# Actual Care Services Ltd

Actual Care Services Ltd 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: 10/11/2018

## Practical info

- Postcode: B42 1DU
- Registered manager: Mir, Nikki
- Local authority: Birmingham
- Region: West Midlands
- City: Birmingham
- Last CQC check: 22/Jun/2022 - 00:00

## Inspection findings

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2022-06-22
- Finding
  - Supporting people to live healthier lives, access healthcare services and support
  - Published: 2022-06-22
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2022-06-22
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2022-06-22
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2022-06-22

### Other

- Finding
  - Evidence: Strong partnership working with health and social care professionals
  - Published: 2022-06-22
- Finding
  - Evidence: Visible, approachable and supportive registered manager who led by example
  - Published: 2022-06-22
- Finding
  - Evidence: Culturally appropriate care and respect for diversity
  - Published: 2022-06-22
- Finding
  - Evidence: Person-centred, holistic and strengths-based care plans
  - Published: 2022-06-22
- Finding
  - Evidence: Effective infection prevention and control measures including PPE
  - Published: 2022-06-22
- Finding
  - Evidence: Medicines administered safely with reductions in inappropriate use
  - Published: 2022-06-22
- Finding
  - Evidence: Staff trained in recognising and reporting abuse
  - Published: 2022-06-22
- Finding
  - Evidence: Consistent group of staff supporting people with calls on time
  - Published: 2022-06-22
- **safeguarding** _(moderate)_
  - Evidence: there was some confusion on the part of the registered manager regarding the need to alert the Commission of these concerns.
  - Published: 2022-06-22
- **staff_competency** _(moderate)_
  - Evidence: Formal staff competency checks had not taken place during the pandemic.
  - Published: 2022-06-22
- **governance** _(moderate)_
  - Evidence: The providers systems and processes had failed to identify the gaps in staff employment records which were found during the inspection.
  - Published: 2022-06-22
- **record_keeping** _(moderate)_
  - Evidence: We found gaps in the employment history of some members of staff and an explanation for these gaps had not been sought.
  - Published: 2022-06-22

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2022-06-22
- Finding
  - Preventing and controlling infection
  - Published: 2022-06-22
- Finding
  - Using medicines safely
  - Published: 2022-06-22
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-06-22
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-06-22
- Finding
  - Staffing and recruitment
  - Published: 2022-06-22

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-06-22
- Finding
  - Continuous learning and improving care
  - Published: 2022-06-22
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-06-22
- Finding
  - Duty of candour
  - Published: 2022-06-22
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-06-22
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-06-22

## 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/1-9786827865

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