What the CQC found at The Limes

People and relatives consistently described staff as caring, respectful and well known to the people they supported.

“People and relatives were very complimentary and satisfied with the quality of care provided at the home.” from the report

Staff understood nutritional risks and monitored people who were at risk of losing weight or not drinking enough.

“There was a strong emphasis on people eating and drinking well.” from the report

People were offered activities and support to pursue hobbies and interests, including individual support for someone who chose not to join group activities.

“The provider continued to be responsive to people's needs and people were occupied and stimulated with a variety of activities and events.” from the report

Some medicines were stored at unsafe temperatures. There were missing PRN instructions, incomplete patch records and problems using the electronic medicine system.

“Systems to ensure safe management of medicines were not always followed in line with current guidance and the provider's own policies.” from the report

Risk assessments and care plans did not always explain clearly how staff should respond to falls or reflect changes in people's abilities.

“Although care records had not always been updated when people's abilities changed, staff knew people's needs.” from the report

Staff were usually available, but inspectors saw occasions when they were busy and could not respond immediately. One call bell was not answered during the four minutes it was observed.

“However, staff were sometimes very busy and there were occasions when they were not able to respond immediately to requests for assistance.” from the report

Quality checks did not identify several issues, and one medicine recording problem appeared in two audits without evidence of follow-up.

“At this inspection we saw some detailed audits and checks to monitor the quality of the service.” from the report