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The Limes Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 30 August 2019

About the service

The Limes is a residential care home providing personal care to 34 people at the time of the inspection. 32 people were living at the service at the time of the inspection.

People’s experience of using this service and what we found

People were not always supported to have maximum choice and control of their lives and received support in the least restrictive way possible and in their best interests. The policies and systems in the service did not always support this practice because records did not show how people’s mental capacity to consent to their care and treatment had been completed and how decisions made in people’s best interests had been arrived at. Not all statutory notifications had been submitted as required.

People felt safe living at The Limes and steps had been taken to ensure people were protected from abuse and avoidable harm. Risks to people’s health and care needs, as well as risks in the general environment had been assessed and actions taken to manage them. People received their medicines as prescribed and medicines were managed and stored safely. The environment was kept clean and staff followed procedures to prevent and control risks associated with infections. Enough staff were deployed to ensure people received safe care. Any accidents or incidents were reviewed so that any lessons learnt could be identified.

People’s needs were assessed before they went to live at The Limes. Assessments covered all aspects of people’s health, care and well-being and reflected the requirements of the Equalities Act. Staff were competent in meeting people’s needs and training and supervision supported their competence. People received food and drink to meet their nutrition and hydration needs. Staff worked with other healthcare professionals to ensure their care needs were met. The Limes had been adapted where necessary to meet people’s needs such as with a lift and level access ramps. People’s own bedrooms were personalised to their own preferences.

Staff were caring in their approach to people. People and their relatives were involved in expressing views about their care and treatment. These views were respected. People were cared for with privacy and dignity. People were supported to be as independent as they could be.

Staff knew people well and knew about what interested them and what they enjoyed. People were supported to remain connected to their local community through local trips out and about. Relatives visited people throughout the day at times that suited them. If people were unwell or required assistance from other healthcare professionals, this was arranged. People’s communication needs were assessed and met. Procedures were in place to ensure any complaints would be investigated and managed.

Audits and checks on the quality and safety of services were in place to help ensure people received quality care. People and relatives knew the registered manager, found her approachable and found the service to be run with an open management style. Regular meetings were held so that people and their relatives could contribute their views to the development and running of the service. The service worked well with other professionals and looked to identify learning to contribute towards improving care for people.

We found two breaches of the Health and Social Care Act 2008 (regulated Activities) Regulations 2014.

You can see what action we have asked the provider to take at the end of this full report.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 28 January 2017).

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full

Inspection areas

Safe

Good

Updated 30 August 2019

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 30 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 30 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 30 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 30 August 2019

The service was not always well-led.

Details are in our well-Led findings below.