The Lilacs Residential Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question Good. At this assessment the rating has remained Good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People’s needs were assessed before they began using the service to ensure appropriate support was in place. These assessments were used to create initial care and support plans and were continually developed as staff understood people’s individual needs. Records were regularly reviewed to ensure they were a current reflection of people’s needs and preferences. Any changes in people’s needs were shared with other agencies and relevant healthcare professionals when required.

The provider planned and delivered people’s care and treatment with them in a person-centred way, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People were involved in decisions about their care and support. Care was delivered in line with current legislation, good practice guidance and people’s individual preferences.

Where relevant, input from other health professionals such as Speech and Language Therapists (SALT) was embedded into people’s care plans to mitigate identified risk. A healthcare professional we spoke with told us, “The Lilacs team leadership team and carers are very open to suggestions and consistently put professional guidance in place and provide clear and accurate feedback.” Records showed care plans were regularly reviewed and updated when people’s needs changed.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

People received personalised and coordinated care. We saw evidence of staff working in partnership with GPs, community nurses and specialist healthcare professionals, including the Speech and Language Therapist (SALT) team and community mental health services.

A handover took place at the start of each shift to ensure any concerns were shared and continued to be monitored. We observed staff working well as a team during the assessment.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported to access healthcare services and staff took action when changes in health were identified. There were regular weekly opportunities to discuss people’s health conditions with a GP and other health professionals. One person when asked if they felt supported to access health professionals said, “Yes, they do all that. If you are not very well, you see the doctor. Also, they make sure your hair is done properly, eyes and teeth. We get a very good choice in here.” Records showed where health concerns had been escalated by staff.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Care records were reviewed regularly to ensure the care met people’s needs as their circumstances changed. We saw where required, fluid intake was recorded and monitored to ensure the risk of dehydration was reduced. Where people were at risk of skin breakdown, there were systems to ensure appropriate assessments were completed as required and to ensure any equipment used was operating correctly.

The provider had a governance system in place which ensured care records had appropriate oversight to monitor people’s health and welfare.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff had received training in relation to The Mental Capacity Act 2005 (MCA), which provides a legal framework for making decisions on behalf of people who may lack the mental capacity to do so for themselves. Staff we spoke with had an understanding of the MCA and how it was applied in their roles. We saw examples within people’s care records of where mental capacity assessments and best interest decisions had been recorded for certain people. Where people had a Lasting Power of Attorney (LPA) in place to lawfully make decisions on behalf of people, the appropriate documents had been obtained.