We carried out a review of the data available to us about Lime Cottage on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Lime Cottage, you can give feedback on this service.
Lime Cottage is a small residential care home providing personal and nursing for one autistic person. The service can support up to four people with a learning disability and / or autistic people. Lime Cottage is a fully adapted bungalow with an accessible garden and summer house.
People’s experience of using this service and what we found
The relative we spoke with was positive about the support provided at Lime Cottage. They said the staff team met the complex needs of their relative and the communication with the home was good. They were involved in the planning of their relative’s care and support.
Person centred care plans and risk assessments provided guidance for the support the person required, including when they may become agitated. Detailed routines for the morning and evening were used to ensure consistency in the support provided. These were regularly reviewed. People received their medicines as prescribed.
The quality assurance system had been improved following a CQC inspection at another of the provider’s services. A calendar of audits was used to ensure all audits were completed, with actions taken where issues were found. Incidents were recorded and reviewed to reduce the chance of a re-occurrence. As a result of this, the morning routine had been changed to reduce the person’s anxieties.
Staff said they enjoyed working at Lime Cottage, saying the management team were approachable and supportive. There were enough staff on duty and they received the training and support needed to meet people’s assessed needs. Staff were safely recruited.
The staff team worked in partnership with other professionals, including behavioural specialist, physiotherapist, social workers, medical professionals and the community learning disability team. People’s health and nutritional needs were being met.
The home was clean throughout and the current government COVID-19 guidelines were being followed.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. Lime Cottage is a small home set in a residential area close to local amenities. Person-centred care plans were in place. Staff knew people’s needs and how to promote people’s privacy dignity and independence. Communication with people’s relatives was good.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 4 November 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on when the service was first registered with the us.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.