Updated 23 May 2024
The Limes Retirement Home is a residential care home providing accommodation and personal care for up to 26 people. The service is made up of the main building and two single accommodation cottages within the grounds. There are other cottages onsite, but the provider is not allowed, under their registration, to provide personal care to the people who live in them. This assessment was prompted in part by information received about the care and safety of people living at the service. For this assessment we looked at 31 of the quality statements within the 5 key questions safe, effective, caring, responsive and well led. The assessment started on 31 May 2024 and ended on 31 July 2024, including site visits carried out on 25 June 2024, 3 and 9 July 2024. We found 8 breaches of the legal regulations in relation to safety, the premises, safeguarding, staffing numbers, recruitment, training and support, person centred care, consent, management and governance. We took urgent enforcement action to ensure people’s safety and referred concerns to multiple external stakeholders to support the service. Leaders did not have adequate oversight of the service. There were no clear management systems to check the quality and safety of the service. There was a lack of recognition and understanding of risk with a lack of robust assessments and controls in place to protect people and keep them safe. The provider did not have a system to find out where things were going wrong. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we user our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.