Latest Inspection
This is the latest available inspection report for this service, carried out on 26th May 2010. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Lime Tree Manor.
What the care home does well The standard of care provided to people living in the home is good and demonstrates appropriate concern to maintain the dignity and respect of the individual receiving care and support. The manager and staff are provided with basic dementia care training and additional more detailed training as appropriate to enable them to provide care to people who live in the home with dementia in an appropriate way that reflects current good practice. The home is well- managed and the manager and deputy manager are well-supported by the responsible individual so as to ensure the quality of care is robustly monitored and action taken to improve care practice where that is shown as possible. This in turn benefits the people who live in the home and provides confidence for those responsible for them that they can raise any concerns they may have easily and openly. What the care home could do better: When we spoke to the responsible individual, the registered manager and the deputy manager they indicated that they were committed to continue to improve and develop the care service at Lime Tree Manor, with especial reference to the provision of the highest quality of care to people in the home who live with dementia, in line with current good practice. There are no requirements or recommendations made following this random inspection and as stated above the assessment is that Lime Tree Manor continues to achieve good care outcomes for the people who live there. Random inspection report
Care homes for older people
Name: Address: Lime Tree Manor 171 Adeyfield Road Adeyfield Hemel Hempstead Hertfordshire HP2 5JU two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jeffrey Orange Date: 2 6 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Lime Tree Manor 171 Adeyfield Road Adeyfield Hemel Hempstead Hertfordshire HP2 5JU 01442217755 01442263040 wilton.house@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Siji Sebastian Type of registration: Number of places registered: Conditions of registration: Category(ies) : Wilton House Limited care home 110 Number of places (if applicable): Under 65 Over 65 26 110 110 dementia old age, not falling within any other category physical disability Conditions of registration: Date of last inspection Brief description of the care home 0 0 0 Lime Tree Manor is a care home providing personal care and accommodation for 110 older people some of whom may have physical disabilities and up to 26 of who may also suffer from dementia. Detailed information about the services offered, including the latest report by the Care Quality Commission (CQC) is displayed prominently in the reception area of the home. Fees for services range from £590 to £621 per week.
Care Homes for Older People Page 2 of 8 Brief description of the care home Additional charges are made for newspapers, toiletries, chiropody and hairdressing services. This information was correct at 25.05.10 The home is owned by Wilton House Limited and is situated on the Adeyfield Road, a residential area of Hemel Hempstead, within easy reach of shops and facilities with good public transport links. The home is arranged over three floors in five units. Each unit has dining and lounge facilities, kitchenettes and assisted bathrooms and toilets. All the homes bedrooms are single accommodation with en-suite facilities. There is a passenger lift and the home has a reception area, benches to sit on at the front of the home and two enclosed garden areas to the rear accessible to residents. Parking is available to the front of the building. Care Homes for Older People Page 3 of 8 What we found:
The last key inspection of Lime Tree Manor was carried out in June 2007, when it was assessed as achieving good care outcomes for the people who live there. This judgement was confirmed following the last annual service review of the service carried out by the Care Quality Commission (CQC) in October 2009. Under the revised methodology of the CQC and following a risk assessment process, this random inspection took place to confirm that there are currently no issues or concerns arising from any information received by the CQC to indicate that a full key inspection is required ahead of the registration application to be made by the service by the end of October 2010 under the provisions of the Health and Social care Act 2008. This random inspection took place over the course of one morning and was carried out by one compliance inspector. Where this report refers to we it recognises that it is written on behalf of the CQC. In carrying out this random inspection we have drawn on the information provided to us by Lime Tree Manor in their latest annual quality assurance assessment (AQAA). The AQAA is a self assessment document that sets out how well care outcomes are being achieved for people living in the home and also includes some useful statistical information. We have also taken account of any information received by the CQC about Lime Tree Manor since the last annual service review in October 2009. This might be from health or social care professionals associated with the home, people who live or work there or relatives and other people associated with the home in any way. This random inspection started early in the morning which provided an opportunity for us to observe the routine of the home as people were being helped to get up and ready for the day ahead. We found that there was a calm and unhurried feel to the home, with people being assisted to get up and ready for breakfast. We were able to observe choice being offered to people, for example as to where they ate their breakfast. Some people preferred to have their breakfast in their own room and others were being helped to dining rooms. It was observed that some people were still able to remain in bed and we were told that they can choose when they decide to get up and that breakfast would be provided for them when they chose to. The interaction we saw between people living in the home and care staff was good, with appropriate attention being given to the dignity of people living in the home by care staff. We saw that the homes manager and deputy manager were already going around the home, talking to people who live there and to staff. This informal supervision and monitoring of care is an important element of the quality assurance process for the home and enables easy and stress free regular access to the management by people living in the home. We found that the domestic staff were already in action throughout the home and at the time of our visit the home was clean and tidy and provided a pleasant environment for
Care Homes for Older People Page 4 of 8 the people who live or work there. We were able to have an extended discussion with the responsible individual, registered manager and deputy manager about their current assessment of the home, the implications of the new registration process under the Health and Social Care Act 2008 and we also spent time discussing quality assurance, dementia care training and involvement of relatives and people living in the home in the decision making process. The assessment following this random inspection is that Lime Tree manor continues to achieve good care outcomes for the people who live there. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
