House of the Flame Lily

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good.

This meant people were safe and protected from avoidable harm.

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.

Lessons were learnt to continually identify and embed good practice. Improvements had been made since our last inspection, and the registered manager was more proactive at ensuring lessons were learnt. They had developed an action plan since our last inspection which they worked through to ensure the concerns we identified had been met and actioned. We saw the information considered learning for the future and measures to try to mitigate future risks.

There were systems in place to ensure lessons were learnt to ensure good practice was continued and staff were aware of where learning had been identified and felt involved with this process.

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

There was a process in place to ensure people’s needs were assessed, reviewed and considered before they started using the service. The assessments we saw considered people’s risks, needs, likes and dislikes. People and those important to them were involved with this.

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that.

People and relatives were happy with the support they received and felt safe with staff. One person said, “I have 4 calls a day they are all safe, kind, and nice carers”.

There were systems in place to ensure safeguarding concerns were identified, reviewed and investigated. Staff told us they had received training in this area and records we viewed confirmed this. They were aware what action they should take if there were concerns.

Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them.

People and relatives were happy with how their individual risks were considered and managed. A relative told us, “[My relation] did have a recent fall overnight, and the carer found her the following morning, they phoned for an ambulance straight away”.

There was a system in place to ensure people had care plans and risk assessments that had been developed individually, based on their assessed needs, which were reviewed when needed. Plans considered people’s levels of support, mobility needs and any known risks.

Where improvements were needed to ensure people had suitable risk assessments and care plans in place, we saw these changes had been made. Where we had previously identified concerns, the provider had made changes to ensure people’s safety. These plans were reviewed regularly or when changes had occurred.

The provider detected and controlled potential risks in people’s home environments.

People had individual risk assessments in place that related to their environment. These covered; lighting, parking and their surroundings. This information was available for staff, so they were aware of any risks that maybe present. Staff confirmed they were aware of any risks.

The provider had systems in place to ensure there were enough staff available to support people.

People and relatives were happy with how their call times were staffed. They told us there had been concerns previously but these were now resolved.

A relative said, “It’s now all smoothed out, no more rota problems”. Another relative told us, “We have set times, and they are normally all good”. Records confirmed people received calls in line with their agreed times.

People felt staff had the skills and knowledge to support them. One person said, “The carers are well trained 100%, and very comfortable with them all. New carers do shadow more experienced until they are ready”. Staff had received training to ensure they had the relevant knowledge and skills to support people.

Staff had received the relevant pre-employment checks before they could start working with people to ensure they were safe to do so.

The provider assessed and managed the risk of infection.

There were processes in place to ensure staff protected people from the risk of cross infection. Staff confirmed Personal Protective Equipment (PPE) was available, and they had received training in this area. One person confirmed, “The carers use all their PPE plus shoe protectors”.

The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences.

People were happy with how they received their medicines. A relative said, “The carers handle all his meds and his nebuliser. The carers are very safe we have no problems whatsoever”.

People received their prescribed medicines when needed. Staff administering medicines had received training and their competency was checked to ensure they were safe to administer these to people. Improvements had been made and when people had ‘as required’ medicines there was guidance in place for staff to follow.