Lakeview Care Home

Updated 17 April 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: The inspection team consisted of three inspectors and a specialist mental health nurse, as well as two experts 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, in this instance the experience was older person’s care.

Service and service type: Lakeview is registered to provide accommodation for persons who require nursing or personal care. The service can support older people, people with dementia, people with physical disabilities and people with mental health needs.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection: The inspection was carried out on 14 March 2019 and was unannounced.

What we did: Prior to the inspection we reviewed information we held on the service. We looked at the Provider Information Return (PIR) which providers are required to send us and includes key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. Providers are also required to notify us of specific events which include, safeguarding concerns, events that stop a service and deaths. We reviewed all the notifications we had received since the last inspection.

During the inspection we spoke with 12 people living at the home and 10 visitors We spoke with 10 staff members which included care assistants, nurses, reminiscence co-ordinators, the registered manager and governance team. We also spoke with a visiting health professional.

We looked at range of records held by the service We reviewed the care files for nine people. We looked at five staff files, medicine administration records, health and safety records, activity files, records of accident, incidents and complaints, audits and quality assurance reports.

Updated 17 April 2019

About the service: Lakeview is a large nursing home divided in to six separate units. The service can provide support for up to 151 people. At the time of the inspection there was 121 people using the service. People resided in the various units within the home, depending on the level and type of care required.

People’s experience of using this service: People were safe at Lakeview and protected from harm. People’s risks were assessed and there was sufficient numbers of staff to meet people’s needs. People received their medicine by trained staff and the environment was managed to limit the possibility of infection. Lessons were learnt when things went wrong.

People’s consent to their care was sought and best interest meetings were held when needed. People’s care needs were continually assessed and staff training arranged to ensure staff could meet people’s needs. People were supported to have a balanced diet and sufficient access to drinks. Staff worked with other agencies and people were supported to access healthcare outside of the service. The building was adapted to meet the needs of the people living there.

People were treated with kindness and encouraged to express their views about their care. People’s privacy and dignity was maintained

People received personalised care and they knew how to raise a concern or complaint. People’s end of live wishes had been considered.

The provider promoted person centred care and staff were aware of their individual roles. People, their relatives and staff were engaged in discussions about the service and action taken when needed. The service had a dedicated team that looked at continuous learning and the home worked in partnership with others.

More information is in the full report

Rating at last inspection: At the last inspection we rated the service as requires improvement (Report Published 3 October 2017)

Why we inspected: This inspection was a planned inspection in line with our methodology.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If concerning information is received we may inspect sooner.