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Lizor Care Concept Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 8 May 2021

About the service

Lizor Care Concept is a domiciliary care agency providing personal care to people who live in their own home. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection 23 people were receiving personal care.

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

The provider did not have effective systems to identify and manage the risks people faced. There was a lack of information about how staff should support people who used specialist medical equipment, or the support people needed when they were distressed due to the impact of living with dementia. Staff did not always keep clear records of incidents that occurred or identify when people were making allegations of abuse.

The provider had not followed government guidance on regularly testing staff for COVID-19, which increased the risk that staff may transmit COVID-19 to people.

People were not supported to have maximum choice and control of their lives and the provider could not demonstrate decisions were made in people’s best interests; the policies and systems in the service did not support this practice.

The governance systems were not effective at identifying shortfalls in the service provided or planning how to make improvements.

Staff respected people’s privacy and dignity. People felt staff treated them well and were comfortable with staff in their home.

People were supported to prepare food and drinks where needed, ensuring this met people’s needs and minimised identified risks. Staff worked with health teams to ensure people were able to access the services they needed.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

This service was registered with us on 14/05/2020 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about staffing arrangements, infection prevention and control and management of the service. A decision was made for us to complete a comprehensive inspection and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the safe, effective, responsive and well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 8 May 2021

The service was not always safe.

Details are in our safe findings below.


Requires improvement

Updated 8 May 2021

The service was not always effective.

Details are in our effective findings below.



Updated 8 May 2021

The service was caring.

Details are in our caring findings below.


Requires improvement

Updated 8 May 2021

The service was not always responsive.

Details are in our responsive findings below.


Requires improvement

Updated 8 May 2021

The service was not always well-led.

Details are in our well-led findings below.