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Archived: The Limes Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 September 2016

This inspection was unannounced and took place on 16 August 2016.

The Limes Residential Home is registered to provide personal care and accommodation to up to 19 people. The home specialises in the care of older people. The home is arranged over four floors with a small passenger lift which is not able to accommodate a wheelchair. The home is therefore only suitable for people who have reasonable levels of mobility. At the time of this inspection there were 13 people living at the home.

The last inspection of the home was carried out in August 2014.No concerns were identified at that inspection.

There is 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.

People were very happy with the care and support they received at the home and with the staff who supported them. However we found that some improvements were needed to ensure there was on-going maintenance and redecoration to improve the environment for people.

People were at risk of not receiving care and support which was reflective of current good practice or legislation because many of the policies and procedures were out of date. We recommend the provider seeks advice and support to up-date and amend their policies and procedures.

People were extremely complimentary about the staff who supported them. Staff were kind and caring and welcomed visitors into the home. There were sufficient numbers of staff to ensure people received physical and social support. People had confidence in the staff and thought they were well trained. Staff were happy with the training they received and felt they had the skills and knowledge to meet people’s needs.

People were able to make choices about all aspects of their day to day lives and were involved in the planning of their care. People were supported to take part in activities at the home and to access community facilities.

Risks of abuse to people were minimised because there was a robust recruitment procedure and staff knew how to recognise and report abuse. People felt safe at the home. One person said “Safe as houses here. Nothing to worry about.”

People had access to healthcare professionals to meet their individual needs. One person said “They always get a doctor if you need one.” Medicines were administered safely by staff who had received training to carry out the task.

People thought the management in the home were open and approachable and said they would be comfortable to make a complaint if they were unhappy with any aspect of their care. When complaints were made these were investigated and responded to.

We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.

Inspection areas

Safe

Good

Updated 2 September 2016

The service was safe.

People felt safe at the home and with the staff who supported them.

People received medicines safely from staff who had received specific training to carry out the task.

There was sufficient staff to enable people to receive care safely and in an unhurried and relaxed manner.

Effective

Requires improvement

Updated 2 September 2016

The service was not fully effective.

Improvements were needed to make sure people lived in a pleasant well maintained home.

People had access to healthcare professionals to meet their individual needs.

People’s nutritional needs were assessed and they received a diet in line with their needs and wishes.

Caring

Good

Updated 2 September 2016

The service was caring.

People received care and support from staff who were kind and respectful.

Staff respected people’s privacy and their right to spend time alone.

People were involved in decisions about their care and treatment.

Responsive

Good

Updated 2 September 2016

The service was responsive.

People were able to make choices about all aspects of their day to day lives.

People were able to take part in group and individual activities.

People told us they would be comfortable to raise any concerns or complaints with the registered manager or a member of staff.

Well-led

Requires improvement

Updated 2 September 2016

The service was not always well led

Improvements were needed to ensure staff had access to up to date guidance to make sure people received support in accordance with current good practice guidelines and legislation.

Quality assurances processes were not always effective in identifying and planning on-going improvements.

The management team in the home were open and approachable and people felt listened to.