Archived: House of the Flame Lily

There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they were safe. Staff understood their responsibilities to protect people from harm and knew how to report any concerns about people’s safety. Staff were aware of risks to people’s health or well-being and clear guidance on how to keep people safe was available in their homes for staff to refer to. People received their medicines as prescribed and these were managed safely.

Appropriate recruitment checks were completed before staff started to work in people’s homes. Staff had the skills, knowledge and training to meet people’s care and health needs. Staff felt supported by the manager and had regular one to one and team meetings. People were supported to make their own choices and decisions about their care and health needs. Staff obtained consent from people and where appropriate, people’s capacity assessed. People were supported to meet their nutritional needs and they were supported to access appropriate healthcare professionals when required.

Staff were kind and caring. People’s needs were assessed and care records gave clear guidance on how people should be supported. Care plans were personalised to reflect people’s individual preferences. Changes in people’s needs were quickly identified and care amended to meet people’s changing needs. Systems were in place to ask people for their views about their care. Staff knew how to raise concerns on people’s behalf and the provider had processes in place to address complaints.

The service was well-led. Staff understood their roles and responsibilities. Systems were in place to monitor the service provided to ensure people received quality care.

People told us that they were happy with the care staff who supported them and that staff knew them well.

We found that care was planned and delivered in line with people's assessed needs and care plans were updated on a regular basis.

The provider had trained staff in safeguarding vulnerable adults and people told us they felt safe with the care staff. We saw that staff were supervised and their competency was monitored on a regular basis. Staff were aware of what to do if they suspected any abuse had taken place.

We found that the provider had systems in place to monitor the quality of the service. This ensured that the service was effective and well led.