This inspection was carried out on the 04 and 05 October 2016 and the first day was unannounced. Lakeview Rest Homes Limited provides care and support to people who lived at The Moorings. The home is a registered care home situated in Lytham St Annes. It is located close to public transport links, leisure and shopping facilities. It is registered to provide accommodation for up to 78 older people. The building is a five storey property with two courtyard areas for people to enjoy.
The Moorings has a manager who is registered with the Care Quality Commission. 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.
During the inspection the registered manager informed us they were in the process of carrying out other work for the registered provider. This was to improve the quality assurance systems within the registered provider’s homes. They explained there was a new manager in place at the Moorings who was receiving support from them, to ensure a smooth transition. The new manager would be registering with the Care Quality Commission. This was confirmed by speaking with the new manager.
The Moorings was registered with the Care Quality Commission in April 2015. This was the first inspection of the service.
At this inspection visit carried out in October 2016, there were 43 people who lived at the home. People we spoke with said they were happy with the care and support they received. People told us staff were caring and were knowledgeable of their individual needs. People described staff as, “Kind and attentive.” And, “Caring and loving.”
People were encouraged and enabled to take part in meaningful activities which enriched their lives. The management of The Moorings supported people to give feedback on the activities and responded to this feedback to improve the activities provided. People told us they considered the activities had a positive impact on their lives. We were told, “I’m doing more now than I ever did, every day is different and I look forward to getting up every day.” And, “I’m still living my life. Not just sitting around till each mealtime. I’m still me, not just an old person.”
People who received care and support told us they felt safe. Staff were able to define abuse and the actions to take if they suspected people were being abused.
We found medicines were managed safely. Staff were knowledgeable of the systems in place for the ordering, storage and receipt of medicines.
We saw appropriate recruitment checks were carried out to ensure suitable people were employed to work at The Moorings.
There were sufficient staff to meet people's needs. People were supported in a prompt manner and told us they had no concerns with the availability of staff.
Staff received regular support from the management team to ensure training needs were identified. We found staff received appropriate training to enable them to meet peoples' needs.
Processes were in place to ensure people's freedom was not inappropriately restricted. Staff told us they would report any concerns to the registered manager.
We saw people were offered a variety of foods at The Moorings and people were supported to eat and drink sufficient to meet their needs. People told us they liked the food provided.
People were referred to other health professionals for further advice and support when assessed needs indicated this was appropriate and documentation we viewed reflected this.
Staff treated people with respect and kindness. People told us they were involved in their care planning.
There was a complaints policy in place, which was understood by staff. People told us they would talk to staff if they had any concerns.
Quality assurance checks were carried out to ensure areas of improvement were identified and acted upon. People who lived at The Moorings and their relatives were offered the opportunity to participate in an annual survey.
The environment was clean, spacious and well maintained. We saw aids were in place to support people who may have mobility needs and there were areas for people to socialise and relax as they wished.