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Lakeside Care Centre Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 October 2019

About the service

Lakeside Care Centre is a nursing home registered to provide nursing care for up to 53 older people. At the time of the inspection 27 people were residing in the service. Lakeside Care Centre accommodates people in one adapted building over three floors.

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

During this inspection we found a continued breach of Regulation 12 of the Health and Social Care Act 2008. Although some improvements had been made we still had concerns. This was because the management of risks was not always documented clearly, and medicines were not always safely managed.

At the previous inspection records were not suitably maintained, up to date and accessible. At this inspection we found improvements had been made. However, this was work in progress and there were several areas where improvements were required to be made to records, in order to become compliant. The manager was aware of this shortfall and was working with the staff team to make further improvements. This was a continued breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014

Improvements had been made to the training of staff and how staff responded to concerns of abuse. This meant the service was no longer in breach of Regulation 13 and 18 of the Health and Social Care Act 2008.

During our previous inspection we found a breach of Regulation 11 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, because the service was not following the Mental Capacity Act 2005 (MCA) code of practice. During this inspection we found this had improved. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

At the previous inspection in February 2019 we found a breach of Regulation 9 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because person centred care was not promoted, and information was not accessible to people. During this inspection we found improvements had been made and the service was now compliant with the regulation.

During the previous inspection the registered provider had failed to comply with duty of candour Regulation 20 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We also found a breach of Regulation 18 of the Care Quality Commission (Registration) Regulations 2009. During this inspection we found both areas had improved, and they were now compliant.

At the previous inspection in February 2019 we found the care provided to people was not personalised and people’s needs were not always met. During this inspection we found improvements had been made. We made a recommendation about care plans and risk assessments being individualised to people’s needs.

At our previous inspection we found the environment was not always safe, due to corridors being blocked by equipment and fire doors being propped open. During this inspection improvements had been made.

Peoples’ privacy and dignity was respected by staff. People and their relatives spoke positively about the staff and the care they received. Comments included “Couldn’t ask for anything better. The [staff] are absolutely wonderful. Attitude of staff is brilliant.” Where possible people were involved in the review of their care. People had access to other health professionals such as the GP, speech and language therapist, community mental health and palliative care teams. People were supported to participate in activities and maintain interests and hobbies. This went some way towards protecting them from social isolation.

Other improvements implemented by the manager included audits in areas such as care plans, meal audits and medicines audits amongst others. Where improvements were required these were actioned. Staff spoke p

Inspection areas

Safe

Requires improvement

Updated 11 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 11 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 11 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 11 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 11 October 2019

The service was not always well-led.

Details are in our well-led findings below.