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CQC report explained · a residential care home, run by J Moor

Lime Trees

Sparrows Corner, Harwich Road, Great Oakley, Harwich, CO12 5AD

Goodpublished 19 December 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Medicines were given as prescribed, but inspectors found gaps in records and some mis-filed documents.
Effective?
Good
Staff had training, induction and supervision, and people received support based on assessed needs. Some delegated healthcare tasks needed more formal competency assessments.
Caring?
Good
Staff were caring and kind and treated people with dignity and respect. People were involved in decisions and supported to be independent.
Responsive?
Good
Care was personalised and regularly reviewed. People were supported with communication, activities, relationships, complaints and end of life care.
Well-led?
Good
The home had a positive and open culture, with approachable managers and systems to monitor care. The provider planned to strengthen and formalise its auditing.
The latest report, explained

What inspectors found, December 2023

Rated Good; inspectors found kind, personalised care, with some medicines records and healthcare competency checks needing improvement.

The inspection was unannounced and took place on 10 and 15 November 2023. Inspectors reviewed care plans, staff recruitment files, policies, audits and the building. They observed care and spoke with people, relatives, staff and a health professional.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were protected from abuse, had enough staff, received personalised support and were treated with dignity. Staff supported people's choices, communication, relationships and activities.

Inspectors found gaps in some medicines records and said some delegated healthcare tasks needed more formal competency checks. The provider acted promptly by retraining staff and strengthening medicines audits. The report makes recommendations about these two areas, but records did not show that people had missed prescribed medicines.

What inspectors praised
  • Kind and respectful care

    Staff treated people with compassion and respect. Care planning recognised people's strengths, choices and personal goals.

    Staff were caring and kind, and spoke about people with dignity, respect, knowledge and understanding.from the report
  • Personalised support

    People had individual care plans and were supported to make choices, communicate in their preferred way and pursue interests and ambitions.

    The service collaborated with people to create detailed and thoughtful person-centred plans, which showed people's specific goals and aspirations and how they could be met.from the report
  • Activities and relationships

    People were supported to maintain relationships and take part in meaningful social and leisure activities. Some people helped organise events for others.

    People took the lead in organising social events for the benefit of others.from the report
  • Staffing and safeguarding

    Inspectors found enough suitably deployed staff, safe recruitment processes and staff who understood safeguarding responsibilities. Relatives were satisfied with staffing levels.

    The provider ensured there were sufficient numbers of suitable staff.from the report
What inspectors were concerned about
  • Medicines records

    needs fixing

    Inspectors found recording gaps and mis-filed documents. There was no evidence that people had missed medicines, and the provider acted during the inspection with retraining and stronger audits.

    We found some recording gaps for medicines on day 1 of inspection, and some documents which had been mis-filed.from the report
  • Healthcare competency checks

    needs fixing

    Some delegated healthcare tasks did not have sufficiently formal competency assessments recorded. The provider said updated training and regular assessments would be put in place.

    However, some healthcare tasks required more formal competency assessments to be recorded.from the report
  • Employment history records

    minor

    There were small gaps in some staff employment histories. The care manager said these would be addressed.

    There were some small gaps in employment history which the care manager told us they would address by recording information already known to the service in staff files.from the report
Questions to ask them, based on this report
  1. 01What changes have been made to medicines recording, and how do you check that records remain accurate?
  2. 02Which delegated healthcare tasks do staff carry out, and how are their competency assessments recorded and reviewed?
  3. 03How stable is the current staff team, and how do you cover planned trips and activities?
  4. 04What additional provider audits or management capacity have been introduced since the inspection?
  5. 05How are each person's communication preferences, goals and choices reflected in their current care plan?

This was an unannounced inspection that looked at the care and premises and assessed all five CQC questions. This explanation was written from the published report of 19 December 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Lime Trees

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. December 2023Goodcurrent ratingdown from Outstanding
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Lime Trees

  2. October 2017Outstandingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. August 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 2 December 2010.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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