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We are carrying out a review of quality at The Limes. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 30 July 2013
Date of Publication: 3 August 2013
Inspection Report published 03 August 2013 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 30 July 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

We found people’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. We looked in detail at the care files of three people who lived at The Limes. Each file contained care plans that had been clearly written in a personalised way and referred to the individual’s personal choices and preferences.

All aspects of people's care was also recorded in risk assessments, which identified hazards that people may face, and provided guidance on how staff should support people to manage the risk of harm. These were linked to their care plans. We saw that regular reviews were carried out to ensure that people's changing needs were managed appropriately. Care plan and review documents had been signed by people who used the service or their representative, to confirm their agreement and understanding of their care requirements.

We observed that care plans contained specific information regarding the level of support people wanted and required. This included information which related to the management of long term or reoccurring conditions which affected people’s physical and mental health, well being and safety. We saw care being delivered in line with this information, and staff we spoke with were familiar with people's needs.

The care plans provided staff with clear guidance to follow when giving support and care, and in some cases identified trigger factors to help staff recognise early signs of deterioration in people's health. This meant that care was delivered with continuity and where necessary swift intervention from specialist health professionals could be sought to prevent further deterioration.