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What the CQC found at Linkfield Court (Bournemouth) Limited

Goodpublished 20 August 2024, 2 years ago

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

The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors found strong Covid-19 controls, but risk assessments for vulnerable people and staff were not thorough.

This was an announced, targeted inspection on 26 February 2021. It looked only at infection prevention and control during the Covid-19 pandemic.

Inspectors found the home was clean, had PPE available, followed testing and social distancing arrangements, and had plans for managing an outbreak. At the time of the visit, no resident had contracted Covid-19 since April 2020, and all residents had received their first vaccine.

The inspectors were assured about most infection control arrangements, but only somewhat assured that the infection control policy was up to date. Risks to people and staff who may have been especially vulnerable to Covid-19 had not been fully assessed and recorded. The home introduced documented risk assessments in response.

What inspectors praised
  • Clean environment and PPE

    The home was clean and free from clutter. PPE was available in several areas, including bedrooms, bathrooms and the quiet lounge.

    “The home was clean and free from clutter. The home had cleaning schedules in place for day to day cleaning.” from the report
  • Visiting arrangements

    The home provided window visits and a screened visitors' hub. Families could also arrange video calls and telephone relatives without booking.

    “The home provided safe and effective ways for people to visit their relatives during the Covid-19 pandemic.” from the report
  • Testing and outbreak planning

    Residents and staff were included in regular Covid-19 testing. The home also had a plan to separate floors and staff if an outbreak occurred.

    “The home had a contingency plan in the event of an outbreak of Covid-19 in the home.” from the report
What inspectors were concerned about
  • Incomplete risk assessments

    needs fixing

    Risks to people and staff who may have been disproportionately vulnerable to Covid-19 had not been fully assessed and recorded. The provider introduced documented risk assessments after the inspection.

    “However, risks to people and staff who may be disproportionately at risk from Covid-19 were not thoroughly assessed and documented.” from the report
Questions to ask them, based on this report
  1. 01Have the infection prevention and control policy and the risk assessments for vulnerable residents and staff been updated since this inspection?
  2. 02How do you identify and record risks for residents or staff who may be disproportionately affected by Covid-19?
  3. 03What visiting arrangements are available now, and how are families told about changes?
  4. 04How often are residents and staff tested, and what happens if someone tests positive?
  5. 05How would you separate residents and staff if there was an infection outbreak?

This was a targeted inspection of infection prevention and control during the Covid-19 pandemic; it did not provide a full service assessment or new overall rating. This explanation was written from the published report of 24 March 2021 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, July 2018

Rated Good; inspectors found kind, personalised care, with fewer activities while the activities coordinator post was vacant.

This was an unannounced comprehensive inspection carried out by one inspector. The inspector spoke with people, relatives, staff and health professionals, observed care, and checked care records, medicines, staffing, recruitment and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were treated with kindness and respect, received personalised care, and were protected from abuse and avoidable risks.

The home had enough appropriately trained staff, safe medicines systems, detailed care plans and effective links with health professionals. People could choose their meals, receive support with eating and drinking, and take part in activities, although fewer activities were happening because the activities coordinator post was vacant.

The overall Good rating was unchanged from the previous inspection. The report says there was no evidence of serious risks or concerns.

What inspectors praised
  • Kind and respectful care

    Inspectors saw staff treating people with kindness, patience and respect. People's privacy, dignity and preferred ways of being addressed were supported.

    “People were treated with kindness, respect and compassion, and their privacy and dignity was upheld.” from the report
  • Safe medicines

    Medicines were stored securely and administration records were complete. Staff had guidance for variable-dose and as-required medicines.

    “Medication administration records had no gaps in the records, showing people had received their medicines as prescribed by their GP.” from the report
  • Personalised care

    Care plans reflected people's needs, life histories, interests and preferred routines. Relatives were involved appropriately in planning care.

    “People had an individualised care plan that reflected their individual needs.” from the report
  • Choice at mealtimes

    People could choose between meals or ask for an alternative. Staff supported people patiently and at their own pace when they needed help eating.

    “People were able to choose from two main meals and if neither of these appealed to them, an alternative of omelette or sandwiches were also provided.” from the report
  • Dementia training

    The managers had invested in specialist dementia training for all staff. Staff said this improved their understanding of the people they supported.

    “All staff were being provided with specialist dementia care training.” from the report
What inspectors were concerned about
  • Reduced activities

    needs fixing

    There were fewer activities than usual because the activities coordinator post was vacant. Volunteers helped with some activities and outings.

    “There was a vacancy for an activities coordinator at the time of this inspection and so there were not as many activities taking place as there would be normally.” from the report
  • Mental capacity assessments being improved

    minor

    The managers were working to make mental capacity assessments more specific, following a recommendation from a recent monitoring visit.

    “The registered managers were working on making mental capacity assessments more specific as recommended at a recent commissioner's monitoring visit.” from the report
Questions to ask them, based on this report
  1. 01Has the activities coordinator post been filled, and what activities are currently available each week?
  2. 02How are activities and one-to-one time provided for people while that post is vacant?
  3. 03How have mental capacity assessments been made more specific since the recent monitoring recommendation?
  4. 04How will you involve our relative and our family in reviewing the care plan?
  5. 05How do you check that medicines, including as-required medicines, are given and recorded safely?

This was an unannounced comprehensive inspection covering all five key questions; the report also says the overall Good rating remained unchanged from the previous inspection. This explanation was written from the published report of 27 July 2018 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 Linkfield Court (Bournemouth) Limited

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

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Linkfield Court (Bournemouth) Limited →

  2. July 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Linkfield Court (Bournemouth) Limited →

  3. October 2017Goodup from Requires improvement
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. April 2017Requires improvementdown from Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. March 2015Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. January 2011

    Registered with the Care Quality Commission on 12 January 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

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