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Inspection Summary


Overall summary & rating

Good

Updated 8 November 2017

The Limes’ is a domiciliary service operated by ‘Methodist Homes’ in a large purpose built complex that includes ‘Westbury Grange’ care home. The domiciliary support service provided by staff from ‘The Limes’ enables people to live independently in their own flats within the complex and not as residents within the separately registered and inspected care home. The Limes provides a service for up to 45 people and is purpose built over two floors. At the time of our inspection four people were receiving personal care.

At the last inspection, the service was rated Good.

At this inspection on 09 October 2017 we found the service remained Good.

People felt safe. Staff had received training to enable them to recognise signs and symptoms of abuse and knew how to report abuse, protecting people from avoidable harm. People had risk assessments in place to enable them to be as independent as they could be whilst being kept safe. There was sufficient staff, with the correct skill mix, on duty to support people with their needs. Effective recruitment processes were in place and followed by the service to ensure all staff employed at the service were suitable for the role.

Medicines were managed safely. The processes in place ensured that the administration and handling of medicines was suitable for the people who used the service. Some people were supported to administer their own medication.

Staff received a comprehensive induction programme and a variety of training to ensure they were able to provide care based on current practice when supporting people. They were supported by the manager and had regular one to one time for supervisions and annual appraisals.

Staff gained consent before supporting people with their care. People were supported to make decisions about all aspects of their life; this was underpinned by the Mental Capacity Act 2005. People were able to make choices about the food and drink they had, and staff gave support when required. People were supported to access a variety of additional health professionals when required.

Staff provided care and support in a caring and meaningful way. They knew the people who used the service well. People were given choices about their day to day routines and about how they wanted their care to be delivered. People’s privacy and dignity was maintained at all times.

People’s needs were assessed before they were provided with a care package and the care plans reflected how their needs were to be met. Records showed that people and their relatives were involved in the assessment process and the on-going reviews of their care. There was a complaints procedure in place to enable people to raise complaints about the service.

People and staff were positive about the new manager and staff told us they felt well supported. A variety of quality audits were carried out, which were used to drive improvement and allowed people and staff to express their views about the delivery of care.

Inspection areas

Safe

Good

Updated 8 November 2017

The service remains Good.

Effective

Good

Updated 8 November 2017

The service remains Good.

Caring

Good

Updated 8 November 2017

The service remains Good.

Responsive

Good

Updated 8 November 2017

The service remains Good.

Well-led

Good

Updated 8 November 2017

The service remains Good.