About the service The Limes is a residential care home providing accommodation and personal care for up to 32 older people. The service is based in a period property that has been adapted to meet the needs of the people living there. At the time of the inspection there were 23 people living in the service.
People’s experience of using this service and what we found
People told us they were very happy living at The Limes and that staff were respectful, kind, caring and went out of their way to provide person-centred care. Our observations confirmed this and we saw the atmosphere of the home was one of warmth, happiness and positivity. Staff consistently showed respect, patience and understanding when supporting people.
The providers, management team and staff were passionate about providing a service which was caring, compassionate and reflected the values of the organisation. These were based on an ethos of ‘Helping you to live the life you choose’ which was embedded into staffs' practice. The culture within the home supported a warm and friendly atmosphere.
People felt safe and they were provided with safe care. There were suitable systems in place to ensure that medicines were securely stored, ordered and disposed of correctly and safely and people received their medicines as prescribed. Recruitment practices were effective and there were sufficient numbers of staff available to meet people’s needs. People were protected from avoidable harm, and infection control risks were managed appropriately.
There was a strong emphasis at the home on the importance of supporting people to maintain their health, mobility and independence. The providers and management team were proactive in ensuring people's nutrition and hydration needs were met and measures had been taken to support people to remain active and experience optimum physical and emotional health.
The provider and managers were proactive in facilitating learning and development to benefit the people living in the home. For example, they held workshops and training sessions with staff and relatives and offered learning experiences to the local community to improve understanding of dementia. Staff were empowered to make improvements at the home that had a positive impact on the people living there.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People benefitted from a full programme of activities which was individualised, followed people’s interests and had a positive impact on their emotional and physical health.
People, visitors, staff and professionals were positive about the leadership of the home and told us the directors and managers cared about the people living there.
The management team were open and transparent. They understood their regulatory responsibilities. There were effective governance systems in place to identify concerns in the service and drive improvement. The registered manager and directors promoted the ethos of honesty, learning from mistakes and admitted when things had gone wrong.
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 June 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information we may inspect sooner.