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Inspection Summary


Overall summary & rating

Good

Updated 12 December 2017

The Limes is a care home that provides support and accommodation for up to 97 older people, some of whom may be living with dementia. On the day of the inspection there were 97 people living at the home, including one person who was having respite care. Most of the accommodation is on the ground floor although the residential area has two floors. There is a passenger lift to access the first floor. There are two distinct areas at the home, including one that provides support for people who are living with dementia, and these are staffed separately. There are various communal areas and safe garden where people can spend the day.

At the last inspection the service was rated as Good overall. At this inspection we found that the service remained Good.

There were sufficient numbers of staff employed to make sure people received the support they needed, and those staff had been safely recruited.

Staff received appropriate training that gave them the knowledge and skills they required to carry out their roles. This included training on the administration of medicines and on how to protect people from the risk of harm.

People were supported to have choice and control over their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff were kind and caring, and they respected people’s privacy and dignity.

Care planning described the person and the level of support they required. Care plans were reviewed regularly to ensure they remained an accurate record of the person and their day to day needs.

People and their relatives told us they were aware of how to express concerns or make complaints and we saw any complaints made had been thoroughly investigated and responded to.

The registered manager carried out audits to ensure people were receiving the care and support they required. People were also given the opportunity to share their views about the service provided.

The feedback we received and our observations on the day of the inspection demonstrated that the home was well managed.

Further information is in the detailed findings below

Inspection areas

Safe

Good

Updated 12 December 2017

The service remains Good.

Effective

Outstanding

Updated 12 December 2017

The service is Outstanding.

The environment for people living with dementia had been specially designed and provided people with ample space to move around and with directional prompts. This had reduced the number of incidents between people who lived at the home.

People were offered a wide variety of food and drink to meet their individual needs, and staff were skilled in encouraging people to eat and drink.

There were excellent links with health and social care professionals and this resulted in people receiving support that improved their mental health and their general well-being. Good practice guidance was being sought and followed.

Staff had induction training when they were new in post and then had refresher training. This gave them the skills they needed to effectively carry out their roles.

Caring

Good

Updated 12 December 2017

The service remains Good.

Responsive

Good

Updated 12 December 2017

The service remains Good.

Well-led

Good

Updated 12 December 2017

The service remains Good.