What the CQC found at Limetree House Upper Poppleton

Inspectors found staffing levels were enough to meet people's individual needs. Recruitment checks were completed to help ensure staff were suitable.

“Staffing levels were safe and supported staff to meet people's needs.” from the report

The home reviewed accidents and incidents and took action to reduce future risks.

“Accidents and incidents were monitored to see if lessons could be learnt to improve and keep people safe.” from the report

People and relatives spoke positively about communication. Managers held meetings with people and staff to share changes and gather views.

“People and relatives spoke positively about communication with the service and said they could raise any issues they had.” from the report

Several areas needed maintenance or refurbishment and could not be cleaned effectively. Inspectors also found problems with furniture, laundry areas and the handling of used protective equipment.

“Several areas of the home required maintenance and refurbishment, leading to areas that could not be cleaned effectively in order to prevent the risk of infection.” from the report

Some topical medicines in circulation had been stopped or were not recorded correctly. Instructions for as-needed medicines were not always present or detailed enough.

“People had topical creams in circulation that had been discontinued.” from the report

Some window restrictors could be disengaged, and one window opened fully. Some first-floor windows also had risks that had not been considered.

“A window in one person's room was not sufficiently restricted and opened fully.” from the report

The home's governance systems had not found or dealt with the problems identified during the inspection. Inspectors said management did not promote good infection control practice.

“Systems and processes had failed to identify the concerns we found during inspection.” from the report