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Inspection Summary


Overall summary & rating

Good

Updated 4 January 2019

This inspection took place on 4 and 14 December 2018 and was unannounced.

The Limes is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The Limes accommodates up to five people with learning disabilities in one adapted building. There were three people at the service at the time of inspection.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

At our last inspection, we rated the service good. At this inspection, we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service had a registered manager in place at the time of our 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 registered manager had a good oversight of the service. There were systems in place to monitor the quality and safety of the service.

People received personalised care from staff who had a good understanding of their needs. People were supported to follow their interests and staffing was arranged around people’s activities and routines. People were treated with dignity and respect and given privacy when they wanted time alone.

People were supported to maintain relationships important to them and the provider worked in partnership with families to forge effective communication between parties.

Staff understood how to keep people safe in relation to the management of their behaviour. People’s care plans reflected detailed guidance for staff to help encourage them to remain calm and safe. There were systems in place to protect people from the risk of abuse and harm.

Risks associated with people’s health and medical conditions were assessed and monitored. Where risks were identified, the provider had systems in place to promote people’s wellbeing and good health.

People had access to healthcare services as required and the provider worked in partnership with healthcare professionals to meet people’s ongoing needs.

People’s needs were regularly reviewed and they were encouraged to participate and give feedback to professionals where appropriate. People were given choices about everyday decisions about their care and had access to advocacy services to help make informed decisions where they could.

People were supported to follow a diet in line with their preferences and dietary requirements.

The atmosphere at The Limes was caring and homely. People were comfortable in staff’s company and enjoyed spending time with them throughout the day. There were sufficient numbers of suitably skilled and qualified staff in place. The provider had recruitment processes in place to identify suitable candidates for the role.

Staff received training, support and development in their role. The registered manager monitored staff’s ongoing performance and there were systems in place to ensure staff understood their responsibilities and duties.

Staff understood the need to gain appropriate consent to care. People were supported to have maximum choice and control of their lives and staff supported

Inspection areas

Safe

Good

Updated 4 January 2019

The service remains good.

Effective

Good

Updated 4 January 2019

The service remains good.

Caring

Good

Updated 4 January 2019

The service remains good.

Responsive

Good

Updated 4 January 2019

The service remains good.

Well-led

Good

Updated 4 January 2019

The service remains good.