# Lilyrose Care Group Ltd, Cambridge

*Operated by Lilyrose Care Group Limited.*

Lilyrose Care Group Ltd, Cambridge is a CQC-regulated home-care agency in Huntingdon.

## CQC Ratings

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

Rating published: 15/07/2022

## Practical info

- Postcode: PE29 3DP
- Registered manager: Leonard, Sophie
- Local authority: Cambridgeshire
- Region: East
- City: Huntingdon
- Last CQC check: 15/Jul/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Worked in partnership with external care professionals
  - Published: 2022-07-15
- Finding
  - Evidence: Provider sought feedback through surveys, care reviews and day to day contact
  - Published: 2022-07-15
- Finding
  - Evidence: Effective communication with staff; staff felt valued and well supported
  - Published: 2022-07-15
- Finding
  - Evidence: Manager acknowledged and responded when things went wrong; lessons shared with staff
  - Published: 2022-07-15
- Finding
  - Evidence: Safeguarding training in place; staff confident to report concerns internally and externally
  - Published: 2022-07-15
- Finding
  - Evidence: Effective infection prevention and control measures and PPE provision
  - Published: 2022-07-15
- Finding
  - Evidence: Medicines well managed by trained and competent staff with regular competency checks
  - Published: 2022-07-15
- Finding
  - Evidence: Required recruitment checks completed prior to staff working for the service
  - Published: 2022-07-15
- **staff_training** _(minor)_
  - Evidence: Not trained properly to meet their family member's needs.
  - Published: 2022-07-15
- **governance** _(moderate)_
  - Evidence: such an event had occurred since our last inspection, and not been reported to us
  - Published: 2022-07-15
- **record_keeping** _(minor)_
  - Evidence: some staff induction records had not been fully completed
  - Published: 2022-07-15
- **infection_control** _(minor)_
  - Evidence: two people told us staff were not always wearing masks correctly
  - Published: 2022-07-15
- **staff_competency** _(moderate)_
  - Evidence: [The service] has a high turnover of staff... but the new ones never stay long.
  - Published: 2022-07-15
- **staffing_levels** _(moderate)_
  - Evidence: Continually firefighting due to shortage of staff and problems with recruitment.
  - Published: 2022-07-15
- **care_planning** _(moderate)_
  - Evidence: there was not always clear guidance for staff of when to call for emergency care
  - Published: 2022-07-15

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2022-07-15
- Finding
  - Preventing and controlling infection
  - Published: 2022-07-15
- Finding
  - Using medicines safely
  - Published: 2022-07-15
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-07-15
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-07-15
- Finding
  - Staffing and recruitment
  - Published: 2022-07-15

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-07-15
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-07-15
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-07-15
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-07-15

## 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/1-6128345020

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