House of the Flame Lily

Date of Assessment: 19 May 2026 to the 22 May 2026. House of the Flame Lily is a domiciliary care agency providing personal care to people of all ages living with learning disabilities or autistic spectrum disorder, sensory or physical disability and mental health conditions. Not everyone supported by this service received the regulated activity of personal care. This assessment looked at people’s personal care and support. At the time of our assessment there were 6 people in receipt of a regulated activity. This assessment was completed to identify if the required improvements had been made following a previous inspection in October/November 2025.

Theproviderwas previously in breach of the legal regulation in relation to safe care and treatment, compliance with The Mental Capacity Act 2005, staffing, delivering person centred care and governance. Improvements were found at this assessment and theproviderwas no longer in breach of these regulations.

We assessed the service against ‘Right support, right care, right culture’ to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choice, independence and access to local communities that most people take for granted.

People received individual care that was based on their assessed needs. Care plans and risk assessments were developed alongside people and care was delivered at the right time in line with these plans. People were supported by safely recruited staff who had the skills, knowledge and training to meet people’s needs. They knew people well and they were liked by people.

People were safeguarded from potential abuse as procedures were in place and followed. Infection control was considered. Medicines were managed safely. The principles of the Mental Capacity Act were understood.

Staff felt listened to and involved and spoke positively about the support they received from the company and the registered manager. There were systems in place to monitor quality of the service.

Date of Assessment: 19 May 2026 to the 22 May 2026. House of the Flame Lily provides care and support to people living in supported living settings, so they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living. Not everyone supported by this service received the regulated activity of personal care. This assessment looked at people’s personal care and support. At the time of our assessment there were 3 people in receipt of a regulated activity. Some people supported had a learning disability or autistic spectrum disorder, a mental health need or a sensory or physical disability.

This assessment was completed to identify if the required improvements had been made following a previous inspection in October/November 2025.

Theproviderwas previously in breach of the legal regulation in relation to safe care and treatment, compliance with The Mental Capacity Act 2005, staffing, delivering person centred care and governance. Improvements were found at this assessment and theproviderwas no longer in breach of these regulations.

We assessed the service against ‘Right support, right care, right culture’ to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choice, independence and access to local communities that most people take for granted.

People received individual care that was based on their assessed needs. Care plans and risk assessments were developed alongside people and care was delivered at the right time in line with these plans. People were supported by safely recruited staff who had the skills knowledge and training to support them effectively. They knew people well and they were liked by people.

People were safeguarded from potential abuse as procedures were in place and followed. Infection control was considered. Medicines were managed safely. The principles of the Mental Capacity Act 2005 were understood.

Staff felt listened to and involved and spoke positively about the support they received from the company and the registered manager.

However, improvements were needed to ensure staff fully understood the model of supported living that was being delivered and the provider had plans in place to address these concerns. Medicines were not always safely stored and people’s environment needed improvements to ensure they could access and enjoy these spaces. There were systems in place to monitor the quality of the service however these needed improving to ensure they identified all areas of concern.

Date of Assessment: 31 October 2025 to 7 November 2025. House of the Flame Lily is a domiciliary care agency providing personal care to people of all ages living with learning disabilities or autistic spectrum disorder, sensory or physical disability and mental health conditions. Not everyone supported by this service received the regulated activity of personal care. This assessment looked at people’s personal care and support. At the time of our assessment there were 7 people in receipt of a regulated activity.

This assessment was in response to CQC receiving information of concern.

We assessed the service against ‘Right support, right care, right culture’ to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choice, independence and access to local communities that most people take for granted.

The service was in breach of 5 legal regulations in relation to safe care and treatment, compliance with The Mental Capacity Act 2005, staffing, delivering person centred care and governance.

Risks to people were not always fully considered based on their assessed needs and we found concerns with the safety of people’s environment. There was a lack of learning from the provider, and the principles of The Mental Capacity Act 2005 were not always followed. Medicines were not always managed safely, which placed people at risk of not receiving these as prescribed.

Staff had not always received training relevant to people’s individual needs.

The systems in place to monitor and improve the home were not effective and the audits in place had not identified areas of concern.

However, safeguarding procedures were in place and followed. There was a system in place to reduce the risk of cross infection. Staff had received mandatory training, and they were safely recruited. Staff were happy working for the company and felt supported by the management team.

In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded. We have also asked the provider for an action plan in response to some of the concerns found at this assessment.

Date of Assessment: 31 October 2025 to 7 November 2025. House of the Flame Lily provides care and support to people living in supported living settings, so they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living. Not everyone supported by this service received the regulated activity of personal care. This assessment looked at people’s personal care and support. At the time of our assessment there were 4 people in receipt of a regulated activity. Some people supported had a learning disability or autistic spectrum disorder or a mental health need or sensory or physical disability.

This assessment was in response to CQC receiving information of concern.

We assessed the service against ‘Right support, right care, right culture’ to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choice, independence and access to local communities that most people take for granted.

The service was in breach of 5 legal regulations in relation to safe care and treatment, compliance with The Mental Capacity Act 2005, staffing, delivering person centred care and governance.

The culture at the service meant a model of supported living was not always delivered.

Risks to people were not always fully considered based on their assessed needs and we found concerns with the safety of people’s environment. There was a lack of learning from the provider, and the principles of The Mental Capacity Act 2005 were not always followed. Medicines were not always managed safely, which placed people at risk of not receiving these as prescribed.

Staff had not always received training relevant to people’s individual needs.

The systems in place to monitor and improve the home were not effective and the audits in place had not identified areas of concern.

However, safeguarding procedures were in place and followed. There was a system in place to reduce the risk of cross infection. Staff had received mandatory training, and they were safely recruited. Staff were happy working for the company and felt supported by the management team.

In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded. We have also asked the provider for an action plan in response to some of the concerns found at this assessment.