# Lifeways SIL Limited (North East)

*Operated by Lifeways SIL Limited.*

Lifeways SIL Limited (North East) is a CQC-regulated home-care agency in Doncaster.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 04/01/2024

## Practical info

- Postcode: DN4 0AB
- Registered manager: Bircumshaw, Catherine
- Local authority: Doncaster
- Region: Yorkshire & Humberside
- City: Doncaster
- Last CQC check: 04/Jan/2024 - 00:00

## Inspection findings

### effective

- Finding
  - Consent to care and treatment sought in line with legislation and guidance (MCA/DoLS)
  - Published: 2024-01-04

### Other

- Finding
  - Evidence: Multiple audits (medication, care planning, accidents and incidents) with timely rectification of issues
  - Published: 2024-01-04
- Finding
  - Evidence: Staff supported in professional development, including Level 5 Leader in Adult Care qualification
  - Published: 2024-01-04
- Finding
  - Evidence: Strong multi-disciplinary partnership working reflected in care and support plans
  - Published: 2024-01-04
- Finding
  - Evidence: Positive, open, person-centred culture praised by people, relatives, and external professionals
  - Published: 2024-01-04
- Finding
  - Evidence: Dedicated risk manager analysing incidents to identify trends and drive learning
  - Published: 2024-01-04
- Finding
  - Evidence: Staff appropriately trained and competent in medicines administration with accurate MAR records
  - Published: 2024-01-04
- Finding
  - Evidence: Safe recruitment processes with pre-employment checks confirmed by staff
  - Published: 2024-01-04
- Finding
  - Evidence: Detailed risk and support plans considering triggers, positive risk-taking, and individual mitigation strategies
  - Published: 2024-01-04
- Finding
  - Evidence: Robust safeguarding systems with knowledgeable staff who understand reporting procedures
  - Published: 2024-01-04

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2024-01-04
- Finding
  - Preventing and controlling infection
  - Published: 2024-01-04
- Finding
  - Using medicines safely
  - Published: 2024-01-04
- Finding
  - Staffing and recruitment
  - Published: 2024-01-04
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2024-01-04
- Finding
  - Systems and processes to safeguard people from the risk of abuse and avoidable harm
  - Published: 2024-01-04

### well_led

- Finding
  - Working in partnership with others
  - Published: 2024-01-04
- Finding
  - Continuous learning and improving care
  - Published: 2024-01-04
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2024-01-04
- Finding
  - Managers and staff clear about roles; understanding quality performance, risks and regulatory requirements
  - Published: 2024-01-04
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2024-01-04

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-2810586007

HomeCare Compass is an independent guide and is not affiliated with the CQC.