Background to this inspection
Updated
31 July 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
Four inspectors carried out the inspection.
Service and service type
Lakeview Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
Before the inspection
We used the information the registered manager sent us in the provider information return (PIR) in May 2019. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We reviewed the evidence we had about the service. This included any notifications of significant events, such as serious injuries or safeguarding referrals. Notifications are information about important events which the provider is required to send us by law.
During the inspection
We spoke with 15 people who lived at the home, five relatives and two visiting healthcare professionals. We spoke with 12 staff including care staff, catering staff and the home’s ‘Lifestyle’ team who provided activities. We also spoke with the registered manager and the provider’s regional manager.
We looked at care records for six people, including their assessments, care plans and risk assessments. We read minutes of staff meetings, residents’ and relatives’ meetings and the results of surveys. We checked five staff recruitment files, medicines management, accident and incident records, quality monitoring checks and audits.
After the inspection
The registered manager sent us further information, including records of staff training and supervision. A healthcare professional and a relative sent us feedback via email.
Updated
31 July 2019
Lakeview Care Home is care home without nursing for a maximum of 62 older people, including people living with dementia. Accommodation is provided across three floors on Kingfisher, Swan and Robin units, each of which has its own dining and lounge areas. Robin unit accommodates the dementia community. The home has well-maintained gardens and facilities including a café, cinema and therapy room. There were 49 people living at the home at the time of our inspection, three of whom were receiving respite care.
People’s experience of using this service:
People received high quality care from consistent staff who knew their needs well. Managers and staff worked well with other professionals to achieve positive outcomes for people in areas including mobility, nutrition and health.
Staff were kind and caring and treated people with respect. People told us they had established good relationships with the staff who supported them and enjoyed their company. People said they enjoyed the friendly, family atmosphere in the home and told us they felt part of a community.
People were supported to maintain good health. Healthcare professionals said staff were receptive to advice and willing to adapt their approaches to meet people’s individual needs. The provider had developed and implemented strategies to improve the experience of people living with dementia and to promote hydration.
People’s care was tailored to meet their individual needs. Care and support plans were personalised and kept under review. People and their relatives were encouraged to contribute to the development of their care plans.
The home had a strong management team which provided good support to staff and communicated effectively with people, relatives and professionals. People who lived at the home, their families and staff had opportunities to give their views about the service and these were listened to.
People had access to a range of activities, outings and events, including activities tailored to their individual needs. People’s friends and families were encouraged to be involved in the life of the home. The home had established links with the local community, such as schools and businesses, and had used these links to promote public understanding of dementia.
There were enough staff on each shift to meet people’s needs and keep them safe. The provider’s recruitment procedures helped ensure only suitable staff were employed. Staff had the induction, training and support they needed to perform their roles. They understood their roles in keeping people safe from abuse and felt able to speak up about any concerns they had.
Potential risks to people had been assessed and measures put in place to mitigate these. If accidents or incidents occurred, these were reviewed and action taken to reduce the risk of similar incidents happening again. Medicines were managed safely and staff maintained appropriate standards of hygiene and infection control.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
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
At the last inspection the service was rated Good. The report of this inspection was published on 28 January 2017.
Why we inspected:
This was a planned inspection based on the previous rating.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.