: People told us that care staff wore PPE and maintained good standards of cleanliness. - Published: 2023-12-02 - Finding - Evidence: Staff generally felt supported by management and felt the management team were approachable. - Published: 2023-12-02 - Finding - Evidence: One relative told us how the provider sent care staff who spoke the first language of their family member, supporting a person with dementia. - Published: 2023-12-02 - Finding - Evidence: Pre-employment checks including DBS checks had been carried out and staff had been recruited safely. - Published: 2023-12-02 - Finding - Evidence: Staff had a good understanding of people's likes and dislikes and how to support people to eat and drink where regular care relationships existed. - Published: 2023-12-02 - Finding - Evidence: People with regular staff spoke highly of their diligence and the caring approach of those workers. - Published: 2023-12-02 - **infection_control** _(minor)_ - Evidence: Many staff had not received recent infection control training. However, spot checks showed staff had a sound understanding of good infection control measures. - Published: 2023-12-02 - **supervision_appraisal** _(moderate)_ - Evidence: The provider had failed to review staff skills and competence. While spot checks were undertaken to observe some aspects of staff practice, there was no system in place to review key risks. - Published: 2023-12-02 - **consent_capacity** _(moderate)_ - Evidence: Care plans did not consider people's capacity to consent to care. We did not find evidence of capacity being assessed for specific decisions. - Published: 2023-12-02 - **record_keeping** _(moderate)_ - Evidence: 1 person's care plan stated they had epilepsy, when this wasn't the case. Care plans contained minimal information about people's communication needs. - Published: 2023-12-02 - **person_centred_care** _(moderate)_ - Evidence: Care plans did not always detail people's needs, wishes and goals. 1 person had a desire to work towards greater independence. However, there was no guidance on how care staff could support this. - Published: 2023-12-02 - **missed_or_late_visits** _(moderate)_ - Evidence: Another person told us, 'I pay for 30 minutes and they stay for 10. Sometimes they don't turn up at all and I still have to pay for the call.' - Published: 2023-12-02 ### responsive - Finding - End of life care and support - Published: 2023-12-02 - Finding - Improving care quality in response to complaints or concerns - Published: 2023-12-02 - Finding - Meeting people's communication needs - Published: 2023-12-02 - Finding - Planning personalised care to ensure people have choice and control and to meet their needs and preferences - Published: 2023-12-02 ### safe - Finding - Preventing and controlling infection - Published: 2023-12-02 - Finding - Staffing and recruitment - Published: 2023-12-02 - Finding - Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrong - Published: 2023-12-02 - Finding - Assessing risk, safety monitoring and management; Using medicines safely - Published: 2023-12-02 ### well_led - Finding - Engaging and involving people using the service, the public and staff; Working in partnership with others - Published: 2023-12-02 - Finding - How the provider understands and acts on the duty of candour - Published: 2023-12-02 - Finding - Promoting a positive culture that is person-centred, open, inclusive and empowering - Published: 2023-12-02 - Finding - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; Continuous learning and improving care - Published: 2023-12-02 ## 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/1-2928454345 HomeCare Compass is an independent guide and is not affiliated with the CQC.