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Lily Mae Homecare Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 10 July 2019

About the service

Lily Mae Homecare Limited is registered as a domiciliary care agency providing the regulated activity ‘personal care’ to people who live in their own homes in Market Deeping, Bourne and Stamford. At the time of the inspection visit there were 44 people using the service.

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

Systems were in place to ensure the safety of people being cared for. Records showed, and staff confirmed they had received safeguarding training and were knowledgeable about how to recognise and protect people from abuse. Risks to people were assessed and managed. Medicines were managed, procedures were in place to support this. Safeguarding issues and complaints were analysed, and improvements were made. Lower level accidents and incidents were recorded and reviewed to help learn when things go wrong.

Records confirmed staff were recruited safely.

People’s needs were appropriately assessed, and outcomes were met. Records showed, and staff confirmed that they received the training they needed to do their job well. Specialised training to support people who required more complex support was provided.

People's nutritional needs were met, those with more complex needs who required a specialised diet were catered for. Care records were detailed, and staff described the support required to assist people with swallowing needs well. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People’s consent to care was not recorded in their care records. We acknowledged verbal agreements were reached when people start using the service, but this was not recorded to demonstrate people are receiving the care which has been agreed and they consent to it.

The provider immediately implemented a simple process to address this.

The service being delivered was caring and was delivered by a staff team who were kind, considerate and empathetic. Staff described a 'family' atmosphere and approach. The registered provider had the interests of people using the service and their staff team at heart. People were given the opportunity to express their views. Staff demonstrated good awareness of how to maintain privacy and dignity.

People were receiving care which was responsive to their needs. People were consulted about the care they received and were asked for feedback. People would benefit from learning more about what action is being taken to address their concerns. The registered manager was aware of this and was considering how to feedback from the latest quality assurance surveys. Complaints were well managed we saw evidence of good customer satisfaction and compliments.

The provider has a clear direction and vision. Leadership is visible, accessible and the management team lead by example. Staff were complimentary of the support they receive from the management team. Morale in the team was good and there was a good team working ethos.

Processes were in place to ensure that the delivery of care was monitored and checked regularly. Plans for improvement were implemented and actioned. The registered manager and the team work in partnership with other health and social care professionals within the community.

Rating at last inspection

At the last inspection the service was rated Requires Improvement and was published on 21 December 2017.

Why we inspected

This was a scheduled inspection based on the previous rating.

Follow up

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

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 10 July 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 10 July 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 10 July 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 10 July 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 10 July 2019

The service was well-led

Details are in our Well-Led findings below.