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CQC report explained · a residential care home

What the CQC found at 6 Lilac Grove

Goodpublished 25 May 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found safe medicines management, suitable risk assessments, enough staff and good cleanliness.
Effective?
Good
Staff were trained and knew people well. People's health was monitored, healthcare appointments were supported and food and drink choices were respected.
Caring?
Good
Staff were kind, respectful and involved people in daily choices. They supported privacy, dignity, independence and important relationships.
Responsive?
Good
Care plans were personalised and regularly reviewed. People were supported with communication, activities, community involvement and flexible daily routines, although end-of-life planning needed further development.
Well-led?
Good
The management team was available and supportive. Audits, staff training checks, incident reviews and other monitoring systems were in place.
The latest report, explained

What inspectors found, May 2018

SENSE - 6 Lilac Grove is rated Good; inspectors found kind, safe and personalised care, with end-of-life planning still needing development.

The inspection was comprehensive and announced. The inspector met all three people living in the home, spoke with one person, two relatives, the manager, deputy manager and two care staff. Records, care plans, medicines, staffing, training and the building were also checked.

Inspectors found that people were safe and supported by enough staff. Medicines were managed safely. Staff knew people's needs, supported their health and respected their choices. Care was kind, and people appeared relaxed with staff.

Care plans were personal and included people's routines, preferences and communication needs. People could choose activities, food and daily routines, and were supported to use local facilities. The home had systems to check quality and respond to concerns.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This was unchanged from the previous inspection in April 2016. The report found no serious risks or concerns.

What inspectors praised
  • Kind and respectful care

    Staff treated people kindly, sought permission before providing support and helped people feel comfortable. Relatives also spoke positively about the care.

    “We observed staff interacting with people in a kind and caring manner, involving people in choices around their daily living.” from the report
  • Personalised support

    Care plans recorded people's routines, preferences and communication needs. Staff used pictures, videos and objects to help people understand and make choices.

    “These were personalised and included information about people's preferences and how they wanted their needs met.” from the report
  • Safe staffing and medicines

    Inspectors found enough staff to meet people's needs and found that medicines were given safely by trained staff.

    “People received their medicines safely from staff who had the required skills and knowledge to carry out this task.” from the report
  • Health support

    Staff monitored changes in people's health and supported them to attend appointments and receive help from healthcare professionals.

    “People's health and emotional well-being were monitored and any changes in their well-being prompted a referral to appropriate health care professionals such as their GP.” from the report
  • Positive management

    The home had checks and audits covering areas such as medicines, infection control, safety and care planning. Staff and relatives described the management as supportive and approachable.

    “The provider had systems in place to monitor the quality of the service and identify areas of improvement.” from the report
What inspectors were concerned about
  • End-of-life wishes

    minor

    The report said the home had some information about funeral arrangements, but had not identified advance decisions about people's preferences for end-of-life care. The manager recognised this needed development.

    “Advance decisions that included people's preferences and their choices for how and where they wished to be cared for at the end of their life were not identified.” from the report
Questions to ask them, based on this report
  1. 01How have you recorded each person's wishes about end-of-life care since this inspection?
  2. 02How do you make sure care plans remain up to date and accessible to each person?
  3. 03How do you adjust staffing when people's needs change or when trips are organised?
  4. 04How do you use people's preferred communication methods, such as pictures, videos or objects, in everyday care?
  5. 05How do you review incidents and make changes to reduce the risk of them happening again?

This was a comprehensive inspection covering all five CQC questions, and the ratings remained Good from the previous inspection in April 2016. This explanation was written from the published report of 25 May 2018 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.

The story over the years

Every inspection of 6 Lilac Grove

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. May 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at 6 Lilac Grove →

  2. May 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. November 2010

    Registered with the Care Quality Commission on 29 November 2010.

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.

Next steps

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