Lily Close

Updated 25 October 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This inspection was unannounced.

Inspection site visit activity started on 18 September 2019 and ended on the same day.

What we did

Before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During our inspection

We spoke with two people who used the service about their experience of the care provided. We spoke with five members of staff; an administrator, two care staff, one senior care staff and the registered manager.

We reviewed a range of records. This included two people’s care records and two medicine records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We received feedback from two relatives of people living at the service.

Updated 25 October 2019

About the service

Lily close is a residential service providing care and accommodation to people with learning disabilities and or autism. The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them. Lily close accommodates up to 10 people in three adapted buildings. At the time of our inspection six people were living there.

People’s experience of using this service and what we found

There were safeguarding procedures to keep people safe from abuse. Risk assessments were used to monitor risks to people and keep them safe from harm. There were enough staff at the service. Suitable staff were recruited to work with people. Medicines were managed safely. Staff understood how to prevent infection. The service analysed incidents and accidents to learn lessons when things went wrong.

People’s needs were assessed before moving into the service. Staff were trained how to do their jobs and were supervised in their roles. People were supported to eat and drink healthily. People were supported to access health and social care professionals as and when necessary. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People told us staff were caring. People and their relatives were involved with their care and consented to their treatment. People’s privacy was respected, and their independence promoted.

People’s care plans recorded their needs and preferences, so staff knew how to best work with them. People were supported to do activities they liked to do. The provider understood people’s communication needs and sought to ensure their voice was heard. The service ensured people were not socially isolated. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. People and relatives told us they knew how to make complaints. People’s end of life wishes were recorded if people wanted them to be.

The service promoted person centred care. People and relatives were happy with the management of the service. The provider used quality assurance measures to drive improvement in the service. Staff understood their roles and responsibilities. People, relatives and staff were involved with the service through meetings and feedback provision. The service had links with other agencies to the benefit of people using the service.

Rating at last inspection

The last rating for this service was good (published 22 March 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.