Lakeside View Nursing Home

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• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

We assessed one quality statement in the responsive key question and found both areas of good practice and areas where improvement is required. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. Our rating for this key question remains good People and their relatives were involved in planning for the future. Staff told us they received training on how to provide compassionate end of life care and described how they work in conjunction with the local healthcare professionals to ensure people received pain free and dignified care. However, we found some inconsistencies in the quality of information included within care plans and found the detail in the providers end of life care policy could be improved to better guide staff.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Person-centred Care during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Care provision, Integration and continuity during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Listening to and involving people during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in experiences and outcomes during this assessment. The score for this quality statement is based on the previous rating for Responsive.

People and their relatives told us they were involved in planning for the future and their views on their preference for care at the end of their lives was sought. Comments included, "Staff have discussed the future with us, we have all this planned, they have discussed our wishes " and " Yes they have had conversations with us about the future."

Staff told us they had received training on how to provide compassionate end of life care and described how they work in conjunction with the local healthcare professionals to ensure people received pain free and dignified care. However, not all staff could consistently describe how they would care for a person's body after their death. The registered manager told us they were currently focusing on end of life care following a recent complaint. They had identified a staff training and coaching need. They had introduced workshops with staff to discuss the death and dying culture within the home and had sourced additional training in this area. We were assured the registered manager had a strong focus on learning lessons from complaints.

Overall, we were assured there was a process in place to plan for people's end of life care. There was evidence of good partnership working with the GP and other health professionals to ensure effective end of life care. However, we found inconsistencies in the quality of information included within care plans. For example, 2 out of the 3 care plans we viewed contained basic and generic information whereas the third care plan was more person centred and outlined the persons preferences for care in detail. We discussed the need for consistency in this area with the registered manager. The registered manager assured us they had initiated a review of all end of life care plans during the assessment. We found the detail in the providers end of life care policy could be improved as there was a lack of clear guidance in place about how staff should care for a person's body after death. The registered manager and provider were responsive to our findings. They provided assurance that an external consultant had been instructed to complete a review of the end of life care provision across the service which included reviewing staff culture and policies and procedures. They committed to acting upon any recommendations made to improve this area.