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Archived: Lime Gardens Good

Inspection Summary

Overall summary & rating


Updated 28 March 2018

The inspection took place on 15 and 18 December 2017 and was unannounced.

Lime Gardens is registered to provide personal care services to people in their own homes. This service provides support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought or rented and is the occupant’s own home. People’s support and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care service. On the day of the inspection, 47 people were receiving support.

Not everyone using Lime Gardens receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

There was a registered manager in post. 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.

At our last inspection we rated the service as requires improvement due to there not being enough permanent care staff to support people on a consistent basis, people’s right to request the gender of care staff supporting them not being respected and we found that people’s choices and wishes were limited. At this inspection we saw that improvements had been made to how people were supported.

Care staff were able to get support when needed to ensure they had the appropriate skills and knowledge. The provider had the necessary systems in place to adhere to the requirements of the Mental Capacity Act (2005).

People were supported safely and care staff knew the actions to take when people were at risk of harm. Where people were supported with their medicines this was done as they were prescribed. There was sufficient care staff available with the appropriate understanding of infection control to support people safely.

People were supported by kind and compassionate care staff who respected their independence, privacy and dignity. People were involved in deciding how care staff supported them.

Assessments and reviews took place which people were involved in. Where changes were needed to how people were supported the provider ensured they responded in a timely manner. People were able to share any concerns they had by way of the provider’s complaints process.

People were able to share their views by completing a provider questionnaire. Spot checks and audits were carried out to ensure people received good quality support.

Inspection areas



Updated 28 March 2018

The service was safe.

People felt safe.

Where care staff supported people with medicines this was done safely.

There were enough care staff to support people.



Updated 28 March 2018

The service was effective.

Assessments carried out did not meet the requirements of the Equality Act however the provider had taken action to train staff and update assessment paperwork.

Care staff were able to access support when needed.

People were able to access health care professionals when needed.



Updated 28 March 2018

The service was caring.

People were supported by care staff that were kind and caring.

People were able to make decisions about the support they received

People�s dignity, privacy and independence was respected.



Updated 28 March 2018

The service was responsive.

People were supported by staff who took action to meet their specific needs and preferences.

People were able to raise concerns they had by way of the provider�s complaints process.



Updated 28 March 2018

The service was well led.

While people did not all know the recently appointed registered manager, they felt the service was well led due to the improvements made since they were appointed.

People were able to share their views by completing a questionnaire.

Spot checks and audits were taking place to ensure the quality of service people received.