We carried out a review of the data available to us about Lake View Residential Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Lake View Residential Care Home, you can give feedback on this service.
Lake View Residential Care Home provides accommodation and personal care for up to 60 people. On the day of our inspection 50 people were living in the home.
People's experience of using this service and what we found
People told us they felt safe with the service provided and the staff we spoke with were aware of their responsibility of safeguarding people from the risk of potential abuse. Risks to people were assessed and risk assessments were in place to mitigate identified risks. There was always enough staff on duty to meet people’s assessed needs. People were supported by skilled staff to take their prescribed medicines. Systems were in place to promote good hygiene standards to reduce the risk of avoidable infections. Lessons were learnt when things went wrong, and action was taken to drive improvements.
The provider had a registered manager in post and people who used the service and staff were aware of who was running the home. The culture of the home was diverse in meeting people’s specific needs. Quality assurances checks were in place to assess and monitor the quality of the service provided to people. People were supported by staff to maintain positive links with their local community. The provider worked with other agencies in providing a service for people.
Rating at last inspection
The last rating for this service was 'good,' (published 2 September 2019).
Why we inspected
We had received concerns from the local authority in relation to the number of accidents reported which, were mainly as a result of falls. We undertook a focused inspection to review the key questions of Safe and Well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore, did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service remains as good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Lake View Residential Care Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.
Lakeview is a residential care home that was providing personal care for up to 60 people with a range of needs. At the time of the inspection there were 57 people living in the home.
People’s experience of using this service:
People who lived at the home continued to receive good care. Staff knew people well and provided support that met people’s needs and enabled them to take part in activities within the home and community in line with their preferences. People were supported with kindness and consideration. Staff knew how to keep people safe and had received training in how to reduce the risks of harm from occurring.
People received medications safely and risks to people had been assessed and managed to identify and reduce the impact of any known risks. People were supported to access healthcare services as needed and staff responded promptly to changes in people’s health. Routine checks and audits were carried out to ensure that all aspects of the service were being delivered safely.
People’s rights were upheld and protected, and people received kind support and assistance to have choice and control over their day to day lives. People’s preferences were known by staff and enabled people to do as much as possible for themselves.
Effective monitoring systems were in place that checked if the home was well managed and enabling people to have a good quality of life. People and staff were encouraged to provide feedback about the home and the management team were keen to identify other improvements that could be made to support people to further improve their lives .
The registered manager was aware of their responsibility to report events that occurred within the home to the CQC and other external agencies, complying with the regulations.
Rating at last inspection:
The service was rated Good at the last inspection (report published 12 May 2016).
Why we inspected:
This was a planned inspection based on the previous rating.
Follow up: We will continue to monitor the service through the information we receive.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Lakeview is registered to provide care and accommodation up to 60 for older persons, some of whom may be living with dementia. There were 51 people living at the service when we carried out our inspection.
While the service had a registered manager, they were not working at the service at the time we carried out the inspection. There was an acting manager in place and the provider had recruited a new manager that was due to take over the registered manager post in the near future. 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 2008 and associated Regulations about how the service is run.
People said they felt safe living at Lakeview although we saw some occasions where staff had assisted people to move unsafely. People told us there was enough staff to keep them safe, but some requests for assistance were occasionally delayed. Staff knew what the signs of abuse may be and how to raise concerns and to whom. People said they had their medicines when needed. We saw new staff were vetted to ensure they were safe to work at the service. We saw individual risks to people were identified by the service, and staff were mostly aware of these. There was however some scope to improve some people’s records to ensure that risks to people, and how they were to be minimised, were clear so staff had access to accurate information about people.
People’s rights were promoted, and their best interests considered. Most people were confident in staff that they saw as skilled and competent. People had a choice of, and enjoyed, the food and drinks that were available to them. People’s health care needs were promoted.
People said staff were kind, caring and respectful. People said staff treated them well. People’s privacy was promoted by staff, and they were able to make choices about the care and assistance staff provided to them. People’s independence was promoted.
People felt involved in their care. Staff were aware of people’s needs and preferences. Most people said they were able to pursue pastimes that they enjoyed and follow their chosen lifestyles. People said they were able to complain if they were dissatisfied and were confident any issues raised would be resolved.
People and staff felt able to approach management, who were said to listen to them, and what they had to say. There were systems in place to monitor the quality of the service. While there was scope to make some improvements, these were identified by the provider or, when reported to the provider we found there was a quick and robust response. Staff felt well supported and enjoyed their work.
We undertook this inspection on 18 November 2014. The inspection was unannounced. At our last inspection in March 2014, the service was meeting the regulations inspected.
