The Limes 1

Updated 18 November 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

This inspection took place on 02 November 2020 and was announced.

Updated 18 November 2020

The Limes 1 is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The Limes 1 is registered to accommodate up to 22 people in one adapted building over two floors. At the time of this inspection there were 18 people living in the home and one person in hospital.

At our last inspection in November 2015 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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At this unannounced inspection on 10 April 2018 we found the service remained Good.

A registered manager was 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 remained safe because staff understood their roles and responsibilities in relation to keeping people safe from harm and abuse. Potential risks to people had been recognised and information on how to minimise risks had been recorded. Medicines were managed safely. There were enough staff on duty to meet people’s support needs.

People received an effective service because their needs were met by staff who were well trained and supported to do their job. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. People's nutritional needs were met by staff who knew each person's needs well. People’s health and wellbeing was maintained and provided through a range of health and social care professionals.

People received very good care because staff treated people with kindness, compassion, dignity and respect. People had choices in all aspects of their daily lives and were able to continue with interests and friendships outside the home. Staff ensured people remained as independent as possible.

People received a service that was responsive because staff knew people’s care and support needs and helped them to make the lifestyle choices they wanted. People were involved in their personalised care plans and reviews. These gave staff the information they needed to provide the care and support each person needed. People were encouraged to take part in a range of activities that they enjoyed, some were planned and others were the choice of the person at that time, which helped prevent social isolation. Complaints had been investigated and measures put in place to improve the service.

People received a service that was well led because there was a registered provider in post who was approachable and provided good leadership. Quality assurance systems were in place to check that the service provided quality care and made improvements where necessary. People and staff were encouraged to share their views about the service being provided.

Further information is in the detailed findings below.