Background to this inspection
Updated
4 October 2022
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection was carried out by three inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Lakeview Lodge Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Lakeview Lodge Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We reviewed information we had received about the service since its registration under its new legal entity. We sought feedback from the local authority who work with the service. We sought information from the local Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
We used all this information to plan our inspection.
During the inspection
We spoke with seven people using the service and three relatives in person and sought their views about their experience of the care provided. We spoke with the registered manager, a senior carer, two carers and the hospitality and infection prevention control lead.
We reviewed a range of records. This included seven people’s care records and multiple medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including minutes of meetings, and quality and performance audits.
Updated
4 October 2022
About the service
Lakeview Lodge Care Home is a residential care home providing accommodation for people who require personal care for up to 66 people. The service provides support to older people, some of whom are living with dementia. At the time of our inspection there were 62 people using the service.
Lakeview Lodge Care Home was purpose built. Communal areas assisted toilets and bathing facilities, and bedrooms with en-suite facilities were sited over three floors. There is an accessible garden.
People’s experience of using this service and what we found
People’s safety was underpinned by the provider’s policies and processes. Potential risks to people were assessed and measures put in place to reduce these. Lessons were learnt and improvements made through the analysis and reporting of accidents and incidents. People were supported by sufficient staff who had undergone a robust recruitment process and had undertaken training in topics to promote safety. Medicine systems were managed safely and people’s independence was encouraged, with some people administering their own medication. People lived in an environment which was well maintained and clean, with safe infection and prevention measures.
People’s health and wellbeing needs were assessed and their health and welfare monitored by staff. Staff liaised effectively with health care professionals to achieve good outcomes for people. People were encouraged to maintain their independence with some people organising their own health care appointments. Staff had the knowledge and experience to meet people’s needs. People’s dietary needs were met assisted by staff’s commitment to create a positive dining experience for people and by ensuring there was access to food and drink at all times.
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.
People and family members were complimentary about the quality of care provided. They spoke of the kind, caring and compassionate approach of staff, and the support provided by staff to maintain independence and make decisions on their day to day lives and care.
People’s needs were recorded in personalised care plans considering all aspects of their care. Opportunities were available for people to engage in a range of activities supported by the facilities offered, which included a hairdressing and beauty salon, spa, café area and cinema room. People took part in activities and events organised externally of the service, which included day trips.
People consistently spoke well of the quality of care they received and of the commitment of staff in providing high quality care. People's views and that of family members were central to the continuous development of the service and were regularly sought, supported by effective communication. Well embedded and effective governance enabled the provider to continually develop the service through proactive monitoring.
The provider recognised the commitment and importance of staff in achieving good quality outcomes for people. The provider acknowledged the commitment and hard work of staff through nominations for external and internal awards to recognise their individual achievements. The provider was committed to the development of staff and provided opportunities for staff to gain further qualifications to support career progression.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This was a planned inspection based on the provider's registration date. The provider was registered under its new legal entity on 02 August 2021.
The last rating for the service under the previous provider was Good, published on 27 July 2021.
Why we inspected
This was the first inspection of this service since its registration under its new legal entity.
We looked at infection prevention and control measures under the Safe key question.
We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.