# Lily Of The Valley Care

*Operated by Lily Of The Valley Care Ltd.*

Lily Of The Valley Care is a CQC-regulated home-care agency in Derby.

## CQC Ratings

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

Rating published: 22/06/2022

## Practical info

- Postcode: DE24 8DZ
- Registered manager: Osei-Danquah, Rita
- Local authority: Derby
- Region: East Midlands
- City: Derby
- Last CQC check: 22/Jun/2022 - 00:00

## Inspection findings

### caring

- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2022-06-22
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity; privacy, dignity and independence
  - Published: 2022-06-22

### effective

- Finding
  - Staff working with other agencies; supporting people to access healthcare
  - Published: 2022-06-22
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2022-06-22
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2022-06-22
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2022-06-22
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2022-06-22

### Other

- Finding
  - Evidence: Effective infection prevention and control practices including PPE use and COVID-19 risk assessments
  - Published: 2022-06-22
- Finding
  - Evidence: Open, person-centred culture with approachable management and active engagement with people, relatives and staff
  - Published: 2022-06-22
- Finding
  - Evidence: Extensive training programme including specialist training such as PEG feeding and end of life care
  - Published: 2022-06-22
- Finding
  - Evidence: Regular team of staff providing consistency, with robust pre-employment checks completed
  - Published: 2022-06-22
- Finding
  - Evidence: People and relatives spoke highly of the kind, caring and respectful staff team
  - Published: 2022-06-22
- Finding
  - Evidence: Staff received training and competency checks for safe medicines management with recent audits in place
  - Published: 2022-06-22
- **governance** _(moderate)_
  - Evidence: Audits had not identified gaps regarding mental capacity assessments and incidents that should be referred to the local authority safeguarding team.
  - Published: 2022-06-22
- **consent_capacity** _(moderate)_
  - Evidence: no capacity assessments had been completed where needed. However, this had not impacted on the support they received to make decisions.
  - Published: 2022-06-22
- **safeguarding** _(moderate)_
  - Evidence: two incidents we looked at, had not been recognised by the provider as possible abuse... these should have been referred to the local authority safeguarding team
  - Published: 2022-06-22

### responsive

- Finding
  - End of life care and support
  - Published: 2022-06-22
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2022-06-22
- Finding
  - Supporting people to develop and maintain relationships to avoid social isolation
  - Published: 2022-06-22
- Finding
  - Meeting people's communication needs
  - Published: 2022-06-22
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2022-06-22

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2022-06-22
- Finding
  - Preventing and controlling infection
  - Published: 2022-06-22
- Finding
  - Using medicines safely
  - Published: 2022-06-22
- Finding
  - Staffing and recruitment
  - Published: 2022-06-22
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-06-22
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-06-22

### well_led

- Finding
  - Continuous learning and improving care; working in partnership with others
  - Published: 2022-06-22
- Finding
  - Engaging and involving people, the public and staff; duty of candour
  - Published: 2022-06-22
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; promoting a positive person-centred culture
  - Published: 2022-06-22

## 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/1-9560754473

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