Lime Court Care Home

At our last inspection 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 ongoing 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.

Staff had been safely recruited and there were sufficient numbers of staff on duty to meet people's needs in a way which met their preferences and promoted their independence. People told us they felt safe. Staff had received training in the protection of adults and knew what action they should take if they suspected or witnessed abuse.

Medication was administered by staff who had received training to do so. Sufficient numbers of staff met people's needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. The service worked well with other professionals to ensure that people's health needs were met. People had sufficient amounts to eat and drink to ensure that their dietary and nutritional needs were met. Staff were well trained and attentive to people's needs.

Some elements of the environment required updating and the registered manager provided information that this was planned. We have made a recommendation about improving the environment for people living with dementia.

The staff were caring. The atmosphere in the home was calm and friendly. Staff took their time and gave people encouragement whilst supporting them.

Records we reviewed showed people and their relatives were involved in the planning and review of their care. Care plans were reviewed on a regular basis and when there was a change in care needs. People were provided with the opportunity to participate in activities which interested them at the service. These activities were diverse to meet people's social needs. People knew how to make a complaint should they need to. People were provided with the appropriate care and support at the end of their life.

People could choose the activities they liked to do. The provider had arrangements in place to respond

appropriately to people's concerns and complaints.

Systems were in place to monitor and improve the quality of the service. Audits of the premises helped ensure the premises and people were kept safe.

Further information is in the detailed findings below.

The five questions we ask about services and what we found