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CQC report explained · a residential care home

Link House

Links View, Sandy Lane East, Dereham, NR19 2ED

Goodpublished 5 January 2024, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Staff knew people's needs and risks, and medicines were given by trained staff. However, inspectors found environmental risks, incomplete follow-up records and gaps in medicines error records, which were addressed immediately.
Effective?
Good
This key question was not inspected during this visit. Its previous rating was carried forward when calculating the overall rating.
Caring?
Good
This key question was not inspected during this visit. Its previous rating was carried forward when calculating the overall rating.
Responsive?
Good
This key question was not inspected during this visit. Its previous rating was carried forward when calculating the overall rating.
Well-led?
Requires improvement
The manager and staff supported people well, but the quality assurance system was not strong enough to identify all risks or provide clear oversight of compliance. The home was introducing electronic records and had acted on the issues raised.
The latest report, explained

What inspectors found, January 2024

Rated Good overall; inspectors found safe, kind care, but well-led was Requires Improvement and some risks and records needed tightening.

The inspection was unannounced and took place over two visits in September and October 2023. The inspector reviewed care plans, medicines and the building, spoke with staff and the manager, spent time with the four people living there, and contacted relatives and other professionals.

People were supported by staff who knew them well. Their care plans reflected their needs, choices and goals. Inspectors found good relationships with families and other professionals, consistent staffing, suitable activities and support for people to make their own decisions.

The home was rated Good overall and Safe was rated Good. However, Well-led was rated Requires Improvement because checks and records did not always identify risks or show clearly what action had been taken. Concerns about the building, seizure risks, medicines records and window checks were dealt with immediately during or after the inspection.

What inspectors praised
  • Consistent staff support

    The home had a full staff team who knew people well and provided consistent support. Recruitment checks were also described as robust.

    Full staff recruitment meant people were supported by staff who were familiar to them and were able to provide consistent care and support.from the report
  • Choice and involvement

    People were involved in decisions, activities and the running of the home. Staff supported people to make choices and used the least restrictive approach.

    Everyone contributed to the smooth running of the house and were actively involved in cooking, shopping, cleaning, and attending activities outside the home.from the report
  • Positive relationships

    Inspectors found that people had trusting relationships with staff. Relatives were involved and said they were kept informed about risks and concerns.

    People spoken with had developed trusting relationships with staff and said they could raise concerns.from the report
  • Clean environment

    The building was generally in good condition and inspectors found high standards of cleanliness and hygiene.

    The layout and hygiene practices of the premises were good, and standards of cleanliness were high.from the report
What inspectors were concerned about
  • Quality checks missed risks

    needs fixing

    The home's checks did not identify some risks before the inspection, including uncovered radiators, pipework and unchecked window restrictors. These issues were addressed immediately.

    The provider's quality assurance system was not sufficiently robust to ensure that there was clear oversight of compliance with regulation.from the report
  • Medicines records

    serious

    Medicine errors had occurred, but the forms did not show whether medical advice or local authority reporting had happened. The manager introduced a checklist and said the correct reporting had taken place.

    Although medication error forms had been completed this provided no indication that medical advice, such as 111 had been sought, or that the local authority had been advised.from the report
  • Fire safety follow-up

    needs fixing

    Fire arrangements were satisfactory, but inspectors recommended a fire safety inspection because the home planned to increase occupancy and regularly used the loft for storage.

    We recommend the registered manager request a fire safety inspection due to the planned increased occupancy and the regular use of the loft space for storage.from the report
Questions to ask them, based on this report
  1. 01How are possible night-time seizures monitored now, given that there are no waking night staff?
  2. 02How often are window restrictors checked, and how is the result of each check recorded?
  3. 03How does the new electronic recording system identify risks and make sure follow-up actions are completed?
  4. 04When a medicine error happens, how do you record medical advice and any report to the local authority?
  5. 05Has the recommended fire safety inspection been requested, particularly because the home plans to increase occupancy and uses the loft for storage?

This was a focused inspection of Safe and Well-led; the other key question ratings were carried forward from the previous inspection. This explanation was written from the published report of 5 January 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Link House

2 rated inspections over 6 years: the service has held its Good rating throughout.

  1. January 2024Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Link House

  2. October 2017Good
    Safe: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. March 2015

    Registered with the Care Quality Commission on 9 March 2015.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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