Lillyfields Care, a domiciliary care service supporting 16 people, was rated Good across all five key questions at this first inspection. Minor issues were noted around cream application records and one staff file's employment history, both already identified or addressed by the provider.
Concerns (2)
minor
Medication management
: “We saw staff did not always fully complete this record, sometimes they just noted, 'creams' applied.”
minorRecord keeping: “We noted one staff file reviewed, required some additional information about a period of their employment.”
Strengths
· Positive, person-centred culture promoted by registered manager/provider with visible leadership at all levels
· Safe recruitment processes including DBS checks and exploration of employment gaps
· Comprehensive person-centred risk assessments and proactive risk management
· Staff received role-specific induction, Care Certificate, regular supervisions, spot checks and annual appraisals
· Strong safeguarding awareness with open culture of speaking out
Quality-Statement breakdown (25)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Supporting people to develop and maintain relationships to avoid social isolationNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Duty of candourNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated