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Inspection Summary


Overall summary & rating

Outstanding

Updated 16 November 2017

Linden House provides accommodation for people who require nursing or personal care for up to 60 older or younger people some of whom may be living with dementia. There were 52 people living at the home at the time of this inspection. The service has two residential units on the ground floor and two nursing units on the first floor. The home also has several themed living spaces about the home. For example, Linden square café Piazza, curiosity shop, post office and salterns coffee shop. The home is located a short walk from the town of Lymington in Hampshire.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

People felt safe living at Linden House and they were very much at the heart of the service. People’s families felt the service went above and beyond and were extremely experienced at looking after people living with dementia. People received excellent care that was based around their individual needs and that ensured care was personalised and responsive.

Staff working at Linden House understood the needs of people using the service and supported people in an exceptionally personalised way. Staff knew people well and we saw that care was provided respectfully and sensitively, taking into account people’s different needs. This meant people were able to maintain their independence and achieve a good sense of self-worth and wellbeing.

The provider employed an Admiral Nurse to support staff, people and their families living with dementia. The service recognised and responded to people’s needs for social interaction and mental stimulation. One person took part in an initiative by the Bournemouth university buddy orchestra and Alzheimer’s society to promote and respect care for people with dementia.

The home and gardens was designed to create a suitable environment for people living with dementia. People’s wellbeing and independence had been enhanced by the environment. This ensured people had a meaningful life and created a relaxing and calm atmosphere around the home. NICE guidelines were used in creating an environment for people living with dementia. To help people manage their surroundings and reduce feelings of confusion and anxiety.

The home developed and promoted community involvement within the home. The home hosted a mini classic car show which brought back special memories for people. People, their families and staff took part in the local carnival procession. The home had built strong links with the local community dementia matters group and as a result hosted a fortnightly art therapy group at the home.

The home was responsive to people’s needs and wishes. People were able to choose what activities they took part in and suggest other activities they would like to complete.

Relevant recruitment checks were conducted before staff started working at Linden House to make sure they were of good character and had the necessary skills. Staff had received training in safeguarding adults and knew how to identify, prevent and report abuse. There were enough staff to keep people safe.

Staff had the specialist knowledge and skills required to meet people’s needs living with dementia. Specialist dementia care training was provided so staff could interact with people and fully understand and respond to their needs.

The risks to people were minimized through risk assessments. There were plans in place for foreseeable emergencies and fire safety checks were carried out.

People received varied meals including a choice of fresh food and drinks. Mealtimes were positive and sociable experiences. Staff were aware of people’s likes and dislikes and offered alternatives if people did not want the menu c

Inspection areas

Safe

Good

Updated 16 November 2017

The service remains Good

People felt safe and secure. Staff received training in safeguarding adults and knew how to report concerns. Recruiting practices were safe.

Risks to people�s welfare were identified and plans put in place to minimise the risks.

Staffing levels were sufficient to meet people�s needs. Staff were trained and assessed as competent to support people with medicines.

Effective

Outstanding

Updated 16 November 2017

The service is now rated as outstanding.

Staff had the specialist knowledge and skills required to meet people�s needs living with dementia.Staff received appropriate training and one to one supervisions.

People were supported to access health professionals and treatments. People were given a choice of nutritious food and drink and received appropriate support to meet their nutritional needs.

Staff sought consent from people before providing care and followed legislation designed to protect people�s rights.

Caring

Good

Updated 16 November 2017

The service remains Good

People and relatives were positive about the way staff treated them with kindness and compassion.

People and their families were involved in planning the care and support they received.

People had positive care experiences and staff ensured people�s care preferences were met.

People were treated with dignity and respect. People�s privacy was respected at all times.

Responsive

Outstanding

Updated 16 November 2017

The service is now rated as outstanding.

The home recognised and responded to people�s changing needs, including needs for social interaction and stimulation. The management of the home developed and promoted community involvement within the home.

People received personalised care from staff who understood and were able to meet their needs. Care plans provided comprehensive information to guide staff and were reviewed regularly.

People had access to a range of activities which they could choose to attend. People�s views about the home were listened to. A complaints procedure was in place.

Well-led

Good

Updated 16 November 2017

The service remains Good

People and their families spoke highly of the management and felt the home was well run and management were approachable and supportive.

There was an open and transparent culture within the home. Staff felt supported through regular meetings and feedback.

There were systems in place to monitor the quality and safety of the service provided.