Lilicares Limited

This was the second inspection of this service since the service was registered with CQC on the 14 September 2017. The service was inspected on 12 September 2018, but not rated at that time due to insufficient evidence. The registered manager has continued to successfully provide the regulated activity of 'personal care' to one person and supports a second person that does not receive personal care.

There was a registered manager at the service who was also the provider. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People's experience of using this service:

The person we spoke with, confirmed that the service they receive had continued to be good. They said the registered manager was kind and caring, and they confirmed that all her current needs were being met.

Needs were assessed before the person started using the service to ensure that they were able to provide them with the care they required. This included information on religious and cultural needs. The service had policies in place to ensure that people's rights were protected, and people were protected from discrimination.

Care plans were up to date and accurately reflected the person's needs. The registered manager knew the person well and care plans were updated on an ongoing basis. The registered manager understood their responsibilities under the Mental Capacity Act 2005 and was aware of the person's decisions and respected their choices.

Risks to the person had been assessed and there was a plan in place to minimise these risks. Care was provided by the registered manager who was able to meet the person's needs and cover the care calls provided by the service.

The registered manager had the skills and knowledge they needed to support people. There were

recruitment systems in place, however, currently there were no staff at the service other than the registered manager.

The person was protected from abuse and the risk of harm. There were safeguarding policies in place and the registered manager knew how to identify and report concerns.

There was an up to date infection control policy in place and personal protective equipment were available where needed.

The person was treated with respect and kindness. Privacy was respected, and they were supported in a dignified way. The person was supported to maintain and increase their independence where appropriate.

There was an up to date complaints policy in place which was shared with the person who used the service.

The registered manager understood their role and responsibilities. There were policies and procedures to ensure that peoples medicines were managed safely, however the service was not supporting anyone with their medicine.

The provider had a system in place to ensure that the service could be audited to identify where improvements were needed and actions were taken. For example, auditing of care plans. This included a system for completing spot checks on future staff to monitor performance and competency assessments for medicine administration and manual handling.

The registered manager attended network events to share learning and best practice.