Updated 19 March 2024
Date of assessment 28 March 2024 to 10 May 2024. Lilyrose is a domiciliary care service providing support to people in their own homes. At the time of this assessment the service supported 24 people. At our last inspection, the service was rated requires improvement. The assessment was prompted by a review of information we held about the service. We assessed a total of 10 quality statements from the safe, effective, and well-led key questions and found areas of concerns. The scores for these areas have been combined with scores based on the key question ratings from the last inspection. Following the assessment the service has remained requires improvement. We found three breaches of the legal regulations in relation to safe care and medicines, reporting of events to CQC and good governance. People told us they felt safe. However, medicines were not always managed safely. Safeguarding referrals were made to the local authority. However, allegations of abuse were not always reported to CQC. People's needs were not always assessed and reviewed when things had changed. People spoke positively of the staff approach, however, others raised concerns in this area. Governance systems were not effective and had not identified the issues we found during this assessment. The provider was working on improvements in this area. People were supported to have choice and control and could give feedback on their care. There were enough staff to meet people’s needs and ensure people were supported safely. However, we received mixed feedback from people regarding communication from managers. Where feedback had been received, we saw limited evidence as to how this was used to improve people’s care.