CQC report explained · a residential care home
What the CQC found at Lilac
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Risk assessments were clear and up to date, the environment was safe, and medicines were stored and given safely. Inspectors found enough staff to meet the needs of the person living there.
- Effective?
- Good
- People's health needs were assessed and monitored, and professionals were involved when needed. Staff supported people to make choices, including about meals, activities and daily life.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People were offered choice and control and were encouraged to be independent.
- Responsive?
- Good
- Weekly one-to-one sessions helped staff understand people's wishes and update their plans. Activities and outings were arranged around people's interests and goals.
- Well-led?
- Good
- The home had quality checks and managers understood their responsibilities. However, staff supervision was not always carried out regularly, and improvements to training were still underway.
What inspectors found, February 2019
Rated Good; inspectors found safe, kind and personalised care, with some improvements still needed in staff supervision and training.
This was the home’s first full comprehensive inspection. It was unannounced and took place on 14 January 2019. One inspector reviewed records, medicines, staffing, training, safety systems and quality checks, and spoke with staff, managers and a relative.
The home was supporting one person at the time and could accommodate up to three people with learning disabilities or autism. Inspectors found that care was personalised, risks and medicines were managed safely, and people were treated with kindness, dignity and respect.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Staff supervision was not always regular, and improvements to training were still being introduced. An end-of-life planning document had not been completed in the support plan reviewed.
Personalised support
Support plans involved the person and professionals, and were reviewed as circumstances changed. Staff used people's preferences to plan care, activities and outings.
“Support planning was comprehensive and involved the person and any professionals” from the report
Kind and respectful care
Inspectors saw staff speaking respectfully and giving people choices. People were supported with dignity, privacy and independence.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Safe medicines and environment
Medicines were stored and administered safely, with trained staff and monitoring in place. The home was clean and equipment and the environment were well maintained.
“Medicines were stored and administered safely.” from the report
Meaningful activities
Staff organised activities and outings that matched people's interests and helped develop social skills. Support was arranged for a person who wanted to attend a gym.
“Staff listened to people, and organised activities and outings which were interesting and developed people's social skills.” from the report
Irregular staff supervision
needs fixingStaff supervision was not always regular. The manager knew the process needed reviewing, although staff said they felt supported and listened to.
“Staff supervision was not always carried out regularly but staff said that they felt supported and listened to.” from the report
Training programme still developing
minorThe home was introducing a regular training programme and making improvements to staff development. Ask what progress has been made since the inspection.
“Improvements were underway to staff training and a regular training programme was being introduced.” from the report
End-of-life wishes
minorAn easy-read end-of-life document was available, but it had not been completed in the support plan inspectors reviewed. The manager said not everyone wanted to make these decisions.
“This was not completed in the support plan we looked at.” from the report
- 01How often is staff supervision now carried out, and how are missed sessions followed up?
- 02What progress has been made with the regular staff training programme?
- 03How do you help each person decide whether they want to record their end-of-life wishes?
- 04How will staffing levels change if more people move into the home?
- 05How are support plans and risk assessments reviewed when a person's needs or wishes change?
This was the first full comprehensive inspection and covered all five key questions; one person was living at the home at the time. This explanation was written from the published report of 13 February 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Lilac
Each visit the CQC has published, newest first, back to the day the home was registered.
- February 2019Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2017
Registered with the Care Quality Commission on 30 January 2017.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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75 live-in carers within about an hour of Nottinghamshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 63 can care for a couple. 10 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.