Lake View Care Home provides care and accommodation for up to 60 older people with a range of needs. There were 58 people living in the home when we visited and there was a registered manager in post. 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 2008 and associated Regulations about how the service is run.
Overall people were positive about the care they or their relative received at the home. Although people told us they felt safe they said more staff were needed.
We saw staff had received training to keep people safe and knew their responsibility to protect people from harm or potential abuse.
We saw people received their medicines as prescribed and the service worked closely with healthcare professionals to make sure there was a joined up approach to meeting people’s needs.
Most of the people we spoke with considered staff were knowledgeable about their individual needs and preferences. Staff told us they were supported in their work and had received an introduction to the service and completed essential training. Care records we saw did not show that people’s ability to make decisions had been assessed. People we spoke with were happy overall with the food provided by the home and its presentation. Although some people commented on the lack of choice of food particularly at tea time.
Overall people described positive experiences about the care they or their relative received at the home. People were clean, appropriately dressed and well cared for. We saw people’s privacy and dignity was respected and their independence was promoted.
People we spoke with felt they had contributed to the assessment and planning of their care but care records did not always evidence this. Some people considered the service was not always responsive to their individual needs due to staffing levels. People were encouraged and supported to maintain their own interests. We observed people in communal rooms engaged in a choice of group and one-to-one craft activity. However, people who remained in their own rooms at times lacked social interaction. We saw complaints received by the home had been responded to and dealt with in accordance with the policy.
The registered manager demonstrated an awareness of their role and responsibilities. They were aware of the improvements required to ensure people consistently received a high quality service. They were being supported by senior management to do this.
Not all the people we met were able to verbally tell us about the care they received and their experience of living in the home. Therefore we observed how staff interacted and supported people, to enable us to make a judgement on how their needs were being met.
We visited the service because we had received concerns about issues relating to care and welfare, infection control, staffing and supporting workers.
Everyone we spoke with told us they were satisfied with their care, although everyone raised the issue that the home appeared to be short staffed.
People were cared for in a clean, hygienic environment. People told us the standard of cleanliness was good.
Although there had been staff shortages, we found the registered manager had taken appropriate steps to address this.
Senior staff were trained in the safe handling and administration of medication.
We discussed with the registered manager and regional manager the actions taken to address the areas of non-compliance as indicated in their action plan and we found with the exception of management of medicines these issues had been addressed.
Not all the people we met were able to speak with us about the care they received and their experience of living in the home. Therefore we observed how staff interacted and supported people. This helped us to make a judgement on how their needs were being met.
Everyone we spoke with told us they were satisfied with their care. A person visiting their family member told us, "Staff are very kind and caring here". Care plans were written in a way that ensured people were given choice about living their lives.
People who used the service were protected from the risk of abuse because the provider had taken reasonable steps to identify the possibility of abuse from happening.
People were not protected against the risks associated with medicines because the provider did not have appropriate arrangements in place to manage medicines.
There were enough qualified, skilled and experienced staff to meet people's needs.
We looked at the provider's quality assurance systems and found a range of monitoring processes in place to monitor the quality of the service provided.
People were protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were maintained.
People including one relative we spoke with told us they were satisfied with their care. They told us, 'The staff are wonderful here' and, 'They are particularly busy at night but they come to me as soon as they can, the care is of a high standard'.
We found that systems were not in place to protect vulnerable people from abuse. The provider had not followed reporting procedures following safeguarding incidents that had occurred at the home.
People were not always adequately supervised to ensure their safety or wellbeing. A needs analysis and risk assessment as the basis for deciding sufficient staffing levels based on people's changing needs and the layout of the home had not been carried out.
Records were not effectively maintained to ensure the safety of the people living at the home or the safe running of the service.
The provider did not have an effective system to regularly assess and monitor the quality of the service that people received.
We saw that people were given help and assistance with their personal care needs. Staff demonstrated a good understanding and knowledge of the individual needs of the people in their care. Care plans were detailed and provided staff with clear instructions on how people preferred their care needs to be met.
We found shortfalls in poor record keeping and the administration of medicines that could affect the health and welfare of people living in the home.
The home was sufficiently staffed to ensure people's safety and wellbeing. A number of new staff had been appointed and had attended a range of training courses to equip them with the knowledge and skills to carry out their duties. However, due to the significant changes in the management and leadership of the home, we found that staff had not had the opportunity to regularly meet with managers. This meant staff did not have a forum to share any issues or concerns or to review their practice.
There have been significant changes in the management and leadership of the service that has impacted on people's experiences. People felt the running of the home had much improved over the last few weeks but improvements needed to be sustained.