Limewood Nursing and Residential Home

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive

Responsive – this means we looked for evidence that the provider met people’s needs.

This is the first assessment for this newly registered service. This key question has been rated Good. This meant people’s needs were met through good organisation and delivery.

This service scored 75 (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 were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.

Staff worked in partnership with individuals and their families to respond to changes in needs promptly. Relatives told us they were involved in decisions and kept informed about changes. One relative said, “They always talk to me and my family member before making any changes to make sure my family member is happy.”

Care plans were detailed and reflected people’s preferences, cultural needs, and personal routines. We observed staff explained care tasks clearly and sought consent before providing support.

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.

Visiting professionals told us that staff were approachable and open to feedback, and they worked together to achieve the best outcomes for people. This meant care could be tailored and adjusted as people’s needs changed.

Staff worked closely with other health and social care professionals to keep care consistent. They helped people move smoothly between services and explained choices clearly so people could make informed decisions about their care.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

Staff explained care and treatment clearly and checked that people understood before making decisions. One relative told us person told us, “Staff are very respectful and explain everything they are doing before caring for my relative”.

Staff explained what care or treatment was being offered in simple, understandable language asking questions or checked with the person to make sure they understood what was being explained.

People were offered activities to support physical and mental wellbeing, and staff provided information in accessible formats.

Information about the service, including how to raise concerns or make a complaint, was made available to everyone.

Relatives told us they were kept informed about changes in their relatives care although some felt communication could be improved.

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result.

Regular relatives’ and residents’ meetings were held with structured agendas. These meetings had clear plans so everyone knew what would be discussed. People could share their ideas or raise concerns. Meetings were recorded, with action plans raised and updates shared at subsequent meetings.

Where a resident lacked capacity or was unable to communicate, family members were invited to participate in the process to ensure care remained tailored to the individual’s preferences and needs.

The provider made sure that people could access the care, support and treatment they needed when they needed it.

Staff recognised when people required additional or specialist input and supported appropriate referrals to health and social care professionals. A relative told us, “The SALT team are involved in my relatives care.” SALT stands for Speech and Language Therapy. It refers to the specialist service that supports people with communication difficulties, speech disorders, and swallowing problems.

Reasonable adjustments were made for people where needed. Staff received training in equality and diversity which supported them to understand people’s differences and how best to support them.

People were supported to make choices in line with the Mental Capacity Act. For example, one person who required thickened fluids wanted an alternative of milkshakes; staff prepared these and under supervision the person enjoyed these. Another person who could not drink alcohol due to medication was offered non-alcoholic alternatives, enabling them to maintain their routine without risk.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.

The provider encouraged individuals to share their end of life wishes and viewed this as a positive contribution to people’s care planning. Care plans were detailed and respectful of peoples wishes.