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Lime Lodge Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 July 2021

Lime Lodge is registered to accommodate up to nine people in one adapted building. People living at the service had a learning disability and / or autism. At the time of our inspection, seven people were living at the service. Accommodation is provided over two floors and within the grounds of the service.

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

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was not able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. Improvements were required in how people were involved in their care and treatment that maximised their choice, control, and independence. People did not receive consistent person centred care and the promotion of independence was limited. Opportunities to engage in stimulating and meaningful activities, interest and hobbies including social inclusion was also limited.

Risk assessment, review and monitoring needed improvement. There was a risk people may not receive consistent safe care due to a lack of guidance for staff. People’s individual support plans and risk assessments had either not been developed or were not sufficiently detailed. Risks in relation to the environment had not been fully assessed and mitigated.

Staff deployment was not sufficiently planned and did not meet people’s individual care and support needs. Staff did not have sufficient time to maintain expected standards in cleanliness and hygiene of the service. Improvements were required to ensure people were protected from COVID-19.

The provider’s systems and processes used to monitor quality and safety were not fully effective. The provider’s internal governance, systems and processes had not fully identified the shortfalls we found. There was no ongoing action plan to drive improvements. The provider had limited oversight and monitoring of the service.

Staff’s ongoing training and development needed improved monitoring to ensure all staff were sufficiently trained. Safe staff recruitment checks were completed before staff commenced their employment. Medicines management processes did not fully follow best practice guidance.

The staff team worked with external health and social professionals. Staff were positive about the support and leadership of the registered manager. An external professional and relatives gave positive feedback about the service.

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 4 November 2017).

Why we inspected

We received concerns in relation to the environment, hygiene and cleanliness and opportunities for people to engage in activities. As a result, we undertook a focused inspection to review the key questions of Safe and Well-led only.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.

We have found evidence that the provid

Inspection areas

Safe

Requires improvement

Updated 15 July 2021

The service was not consistently safe.

Details are in our safe findings below.

Effective

Good

Updated 15 July 2021

Caring

Good

Updated 15 July 2021

Responsive

Good

Updated 15 July 2021

Well-led

Requires improvement

Updated 15 July 2021

The service was not consistently well-led.

Details are in our well-Led findings below.