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Lime Tree Manor Residential Home Good

Inspection Summary


Overall summary & rating

Good

Updated 5 October 2017

Lime Tree Manor Residential Home provides care and support for up to 110 older people, some of whom may be living with dementia. At the time of our inspection there were 107 people living at the service.

At the last inspection in March 2015, the service was rated Good.

At this inspection we found the service remained Good.

The service has a registered manager. 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.

Quality monitoring systems and processes were used to drive improvements in the service. However the systems in place did not always effectively identify where action needed to be taken.

People felt safe in the service. Staff were knowledgeable with regards to safeguarding peoples and understood their responsibilities to report concerns. There were effective safeguarding procedures in place and staff had received safeguarding training.

Potential risks to people’s health, safety and wellbeing had been identified. Personalised risk assessments were in place that gave guidance to staff on how individual risks to people could be minimised. Medicines were stored appropriately, managed safely and audits completed.

There were sufficient numbers of staff on duty to meet people's needs. Staff recruitment was managed safely and robust procedures had been followed to ensure that staff were suitable for the role they had been appointed to prior to commencing work.

Staff were well trained and completed an effective induction programme when they commenced work at the service. Staff were supported in their roles and received regular supervision and appraisals. Staff were positive about the training and support they received.

People were supported to make decisions about their care and support. Decisions made on behalf of people were in line with the principles of the Mental Capacity Act 2005 (MCA) and associated Deprivation of Liberty Safeguards (DoLS).

People were supported to make choices in relation to their food and drink and a varied menu was offered. People's health care needs were being met and they received support from health and medical professionals when required.

People and their relatives were complimentary about staff. They told us staff were kind, considerate and respectful. People's privacy and dignity was promoted throughout, their care and consent was gained before any care was provided.

People's needs had been assessed and care plans took account of their individual needs, preferences and choices. Care plans and risk assessments had been regularly reviewed to ensure that they were reflective of people's current needs.

People were encouraged and supported to participate in a range of activities and received relevant information regarding the services available to them.

The service was led by a registered manager who was visible and approachable. People, relatives and staff spoke highly of the registered manager and their ability to manage the service.

People, relatives and staff knew who to raise concerns with and there was an open culture. People and their relatives were asked for their feedback on the service and comments were encouraged.

Inspection areas

Safe

Good

Updated 5 October 2017

The service remains Good.

Effective

Good

Updated 5 October 2017

The service remains Good.

Caring

Good

Updated 5 October 2017

The service remains Good.

Responsive

Good

Updated 5 October 2017

The service remains Good.

Well-led

Requires improvement

Updated 5 October 2017

The service was not always well-led.

Quality monitoring systems did not always identify area of the service that required improvement.

There was a registered manager in post who was visible and approachable. People, relatives and staff spoke highly of the registered manager.

There was an open culture amongst the staff team and staff felt management were supportive and approachable.

People, their relatives and staff were encouraged to give feedback on the service provided.