Limetree House Upper Poppleton

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question good. At this assessment the rating has remained good.This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.People’s needs were assessed which included input on care from people and their families. However, we found that care plans would benefit from further development to ensure all information was available to staff around people’s individual health concerns. For example, catheter care plans were in place were needed but these were still being developed to include all information of the persons need in this area. Similarly, diabetes and Parkinson’s care plans would benefit from more detail to ensure all the support and management of these conditions are fully assessed and recorded. The service had recently installed a new electronic care planning system which meant people’s records were continually being reviewed and updated throughout the inspection to improve this.

People’s preferred communication methods had been assessed, and consideration had been made for people who needed additional aides to help with their understanding and communication. For example, easy read documents were available to people where required.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. Nationally recognised assessment tools were in use such as for skin integrity and the risk of malnutrition to help evidence good practice.

People’s nutrition and hydration needs were identified and met. Staff monitored people’s appetites and kept a record of people’s weights to help identify people who were at risk of malnutrition. People had choice and were positive about the food. One family member told us, “[Relative] absolutely loves the food and there is a good choice. [Relative] does get enough to eat and drink and has put on weight since they have been there which is good.’

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Systems were in place to ensure information about people was shared appropriately with other services when needed. Hospital passports had been developed to ensure easy information sharing, and good relationships had been developed with partner organisations. One visiting professional told us, “We have an excellent working relationship with the staff and management at Limetree House. Staff are forthcoming with information and responsive.”

Staff worked well together and completed handovers to ensure all staff were updated on people’s care and health.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported to access a range of health care professionals and staff monitored people’s health and well-being daily. There were regular visits from health care professionals including GPs and district nurses.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Staff knew people well and monitored their mood and health daily, identifying when people needed support from other care services to keep them well. People’s weights were monitored to help indicate if support was needed and staff escalated concerns quickly. A professional told us, “I find Lime Tree House staff generally informative and helpful, and I certainly feel [Registered manager] and [Deputy manager] raise health concerns appropriately.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.Consent to care was recorded clearly within people’s care records. The provider was meeting the requirements of the Mental Capacity Act. Records included assessments of people’s capacity, and best interest decisions where required.