Birmingham Business Associate Limited

Birmingham Business Associate is a domiciliary care agency registered to provider person care to people living in their own homes. The service currently provides care and support to 25 people ranging in age, gender, ethnicity and disability.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection on 08 and 09 May 2017 we found that the provider's recruitment and quality monitoring systems and processes were not always robust and required improvements. The provider had made improvements to their recruitment processes to ensure they employed suitable staff. Systems had been put in place to audit medication administration records (MARs) and log sheets. However, these audits had not been analysed to identify issues and trends to reduce future reoccurrence.

People were safe because staff had the skills and knowledge to meet their needs. Staff had a good knowledge and understanding of how to spot signs of abuse and where to report concerns to both internally and externally. People had the appropriate risk assessments in place to ensure risks to people were minimised. People were supported to take their medicines as required.

People and their relatives were involved in both initial assessments and reviews of their care. People were supported by kind and caring staff who knew their needs well. People were given choice and control over their care and staff supported them in the least restrictive way, promoting independence as much as possible. People had access to health care professionals when required.

People and their relatives knew how to complain and raise concerns. Complaints had been investigated and dealt with in an open and honest way and people and relatives were happy with the outcome. Feedback was sought from people and relatives via a quality questionnaire and audits were in place. However, the provider had not used the information from feedback, audits, complaints and incidents to identify trends and reduce the chance of reoccurrence.

The five questions we ask about services and what we found