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CQC report explained · a nursing home, run by BUPA Group

The Links

1 Golf Links Road, Broadstone, BH18 8BE

Outstandingpublished 3 November 2023, 2 years ago

Rated Outstanding: inspectors found the service performing exceptionally well.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Risks were reviewed, medicines were administered safely and recruitment checks were carried out, but inspectors saw periods when some communal areas were unsupervised.
Effective?
Good
No separate Effective rating or findings were given in this report.
Caring?
Good
No separate Caring rating was given. The report did describe exceptional staff engagement and person-centred care under Responsive.
Responsive?
Outstanding
Staff knew people exceptionally well and adapted care to their histories, preferences, communication needs, cultures and end of life wishes. Activities were varied, inclusive and linked to people's interests.
Well-led?
Outstanding
Inspectors found exceptional leadership, motivated staff, strong staff wellbeing and effective systems for learning, monitoring quality and involving people and families.
The latest report, explained

What inspectors found, November 2023

The Links was rated Outstanding; inspectors found exceptional, personalised care, with Safe rated Good and some communal areas needing better staff cover.

Inspectors visited on 27 July and 10 August 2023. The first day was unannounced and the second was announced. They spoke with 8 people, 4 relatives and 16 staff, and reviewed care, medicines, recruitment and management records.

The home was rated Outstanding overall. Responsive and Well-led were Outstanding. Safe was Good. Inspectors found people were safe, medicines were given as prescribed, staffing met people's needs and risks were reviewed.

Inspectors found especially strong personalised care. Staff knew people very well and worked with families to respect people's histories, communication needs, cultures and wishes. End of life care, activities and links with the community were also praised.

Inspectors did see periods when people were unsupervised in some communal areas. The registered manager took action during the inspection to improve staff deployment. The last inspection, published in 2018, also rated the service Outstanding overall, with Safe Good, Responsive Outstanding and Well-led Outstanding.

What inspectors praised
  • Personalised care

    Staff worked closely with people and families to find creative ways to respect individual histories, preferences and communication needs.

    Staff worked closely with people and their families to find innovative approaches to providing outstanding person centred carefrom the report
  • Inclusive activities

    Activities and events reflected people's cultures, diversity and interests. The home also developed relationships with local schools and the wider community.

    Social activities were inclusive, varied and representative of the diversity of people and the staff team at The Links.from the report
  • End of life support

    Staff knew people's final wishes and worked with families and specialist services to provide individual support, including overnight accommodation for families.

    People received excellent care at the end of their lives. People's last wishes were known and reflected in the care they received.from the report
  • Strong leadership

    The report found a positive culture, motivated staff and management systems that used feedback, audits and research to improve care.

    The service was exceptionally well led. Staff were highly motivated and able to share many examples of achieving exceptional, positive outcomes for people.from the report
What inspectors were concerned about
  • Communal areas were sometimes unsupervised

    needs fixing

    Inspectors saw periods when people were unsupervised in some communal areas, including during a fire alarm test when one person became agitated. The registered manager put additional staff deployment in place during the inspection.

    We observed periods of time when people were unsupervised in some communal areas.from the report
Questions to ask them, based on this report
  1. 01What staff deployment changes were made after inspectors saw people unsupervised in communal areas?
  2. 02How do you now check that communal areas are supervised throughout the day, including during fire alarm tests?
  3. 03How will you make sure care plans continue to reflect a person's history, culture, communication needs and personal wishes?
  4. 04How are medicines incidents reviewed, and what further checks are now in place to prevent them happening again?
  5. 05How can families be involved in care planning, activities and decisions about the home's development?

This inspection rated Safe, Responsive and Well-led; Effective and Caring were not given separate ratings in the report. This explanation was written from the published report of 3 November 2023 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 The Links

4 rated inspections over 9 years: the service has improved, from Requires improvement to Outstanding.

  1. November 2023Outstandingcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at The Links

  2. August 2021Inspected but not rated
    Safe: Inspected but not rated

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

  3. October 2018Outstandingup from Good
    Safe: GoodResponsive: OutstandingWell-led: Outstanding

    Read this report on cqc.org.uk

  4. February 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. March 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. December 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. April 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. October 2012

    Registered with the Care Quality Commission on 26 October 2012.

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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