# Your Care Services Brain Injury Specialists *Operated by Your Care Services Brain Injury Specialists Limited.* Your Care Services Brain Injury Specialists is a CQC-regulated home-care agency in Birmingham. ## CQC Ratings | Key question | Rating | | --- | --- | | Overall | Good | | Safe | Good | | Effective | Good | | Caring | Good | | Responsive | Good | | Well-led | Good | Rating published: 17/10/2019 ## Practical info - Postcode: B7 5JR - Registered manager: Kemp, Kayleigh - Local authority: Birmingham - Region: West Midlands - City: Birmingham - Last CQC check: 17/Oct/2019 - 00:00 ## Inspection findings ### Other - Finding - Evidence: Out-of-hours on-call system ensuring senior staff availability at all times - Published: 2021-01-24 - Finding - Evidence: Regular staff supervision meetings and unannounced observation checks on practice - Published: 2021-01-24 - Finding - Evidence: Registered manager and director proactively sought updates on legislation and best practice - Published: 2021-01-24 - Finding - Evidence: Complaints were recorded, investigated in a timely manner and responsive to people's concerns - Published: 2021-01-24 - Finding - Evidence: Regular refresher training programme and specific competency assessment for complex health procedures - Published: 2021-01-24 - Finding - Evidence: Structured induction including Care Certificate standards and supervised shadow shifts - Published: 2021-01-24 - Finding - Evidence: Thorough recruitment process including DBS checks and references before staff commenced work - Published: 2021-01-24 - Finding - Evidence: Staff demonstrated compassion and detailed knowledge of individual people's needs, preferences and routines - Published: 2021-01-24 - **missed_or_late_visits** _(minor)_ - Evidence: Detailed records or analysis of late calls were currently not available...call timings were not on the care plan this meant that people may not be clear about the times - Published: 2021-01-24 - **care_planning** _(moderate)_ - Evidence: one care staff we spoke with did not know a person they had provided care to had diabetes...there was a risk the member of staff might not recognise when the person was unwell - Published: 2021-01-24 - **record_keeping** _(moderate)_ - Evidence: for one record that we looked at we saw the circumstances leading up to the incident had not been recorded so it was not clear how or why it had occurred - Published: 2021-01-24 - **safeguarding** _(critical)_ - Evidence: The provider and registered manager had not notified us about some safeguarding events that they were required to by law. - Published: 2021-01-24 - **incident_learning** _(moderate)_ - Evidence: A log was not maintained that identified the number and type of incidents occurring...This meant specific events were not recorded in ways which could highlight trends. - Published: 2021-01-24 - **governance** _(moderate)_ - Evidence: these audits had failed to identify that two people using the agency did not have care plans that contained guidance about all of their health needs - Published: 2021-01-24 - Finding - Evidence: Staff recognition scheme including employee of the month certificates and long-service vouchers to aid retention. - Published: 2020-01-29 - Finding - Evidence: Monthly audits of care plans with action plans and follow-up audits to ensure improvements were completed. - Published: 2020-01-29 - Finding - Evidence: Provider demonstrated a culture of openness with staff feeling able to raise concerns with the registered manager. - Published: 2020-01-29 - Finding - Evidence: Effective complaints procedure with signposting to advocacy services and external organisations. - Published: 2020-01-29 - Finding - Evidence: Regular supervision, unannounced observation checks, and spot checks on staff practice including medication administration. - Published: 2020-01-29 - Finding - Evidence: Computerised call logging system introduced to alert office staff if staff had not logged in at a care call. - Published: 2020-01-29 - Finding - Evidence: Electronic call monitoring system implemented since last inspection to ensure people received agreed care visits. - Published: 2020-01-29 - Finding - Evidence: Robust induction programme including Care Certificate standards and four-week shadow shifts alongside experienced staff. - Published: 2020-01-29 - Finding - Evidence: Thorough recruitment process including DBS checks and references completed before staff commenced work. - Published: 2020-01-29 - Finding - Evidence: Staff demonstrated compassion and went above and beyond, including fetching personal effects for a hospitalised person and supporting families at distressing times. - Published: 2020-01-29 - **person_centred_care** _(minor)_ - Evidence: I do have a problem with continuity of care. I have my primary carer but they keep changing the second one. I find it frustrating. - Published: 2020-01-29 - **governance** _(minor)_ - Evidence: The format of these sometimes made it difficult to track the progress that was made or when an action had been completed. - Published: 2020-01-29 - **record_keeping** _(minor)_ - Evidence: Whilst a written analysis of these was not kept to help identify themes and trends the registered manager demonstrated a good awareness of issues that had occurred. - Published: 2020-01-29 - **care_planning** _(minor)_ - Evidence: For one person staff were giving their medication in a specific way but the care plan was not detailed and did not evidence why medication was being administered by this method. - Published: 2020-01-29 ### well_led - Finding - Working in partnership with others - Published: 2019-10-17 - Finding - Continuous learning and improving care - Published: 2019-10-17 ## 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/1-548983403 HomeCare Compass is an independent guide and is not affiliated with the CQC.