The Limes

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We looked for evidence that staff involved people in decisions about their care and treatment and provided them advice and support. Staff regularly reviewed people’s care and worked with other services to achieve this. At our last assessment, we rated this key question as good. At this assessment, the rating remains the same. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Pre-assessments for people made sure the provider could meet their needs before a service had begun. Feedback from people using the service was positive. Staff checked people’s health, care, and wellbeing needs during reviews and people told us changes were made when required.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. Systems were in place to ensure staff were up to date with evidence-based guidance and legislation. Care records we saw demonstrated care was provided in line with current guidance.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff had access to the information they needed to appropriately assess, plan, and deliver people’s care, treatment, and support. A health professional told us they used a communication book in the service which helped make sure clear messages were given and picked up by staff to facilitate positive outcomes.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff understood how to support and enrich people’s lives through exercise, increasing socialisation and activities.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Where specialist health support and advice had been sought, we saw that advice was followed and monitored. For example, when people had been assessed as requiring a modified diet.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People confirmed this, saying “I am as independent as can be and make own choices, staff always knock on the door and always ask consent” and staff, “Ask before doing anything.” Staff understood and applied legislation relating to consent. Capacity and consent were clearly recorded. Do not attempt cardiopulmonary resuscitation (DNACPR) decisions were appropriate and were made in line with relevant legislation. Where people’s capacity to make certain decisions fluctuated, we saw assessments were specific to those questions.