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CQC report explained · a residential care home

What the CQC found at Lindum

Goodpublished 6 April 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was managing infection risks, including visitors, protective equipment, testing, admissions and outbreaks. They noted rusty fixtures and policies that needed updating.
Effective?
Good
This area was not assessed or rated in this targeted inspection.
Caring?
Good
This area was not assessed or rated in this targeted inspection, although relatives spoke positively about support for people's quality of life.
Responsive?
Good
This area was not assessed or rated in this targeted inspection, although inspectors found that people were supported to maintain relationships and access the community.
Well-led?
Good
This area was not assessed or rated in this targeted inspection. Staff said they felt supported by the management team and provider during the pandemic.
The latest report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors found good infection control and support for community contact, but some fixtures and policies needed updating.

This was an announced, targeted inspection on 22 February 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and whether staffing pressures affected care. The home was given 24 hours' notice.

Inspectors found that the home was clean and uncluttered. Staff used protective equipment and testing arrangements safely. The home followed visiting and social distancing guidance, and supported people to keep in touch with relatives and access the community.

There were some areas to put right. Some fixtures were rusty and could have made effective cleaning harder. The provider said these would be replaced without delay. Some infection prevention and control policies needed review and updating, although Government guidance was being followed in practice.

The service was inspected but not rated. This visit did not provide an overall quality rating or ratings for all five areas of care.

What inspectors praised
  • Infection control in practice

    Inspectors were assured that the home was managing infection risks, including protective equipment, testing, visiting and outbreak arrangements.

    “We were assured that the provider was using PPE effectively and safely.” from the report
  • Support for relationships

    People were supported to stay in contact with important people and to access the community. Relatives spoke positively about this support.

    “People had been supported to maintain relationships with those that were important to them and we saw they accessed the community” from the report
  • Clean and tidy home

    The home was visibly clean, personalised, tidy and uncluttered, which supported infection prevention.

    “The home was visibly clean throughout and people were independently supported by staff to maintain this level of cleanliness.” from the report
  • Stable staffing

    The home had a consistent staff group and inspectors found that it had not been affected by staffing concerns at the time of the visit.

    “The service had a consistent and loyal group of staff and the service had not been impacted by any staffing concerns.” from the report
What inspectors were concerned about
  • Rusty fixtures

    needs fixing

    Some fixtures were rusty and could have affected effective cleaning. The provider said they would replace them without delay.

    “We did observe some fixtures to be rusty which could have affected effective cleaning however the provider told us they would replace these without delay.” from the report
  • Policies needed updating

    needs fixing

    Some infection prevention and control policies were not up to date, even though staff were following Government guidance in practice.

    “We were somewhat assured that the provider's infection prevention and control policies were up to date.” from the report
Questions to ask them, based on this report
  1. 01Have the rusty fixtures seen during the inspection now been replaced?
  2. 02Which infection prevention and control policies needed updating, and when were they last reviewed?
  3. 03How would the home manage COVID-19-related staff pressures if they occurred?
  4. 04How are visiting and community access arrangements managed when infection risks change?
  5. 05How does the home ensure protective equipment and testing remain available for staff and residents?

This was a targeted inspection of infection prevention and control, visiting arrangements and staffing pressures; the service was inspected but not rated and the other four question areas were not assessed. This explanation was written from the published report of 3 March 2022 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.

An earlier report, explained

What inspectors found, April 2019

Lindum was rated Good; inspectors found safe, kind and personalised care across all five areas.

Inspectors visited on 14 February and 21 March 2019. One inspector observed care, spoke with all three people living there and staff, and checked care records and management documents.

The home was rated Good overall. It was rated Good for Safe, Effective, Caring, Responsive and Well-led. People said they felt safe, liked the staff and were happy living there.

Inspectors found that staff understood people's needs, managed medicines and risks safely, supported people's health and respected their choices. The home was clean and well maintained, and people were supported with activities, family relationships and independence.

This was a planned inspection because the previous rating was Good. The previous report was published on 15 July 2016, and the rating remained Good.

What inspectors praised
  • People felt safe and happy

    People told inspectors they felt safe and liked the staff. The report says people were happy living in the home.

    “People were happy living at Lindum. They felt safe and liked the staff who supported them.” from the report
  • Good understanding of individual risks

    Staff knew what could make people distressed or lead to risky behaviour. Risks were managed while supporting people's choices and freedom.

    “Risk was assessed and managed so that people could continue doing the things they liked to do.” from the report
  • Skilled and supported staff

    Staff received training, supervision and induction support. New staff worked alongside experienced staff until they were competent and confident.

    “Staff received training, support and guidance so they had the knowledge and skills to do their job well.” from the report
  • Personalised support

    Care plans recorded people's preferences, needs and life histories. People were supported to follow their interests, take part in activities and go on holidays.

    “People received care and support which was personalised to suit their needs and preferences.” from the report
  • Kind and respectful care

    Inspectors saw positive relationships between staff and people. Staff supported privacy, dignity, family relationships and independence.

    “Staff knew people extremely well. They knew about the things that were important to them and the things that caused them distress.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you support my relative's specific risks while still allowing them choice and freedom?
  2. 02What training and experience would the staff supporting my relative have?
  3. 03How would you support my relative's health, nutrition and contact with healthcare professionals?
  4. 04What activities, holidays and opportunities for independence would be available for my relative?
  5. 05How would you involve my relative and our family in reviewing the care plan and raising concerns?

This was a planned inspection covering Safe, Effective, Caring, Responsive and Well-led, with three people living in the home and two people's care records reviewed. This explanation was written from the published report of 6 April 2019 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 Lindum

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Lindum →

  2. April 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Lindum →

  3. July 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. May 2011

    Registered with the Care Quality Commission on 31 May 2011.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

Weigh the report against the rest

Care at home

13 live-in carers within about an hour of Norfolk

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £990 to £1,120 a week. 9 can care for a couple. 14 years' experience on average.

See live-in carers near NorfolkProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.