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The Lilacs Residential Home

Type Social Care Org Region East Last inspected 15 Aug 2022

Location rating: Requires Improvement  View location on CQC

Location ratings by domain

Five CQC key questions

Ratings held for this CQC location, last inspected 15 August 2022. Ratings extracted from individual reports are shown separately below.

Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Good
Well-led
Requires Improvement

Most recent report indexed for actions

The date and rating here are from an individual report, not necessarily the location's latest assessment. Report ratings are extracted with AI; verify the original PDF.

Type: Comprehensive inspection
Date: 15 August 2022
Rating extracted from this report: Requires Improvement
Actions indexed: 2 must-do 2 should-do

Read this inspection PDF

AI-extracted 17 Feb 2026

Earlier inspection findings

pre-2024 framework · 2 must-do 2 should-do

Must-do actions (2)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 2
Must do
Safe
The provider must ensure that medicines are managed safely. This is to ensure people receive their medicines as prescribed.
Regulation: Regulation 12 (Safe care and treatment)
⚠ We found that medicines were not always managed safely. There were gaps in recording on MAR charts, medicines had been signed for but not given, and opening dates had not been added to liquid medicines. Weekly medicine audits had not identified the issues we found.
Must-do action 2 of 2
Must do
Well-led
The provider must ensure that effective governance systems are in place to ensure there is effective oversight of all aspects of the service.
Regulation: Regulation 17 (Good governance)
⚠ We found that governance systems were not effective in identifying issues with the management of medicines. Audits were not effective in identifying issues.

Should-do actions (2)

Recommended improvements to enhance service quality.

Should-do action 1 of 2
Should do
Responsive
The provider should ensure that staff receive further training on the electronic care planning system to ensure full use is made of the system.
Should-do action 2 of 2
Should do
Responsive
The provider should ensure that there is a dedicated activities person to ensure people are supported to take part in activities that are socially and culturally relevant to them.