15 March 2023
During an inspection looking at part of the service
Lakelands Lodge is a purpose-built care home with nursing, providing personal and nursing care to up to 80 people. The service provides support to adults over and under 65 years of age, and people living with a dementia. At the time of our inspection there were 59 people using the service.
People’s experience of using this service and what we found
The management of risk had improved, but some records relating to people’s care were not always accurate and up to date. The provider's systems to assess, monitor and improve the service had improved but had not effectively identified and addressed the shortfalls we found during this inspection. We have made recommendations about this.
Accidents and incidents were routinely analysed to look for ways safety could be improved, although we found some had not been recorded on the provider's governance system. We have made a recommendation about this.
The provider had systems to protect people from abuse and staff training had improved. The provider continued to review staffing levels, and, through safe recruitment, the use of agency staff had decreased. The home was clean and well-maintained, and the provider operated good infection control practices.
Engagement with people and their relatives had improved and people’s views were taken into account. The service worked with other agencies to maintain and enhance people’s health and wellbeing.
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
The last rating for this service was requires improvement (published 23 September 2022). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection, we found the provider had made improvements and the service was no longer in breach of regulations.
At our last inspection we recommended that the provider should keep staffing levels under review and consider feedback about staffing on a regular basis. At this inspection we found the provider had acted on this recommendation and made improvements.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection. As a result, we carried out a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Lakelands Lodge on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.