Service Management & Quality Assurance Framework

Delivering Safe, Effective and Person-Centred Care

At The Flame Lily Healthcare, quality is not a one-time achievement—it is embedded into everything we do.

Our Service Management and Quality Assurance Framework provides the structure through which we plan, deliver, monitor and continuously improve our services. It ensures that the people we support receive safe, effective, responsive and person-centred care that promotes independence, dignity and wellbeing.

Our approach is guided by:

  • The Health and Social Care Act 2008 (Regulated Activities) Regulations

  • Care Quality Commission (CQC) Fundamental Standards

  • Mental Capacity Act 2005

  • Care Act 2014

  • NHS and Local Authority quality standards

  • ISO 9001 Quality Management

  • ISO 20000 Service Management

  • ISO 27001 Information Security

Our Quality Promise

We are committed to:

  • Delivering safe and effective care

  • Promoting independence, choice and control

  • Supporting positive outcomes

  • Listening and acting on feedback

  • Investing in staff development

  • Continuous improvement through governance and audit

  • Maintaining strong partnerships with families, commissioners and healthcare professionals

How We Monitor Quality

Our management team undertakes a structured programme of quality monitoring and assurance, including:

Clinical and Care Audits

  • Care plan audits

  • Risk assessment reviews

  • Medication audits

  • MAR chart audits

  • Incident reviews

  • Safeguarding monitoring

Governance Oversight

  • Monthly governance meetings

  • Service performance reviews

  • Quality improvement plans

  • Regulatory compliance monitoring

  • Lessons learned reviews

Feedback and Engagement

  • Service user surveys

  • Family feedback

  • Professional feedback

  • Complaints and compliments monitoring

  • Service user meetings

Staff Development and Competency

Our people are our greatest asset.

We maintain a robust programme of:

  • Induction training

  • Mandatory training

  • Specialist competency assessments

  • Supervision and appraisal

  • Continuous professional development

This ensures staff have the knowledge, skills and confidence to deliver high-quality support.

Technology Supporting Quality

We utilise modern digital systems to strengthen quality, safety and accountability, including:

  • Digital care planning

  • Electronic quality monitoring

  • Governance dashboards

  • Incident reporting systems

  • Secure information management

These systems help us ensure care records are accurate, current and aligned with the needs of the people we support.

Continuous Improvement

Following our latest CQC assessment, House of the Flame Lily achieved an Overall Good rating across all five domains:

  • Safe

  • Effective

  • Caring

  • Responsive

  • Well-led

We remain committed to continuous learning and improvement as we work towards achieving Outstanding.