You are here

Inspection Summary


Overall summary & rating

Good

Updated 28 January 2017

We inspected the service on 13 October 2016. The inspection was unannounced. The Limes Residential Home is situated in the city of Derby and offers accommodation for to up to 34 people who require personal care. The provider specialises in caring for older people with physical impairments. On the day of our inspection 33 people were using the service and one person was in hospital.

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.

People who were able to, were supported to make decisions. However the registered manager and the registered provider did not always know what actions to take if people did not have the capacity to make decisions in line with the principles of the Mental Capacity Act.

People were protected by staff who knew how to recognise abuse and how to respond to concerns. Risks in relation to people’s daily life were assessed and planned for to protect them from harm.

People were supported by enough staff to ensure they received care and support when they needed it. Medicines were managed safely and people received their medicines as prescribed.

People maintained their nutrition and staff were monitoring and responding to people’s health conditions.

People were supported by staff that had the knowledge and skills to provide safe and appropriate care and support.

People lived in a home where staff listened to them. People’s emotional needs were recognised and responded to by a staff team who cared about the individual they were supporting. People were supported to enjoy a social life.

People were involved in giving their views on how the service was run and there were systems in place to monitor and improve the quality of the service provided.

Inspection areas

Safe

Good

Updated 28 January 2017

The service was safe.

Risks related to people’s care had been fully assessed to keep them safe. People were kept safe from the risk of abuse because the provider had systems in place to recognise and respond to allegations or incidents. People received their medicines as prescribed and medicines were managed safely. There were enough staff to provide care and support to people when they needed it.

Effective

Requires improvement

Updated 28 January 2017

The service was not consistently effective.

Some decisions made on behalf of people were not carried out in line with principles of the Mental Capacity Act 2005. Other people made decisions in relation to their care and support. Overall, people were supported by staff who received appropriate training. People were supported to maintain their nutrition and their health was monitored and responded to appropriately.

Caring

Good

Updated 28 January 2017

The service was caring.

People lived in a home where staff listened to them and cared for them in a way they preferred. People’s emotional needs were recognised and responded to by a staff team who cared about the individual they were supporting. Staff respected people’s rights to privacy and treated them with dignity.

Responsive

Good

Updated 28 January 2017

The service was responsive.

People were involved in planning their care and support. People were supported to have a social life and to follow their interests. People were supported to raise issues and staff knew what to do if issues arose.

Well-led

Good

Updated 28 January 2017

The service was well led.

Audits were undertaken to assess and monitor the quality and safety of the service and action was taken when shortfalls were identified. The registered manager notified us of events and incidents they are legally required to. People and visitors felt comfortable and able to approach the registered manager. Staff felt supported by the management of the service.