- Care home
Lakeside Care Home
We served 2 warning notice on Maddaford Care Services Limited on 30 September 2026 for failing to meet the regulations relating to safe care and treatment and good governance at Lakeside Care Home.
Assessment report published 22 October 2026
Contents
Ratings
Our view of the service
Date of assessment: 9 September 2026 to 30 September 2026. The assessment was prompted due to concerns raised with us about unsafe care being provided.
Lakeside Care Home is registered to provide personal care for up to 40 people. At the time of our assessment, 36 people were living at the service.
We found 3 breaches of the regulations in relation to consent, safe care and treatment and governance.
People’s care plans were not always sufficiently detailed to ensure staff had all the information they required to safely meet their needs, and some contained contradictory information. This meant people were at risk of not receiving the care they required to keep them safe. We identified an example where this had adversely affected the quality of life of 1 person. Records did not evidence that people consistently received safe care and treatment, or that risks were identified and managed in a timely or effective way. Medicines were not managed safely, which placed people at risk.
People’s rights under The Mental Capacity Act 2005 were not fully upheld. The absence of effective monitoring and provider level oversight meant mental capacity assessments or best interest decisions were not in place where the provider was undertaking restrictive practices. Whilst this had not significantly impacted people, it did not evidence compliance with the relevant regulations.
Leadership and governance were not effective. There was limited provider and service management level oversight. The absence of effective provider level oversight had not ensured the service management had performed their roles effectively to meet the requirements of the regulations. Provider level systems to monitor quality and drive improvement were not robust.
Although the provider was regularly in the service, recorded governance was not undertaken and there were no clear action plans produced by the provider to monitor progress or drive improvement. There were limited quality assurance processes in place to improve quality of life for people through a service improvement plan.
Staff felt supported in their roles and spoke of the service leadership being a significant positive factor in this. Although there was a staff training schedule, the absence of monitoring staff training completion by the service management had resulted in legally required training not being completed by all staff.
In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.
People's experience of this service
We spoke with 8 people who lived at the service and 2 relatives. We observed care delivery within the service to help us understand the experiences of people who were unable to talk with us due to living with dementia.
While people and their relatives were generally positive about the care provided, our assessment found elements of safe care and treatment, risk management, medicines management, implementing the requirements of The Mental Capacity Act 2005 legislation and governance did not meet the required standards.
People’s experiences of the service were generally positive. People told us they felt safe living at the service and were supported by staff who were kind, approachable and knew them well. One person said, “The staff are helpful and kind and are good with the residents.” People said they felt able to raise concerns and were confident the provider or service management would listen and act if needed.
People and their relatives spoke positively about the care provided by staff. Feedback indicated people felt staff were kind and caring towards them and treated them with respect. We made observations to support this. One person said, “I feel safe here, it’s a nice environment to live in.” A relative told us, “It’s out of this world here, the best care I have ever seen. It’s so much better than her previous care home. I can’t find fault.”
People were treated with kindness and dignity by staff, and our observations were positive. People were supported to be independent and to make their own choices wherever possible. People’s immediate needs were responded to, and staff understood how to care for them. We observed very positive relationships between people and staff.