- Homecare service
Lilyrose Care Group Ltd - Cheshire/Derbyshire
Report from 19 March 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 28 March 2024 to 10 May 2024. Lilyrose is a domiciliary care service providing support to people in their own homes. At the time of this assessment the service supported 24 people. At our last inspection, the service was rated requires improvement. The assessment was prompted by a review of information we held about the service. We assessed a total of 10 quality statements from the safe, effective, and well-led key questions and found areas of concerns. The scores for these areas have been combined with scores based on the key question ratings from the last inspection. Following the assessment the service has remained requires improvement. We found three breaches of the legal regulations in relation to safe care and medicines, reporting of events to CQC and good governance. People told us they felt safe. However, medicines were not always managed safely. Safeguarding referrals were made to the local authority. However, allegations of abuse were not always reported to CQC. People's needs were not always assessed and reviewed when things had changed. People spoke positively of the staff approach, however, others raised concerns in this area. Governance systems were not effective and had not identified the issues we found during this assessment. The provider was working on improvements in this area. People were supported to have choice and control and could give feedback on their care. There were enough staff to meet people’s needs and ensure people were supported safely. However, we received mixed feedback from people regarding communication from managers. Where feedback had been received, we saw limited evidence as to how this was used to improve people’s care.
People's experience of this service
People spoke positively of the care they received. People felt they could raise concerns and issues with staff and the management team. People were supported to access health care services and staff provided support when required in these areas. Some people identified language barriers with staff. However, they said staff were kind and caring. We received mixed feedback over staff training. Some people shared that further training would benefit staff in being more confident in tasks they carried out. People and relatives said they were happy with the level of support staff provided with medicines, and at times shared responsibility over medicines management.