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Inspection Summary


Overall summary & rating

Good

Updated 22 November 2017

This inspection was unannounced and took place on 2 October 2017.

The Limes provides accommodation and personal care for up to six people who have an acquired brain injury. On the day of the inspection three people were living in the home.

The home had a registered manager who was present on the day of the inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The provider did not recognise that information shared with them were complaints and records were not maintained of what action had been taken to resolve them.

People were supported by sufficient numbers of staff and the provider had contingency plans in place to ensure there were always enough staff on duty to meet people's needs.

People felt safe living in the home and staff knew how to safeguard them from potential abuse. Staff were aware of how to reduce the risk of harm to people and had access to risk assessments that supported their understanding about how to do this. People had consented to their treatment and were supported by skilled staff to take their prescribed medicines.

People could be assured they would receive a service specific to their needs because of their involvement in their care assessment. They were also supported by staff to pursue their social interests.

People were cared for and supported by skilled staff. People’s human rights were protected because staff were aware of the importance of enabling them to make their own decision. People had access to a choice of meals and staff were aware of suitable meals for the individual to reduce the risk of choking. Staff assisted people to access relevant healthcare services when needed to promote their physical and mental health.

Staff were kind, caring and sympathetic to the individual’s needs. People’s involvement in their care planning ensured they received a service the way they liked. People’s right to privacy and dignity was respected by staff.

People, a relative, and staff were aware of who was running the home. Staff felt supported by the management team to carry out their role. The provider had systems in place to monitor the quality of service provided to people.

Inspection areas

Safe

Good

Updated 22 November 2017

The service was safe.

People were cared for by sufficient numbers of staff who had been recruited safely.

People were safeguarded from the risk of abuse because staff knew how to protect them. Staff had access to risk assessments that supported their understanding about how to reduce the risk to people. People were supported by skilled staff to take their prescribed medicines.

Effective

Good

Updated 22 November 2017

This service was effective.

People were cared for by skilled staff who were supported in their role by the registered manager. People's consent for care and treatment was obtained where possible. People had a choice of meals and staff were aware of suitable meals for the individual. People were supported by staff to access relevant healthcare services when needed.

Caring

Good

Updated 22 November 2017

This service was caring.

People were cared for and supported by staff who were caring and had a good understanding of their needs. People's involvement in their care planning ensured the received a service specific to their needs and in a manner that promoted their privacy and dignity.

Responsive

Good

Updated 22 November 2017

The service was responsive.

People were actively involved in their care assessment and were supported by staff to pursue their social interests. People could be confident their complaints would be listened to and acted on.

Well-led

Good

Updated 22 November 2017

This service was well-led.

The provider had systems in place to monitor the quality of service provided to people. People had the opportunity to tell the provider about their experience of using the service. The home was managed by the registered manager and staff felt supported by them to carry out their role.