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Date of Assessment: 31 October 2025 to 7 November 2025. House of the Flame Lily is a domiciliary care agency providing personal care to people of all ages living with learning disabilities or autistic spectrum disorder, sensory or physical disability and mental health conditions. Not everyone supported by this service received the regulated activity of personal care. This assessment looked at people’s personal care and support. At the time of our assessment there were 7 people in receipt of a regulated activity. This assessment was in response to CQC receiving information of concern. We assessed the service against ‘Right support, right care, right culture’ to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choice, independence and access to local communities that most people take for granted. The service was in breach of 5 legal regulations in relation to safe care and treatment, compliance with The Mental Capacity Act 2005, staffing, delivering person centred care and governance. Risks to people were not always fully considered based on their assessed needs and we found concerns with the safety of people’s environment. There was a lack of learning from the provider, and the principles of The Mental Capacity Act 2005 were not always followed. Medicines were not always managed safely, which placed people at risk of not receiving these as prescribed. Staff had not always received training relevant to people’s individual needs. The systems in place to monitor and improve the home were not effective and the audits in place had not identified areas of concern. However, safeguarding procedures were in place and followed. There was a system in place to reduce the risk of cross infection. Staff had received mandatory training, and they were safely recruited. Staff were happy working for the company and felt supported by the management team. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded. We have also asked the provider for an action plan in response to some of the concerns found at this assessment.
npm run etl:reports -- --location 1-6592356837Date of Assessment: 31 October 2025 to 7 November 2025. House of the Flame Lily provides care and support to people living in supported living settings, so they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living. Not everyone supported by this service received the regulated activity of personal care. This assessment looked at people’s personal care and support. At the time of our assessment there were 4 people in receipt of a regulated activity. Some people supported had a learning disability or autistic spectrum disorder or a mental health need or sensory or physical disability. This assessment was in response to CQC receiving information of concern. We assessed the service against ‘Right support, right care, right culture’ to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choice, independence and access to local communities that most people take for granted. The service was in breach of 5 legal regulations in relation to safe care and treatment, compliance with The Mental Capacity Act 2005, staffing, delivering person centred care and governance. The culture at the service meant a model of supported living was not always delivered. Risks to people were not always fully considered based on their assessed needs and we found concerns with the safety of people’s environment. There was a lack of learning from the provider, and the principles of The Mental Capacity Act 2005 were not always followed. Medicines were not always managed safely, which placed people at risk of not receiving these as prescribed. Staff had not always received training relevant to people’s individual needs. The systems in place to monitor and improve the home were not effective and the audits in place had not identified areas of concern. However, safeguarding procedures were in place and followed. There was a system in place to reduce the risk of cross infection. Staff had received mandatory training, and they were safely recruited. Staff were happy working for the company and felt supported by the management team. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded. We have also asked the provider for an action plan in response to some of the concerns found at this assessment.
npm run etl:reports -- --location 1-6592356837.House of the Flame Lily received a focused inspection of the safe and well-led key questions, both rated Good, with no evidence found that people were at risk of harm from the concerns that triggered the inspection. The service demonstrated effective safeguarding, risk management, governance and a positive, person-centred culture.
House of the Flame Lily, a small domiciliary care agency in Wolverhampton supporting one person at the time of inspection, was rated Good across all five key questions at its May 2019 inspection. The service demonstrated safe, person-centred care with strong staff training, effective multi-agency working, and a transparent, well-led culture with no areas of concern identified.