Working at Lime House

No tool or system to figure out safe staffing numbers, so shifts get stretched at busy times and staff say there is not always enough help.

Systems to monitor staffing levels were not robust. The provider did not have systems in place or use a dependency tool to determine safe staffing levels at the service. A staff member commented, “Sometimes there is not enough staff which is an issue.”

Serious safety risks like unsafe ways of moving people, poor cleaning and infection control, and mistakes giving medicines that were not fixed.

Moving and handling practices were unsafe. We observed a number of incidents of staff providing unsafe movement and handling of people... Quality and safety in administering medicines were not maintained, medicine monitoring systems were not robust... We reviewed several records related to cleaning and maintenance of people’s rooms and equipment and found vast shortfalls.

Weak oversight from leaders means known problems from audits are not sorted out quickly, leaving risks unaddressed.

Some of the health and safety and IPC concerns were found via the provider’s auditing systems in August 2025 and September 2025, however, timely action had not been taken to address the concerns and issues remained during our inspection.