• Care Home
  • Care home

Lakeside Residential Home

Overall: Requires improvement read more about inspection ratings

25 Whiteknights Road, Reading, Berkshire, RG6 7BY (0118) 926 8369

Provided and run by:
Colleycare Limited

Latest inspection summary

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Background to this inspection

Updated 11 August 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors, a medicines inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Lakeside Residential Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Lakeside Residential Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used information gathered as part of monitoring activity that took place on 14 April 2023 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with 7 people who use the service and 6 relatives about their experience of the care provided. We spoke with 10 members of staff, including the registered manager and deputy manager. We reviewed a range of records including 8 people’s care records and 10 medicines records. We looked at 8 staff files in relation to recruitment, and a variety of records relating to the management of the service, including policies and procedures.

Overall inspection

Requires improvement

Updated 11 August 2023

About the service

Lakeside Residential Home is a care home without nursing providing care and support to up to 72 older people. The service provides support to older people and people living with dementia, physical disabilities and sensory impairments. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of the inspection there were 61 people using the service.

People’s experience of using this service and what we found

Staff training and appraisals were not up to date. The mealtime experience for people was poor. The provider had not ensured effective systems were in place to ensure compliance with the fundamental standards. This meant people were not always protected from the risk of harm.

We made a recommendation in relation to the storage of prescribed thickeners and staff deployment.

Care plans reflected people's needs and preferences, and people felt involved in their care planning. People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive way possible. People were supported to have access to a range of health and social care professionals.

People and relatives told us they felt staff were caring. The service supported people to be as independent as possible and people's confidential information was protected. People's communication needs were assessed, and staff supported people with their communication needs. The home supported people to maintain relationships to avoid social isolation and relatives told us they felt welcome in the home.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was good, published 31 March 2020. At this inspection, we found the overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

Why we inspected

The inspection was prompted in part due to concerns received about medicines management and governance. A decision was made for us to inspect and examine those risks. You can see what action we have asked the provider to take at the end of this full report.

Enforcement and Recommendations

We have identified breaches in relation to safe care and treatment, staffing, person centred care and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.