You are here

Reports


Other CQC inspections of services

Community & mental health inspection reports for The Limes can be found at West London NHS Trust.

Inspection carried out on 9 December 2013

During an inspection to make sure that the improvements required had been made

We visited The Limes to follow up on a warning notice we served on the provider in relation to safeguarding people who use services from abuse. This was due to us finding at our inspection on the 20 and 21 August 2013 that the service did not have suitable arrangements to ensure that people who use the service were safeguarded against the risk of abuse.

During this inspection we also checked if the provider was meeting essential standards where we had asked them to make improvements following the August 2013 inspection. These areas were in regard to having adequate systems to assess and monitor the quality of the service, and to ensure appropriate records were maintained relating to staff supervision and to demonstrate how risks to people who use the service were being managed.

As part of the inspection we spoke with six staff and the representative of one person who uses the service. We were unable to speak with most of the people who use the service as they had complex needs and were unable to share their experiences with us.

We found that improvements had been made to ensure that people were safeguarded against the risk of abuse. Improvements had also been made to assess and monitor the quality of the service and to ensure that records were fit for purpose.

Inspection carried out on 20, 21 August 2013

During a routine inspection

We carried out this inspection because our last inspection on the 30 August 2012 showed that the provider was not complying with a Regulation of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. This was because people who use the service were not protected from risk of abuse as the provider had not taken steps to ensure allegations of abuse were responded to appropriately.

We imposed a compliance action so that the provider would make improvements to safeguard people from abuse. The provider sent us an action plan stating they would achieve compliance by June 2013.

At this inspection of the service we found that the provider had not met the compliance action and had failed to ensure that risks to people were minimised. This is being followed up and we will report on any action when it is complete.

During our inspection we spoke with four members of staff as well as two student nurses. We also met with the sector manager, who is referred to as the manager in this report. On the second day the senior nurse manager was present during the inspection. We were unable to speak with most of the people using the service as they had complex needs and were unable to share their experiences with us.

We found that the systems for monitoring incidents that had occured at the service did not identify risks. Records relating audits were inaccurate and did not reflect what had occured in the service. Some staff records were also inaccurate.