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

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This was the first assessment of a newly registered service. This key question has been rated good. This meant people’s outcomes were good, and people’s feedback confirmed this.

This service scored 79 (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. People's needs were assessed, and care was delivered in a way that reflected people's needs and choices. The service was designed in a way that promoted people's independence within individual homes. People were supported to develop skills in college and use the skills in their homes. For example, equipment such as cookers used in college were also used in people’s homes to assist people to develop their daily living skills. People’s past histories were considered in care planning. Staff understood people well.

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. People had access to healthcare professionals. Staff worked well as a team and took onboard advise from professionals to improve people's well-being. Staff facilitated visits to family and friends to ensure people maintained relationships that mattered to them. One person was supported to establish contact with a family member they didn’t realise they still had.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. The management team provided practical support to staff in the form of ‘on the job’ training to ensure people receive appropriate care and support. People’s needs were constantly reviewed and where needed referred to appropriate professionals. Professionals gave good feedback about the service. One professional said, “[Person] has settled into their new home and their routines much faster than we expected. [Person] felt secure enough to access college after a week, and [person] is engaging in a range of different sessions, including group sessions. When I visited [person], they seemed happy and integrated into their cohort. This would not have happened if [person] did not feel safe at The Limes. As [person] has very complex needs, there have, as expected, been occasions, where they have shown some behaviours of distress. The team at The Limes have quickly acknowledged that these incidents have been triggered where they have not recognised [persons] needs and have responded by making amendments to the way in which [person] is supported; for example, recognising signs of [person] becoming overwhelmed and offering sensory breaks.” 

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. People had access to health care professionals and people were supported to develop skills in regards to their healthcare and personal care.

The provider monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves. People were supported to set goals and achieve them. Outcomes for people were clearly demonstrated. People were engaged to ensure their life ahead was a life they choose and there was a focus on ensuring people achieved their goals and aspirations. People were supported to develop people’s skills, life experience and strengths discussed with them and those involved in their care. This helped staff understand how people’s goals, ambitions and outcomes could be planned and achieved.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The provider, management team and staff were knowledgeable about the MCA and DoLS. Care plans looked at the best way to present choices to the person to maximise their involvement. Objects of reference, sign language and visual aids were all used to ensure people had the opportunity to communicate their preferences and consent to care.