Lakeside House Residential Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this newly registered service. This key question has been rated good. This meant people’s outcomes were good.

This service scored 67 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, well being and communication needs with them. People’s needs were assessed before they began to receive care.

People’s relatives told us they were involved in the assessment process and they appreciated being involved in the planning of care. A relative said, “I am always involved or told when planning my relatives care.”

Records showed there had been an initial assessment of needs and ongoing reviews of care, but these did not continue for all people after the previous registered manager had left. We had addressed this with the provider and the acting home manager who advised care plans were to be updated.

Where care plans had been reviewed after our site visit we could see information had been provided to show the level of support people required.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Staff were able to tell us how people wanted to receive their care and how people were supported with personal care in the absence of up-t o-date care plans. Staff demonstrated knowledge of people’s current needs as they discussed them with each other, the provider and current acting manager.

People were supported to have their nutritional needs met, have enough to drink and meals of their choosing. We noted people’s favourite meals were documented in care plan(s) and people who could tell us confirmed this was what they liked. We observed staff make this.

Best practice was followed where people required support with their diet, there were clear records involving health professionals such as speech and language therapists to ensure people’s food were of the right consistency to ensure safe mealtimes. Staff demonstrated they were aware of the guidelines to follow and people received their food safely.

The provider worked with health teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

A relative told us they were regularly informed of health appointments. They said, “I am always invited to health professionals meetings for example with social workers and psychiatrists.”

Staff held handovers at each shift change, and these supported safe, consistent care. Staff shared relevant information about people’s well being, risks, and any changes in their support needs, records confirmed this. A member of staff said, “I record everything in a handover before I go and inform the next staff.”

The service had links with health professionals and referred to them as people needed, records confirmed this.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

During our site visit, we saw staff communicating effectively with people, offering reassurance, choice, and support. People were encouraged to be healthy and mobile within the home. We saw that people were actively going out to take part in different activities in the community.

People were supported to attend their annual health check‑ups, and staff worked with external healthcare professionals to ensure appointments were arranged and followed up. This helped promote people’s well being and supported early identification of any changes in their health needs.

The provider did not consistently monitor people’s care and treatment. They did not always ensure that outcomes were consistent and met the expectations of people themselves.

We observed that staff supported people and knew them well, however, there was not an effective system to consistently show that people’s needs were being monitored for improvement.

Care plans and risk assessments were not up to date for everyone living at the service. For example, the provider informed us they discovered a bed rail risk assessment had not been reviewed as required by the previous acting manager. Whilst the provider had picked this up upon reviewing care documentation and subsequently sought a review of the use of the bed rails, the monitoring of care was not effective. Whilst no one had come to harm, it put people at risk of a negative outcome as people could not advocate for themselves.

Daily logs were completed by staff and people received monthly key worker meetings with their assigned member of staff who would speak with them and set goals for the future, records confirmed this.

People also had their weight and blood pressure monitored by the staff at the service to ensure they were monitoring people’s health and keeping them safe.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Consent to care and treatment was requested from people where possible. Staff respected people’s right to refuse but tried again in their best interests. A member of staff said when explaining mealtimes, “[Person] will close their mouth to refuse but I will ask another member of staff to try again later.” The same member of staff explained how they sought permission for personal care, they said, “We ask [person] if they are ready and they will say alright."