27 September 2022
During an inspection looking at part of the service
Lime Tree Court is a residential care home providing personal care to up to 60 people in one adapted building over three floors, each of which has separate adapted facilities. The service provides support to older people, people living with Dementia and sensory impairment and younger adults. At the time of our inspection there were 49 people using the service.
People’s experience of using this service and what we found
People were supported by staff who had received training in how to safeguard people from abuse. Staff reported any concerns and incidents were investigated. Risks to people’s safety were assessed and plans put in place to reduce them. People had their medicines as prescribed.
People were supported by enough staff who had been safely recruited to the service. Where incidents occurred, the provider ensured there was learning in place to prevent these from happening again.
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 COVID-19 and other infection outbreaks effectively.
People had their needs assessed and plans put in place to meet them. Staff were trained and had the skills to meet people’s needs. People had meals and drinks which were suitable for their needs and met their preferences.
People were supported by staff with meeting their health needs including having access to other health professionals. The provider had ensured the home was adapted to meet people’s needs and there were processes in place to ensure people received consistent support.
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 were supported to receive person-centred care. The provider was meeting their duty of candour. We found the provider had adopted a learning culture and changes were made following learning from events. The provider had oversight of the service through regular checks and audits which were identifying areas for improvement.
People and their relatives were positive about the service and felt involved. Staff told us they were supported and felt listened to by the registered manager.
Rating at last inspection
The last rating for this service was good (14 October 2021)
Why we inspected
We received concerns in relation to the management of medicines and the management of nutrition and hydration risks. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective and well led sections of this full report.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained good based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.