Lake View Nursing Home

Lake View Nursing Home is a nursing care home providing personal and nursing care to up to 46 people. The service provides support to younger and older adults with physical disabilities, mental health conditions, dementia and sensory impairments. At the time of our inspection there were 22 people living in the care home in 1 adapted building which was over 2 floors.

People’s experience of using this service and what we found

Some fire safety checks had not been undertaken although this was due to take place imminently. Some building and equipment safety risks had not been identified; however, this was resolved immediately by management following our feedback. Quality audits were in place and completed however, these were not always effective in identifying all issues. However, when issues were identified we saw actions to address concerns. Some risk assessments had not been put in place for specific health conditions.

People were safe from abuse. There were enough safely recruited and suitably trained staff and recruitment was on-going. Medicines were well managed, and audits were effective in identifying medicine errors which were addressed. Staff wore personal protective equipment (PPE) to prevent and control the spread of infections.

People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice. Improvements were needed to ensure consistency in quality of the Mental Capacity Act assessments. Some improvements were needed to care plans. Staff received an induction and training. The home was clean and well maintained. People were supported to have a balanced diet. Staff worked well with other professionals.

Staff were kind and caring, and respected people’s privacy and dignity. People felt valued and listened to by staff. Relatives generally felt well-informed about their family member and their care needs. People had person-centred care plans and staff knew people’s preferences. Activities took place in the home and staff supported people to engage in these or supported people individually. The registered manager wanted people to have access to more activities in the community and told us they planned to achieve this in the future. The provider dealt with complaints in line with their own procedures.

The registered manager was generally felt to be approachable to people, relatives and staff. Staff felt supported and listened to. The registered manager understood their duty of candour. Staff worked in partnership with other professionals and organisations to achieve the best outcomes for the person.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 17 August 2022 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about staff training, infection prevention and control as well as the service not having been rated due to its recent registration. A decision was made for us to inspect and examine those risks.

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.

You can see what action we have asked the provider to take at the end of this full report. The management were responsive to feedback and risks were reduced while we were on-site.

Enforcement

We have identified breaches in relation to the overall governance of the service at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.