- Homecare service
Mach Care Solutions (Birmingham)
Assessment report published 7 November 2025
Contents
Ratings
Our view of the service
The service is a domiciliary care agency (DCA) providing support to people in their own homes. At the time of the assessment there were 17 people using the service, all of which were in receipt of the regulated activity.
An unannounced inspection took place on 10 and 11 September 2025 to review the quality of care and compliance with legal regulations. At the last inspection, the service was in breach of the legal regulations relating to need for consent, safe care and treatment, staffing and good governance. At this inspection, enough improvements had been made, and the provider was no longer in breach of these legal regulations.
The registered manager promoted a learning culture and encouraged people to give their views to further develop the service. The registered manager was open to suggestions and addressed any concerns in a timely manner.
The registered manager had a clear vision of ensuring people received a personalised service, which was adopted throughout the staff team. They ensured people were supported by a small, consistent staff team, who knew them well. This had enabled positive relationships to be built between people, their relatives and staff.
People were treated with kindness and compassion, and their rights were promoted. Staff had a good understanding of consent and promoted decision making. They enabled people to live independent and healthier lives, with support from different health and social care professionals as required.
Staff received regular training and were aware of their responsibilities to keep people safe. There were staff meetings and staff received regular informal and formal support. Staff were complimentary about the registered manager along with the rest of the management team. There were regular checks of staff’s performance to ensure a good standard of care was being delivered.
Safe infection prevention and control practices were being followed, and people were supported to ensure their environment was safe. There were systems to ensure the safe administration of medicines which included written guidance for ‘as required medicines. This ensured medicines were consistently given for maximum effectiveness.
Risks people faced were identified in care records and clear instructions of how these were managed were agreed with people and their loved ones.
There was robust quality auditing systems including checks of care planning, medicine administration and staff training. We saw the actions taken by the registered manager where any errors had been identified.
People's experience of this service
People and their loved ones were very complimentary about the service they received. They felt safe and were fully involved in planning and reviewing their care. People received a reliable service and benefitted from a small team of staff who knew them well. Carers were matched based on language, culture, religion, age and complexity of need. They said staff arrived to support them on time and always stayed the full allocation.
People were treated with respect, kindness and compassion and their rights to choice and independence were promoted. People were happy with the administration of their medicines and told us staff followed good infection control practice.
People were regularly asked for feedback about the service and felt listened to. They knew how to raise a concern and were confident any issues would be quickly resolved.