Lakeside Nursing & Residential Home

Updated 3 September 2021

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 Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

One inspector, a specialist advisor in nursing and an Expert by Experience carried out the inspection. 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

Lakeside nursing and residential home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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

We gave the service 24 hours’ notice of the inspection to assess any COVID-19 risks.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was in the process of completing the required Provider Information Return. This is information providers are required to send us with key information about the service, what it does well and improvements they plan to make. We took this into account in making our judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with five people who used the service and 14 relatives about their experience of the care provided. We spoke with eight members of staff including the provider, registered manager, clinical lead, advanced practitioner and care workers.

We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 3 September 2021

About the service

Lakeside nursing and residential home is a care home providing personal and nursing care to 41 people aged 65 and over at the time of the inspection. The home is set in extensive grounds and accommodates up

to 50 people in one adapted building over three floors.

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

People were protected from the risk of harm and people said they trusted staff to keep them safe. Staff received appropriate safeguarding training. Care plans were detailed and included risk assessments in relation to people’s specific care needs. Medicines were managed safely. People's pressure care was managed. We saw moving and handling equipment being stored safely in the building.

We received mixed feedback from staff regarding staffing levels. Some staff felt they needed more staff during busy periods. We have made a recommendation about the provider reviewing their staffing structures.

Robust auditing systems were in place which comprised of various manager and provider level audits. Record keeping had improved. Staff felt supported by the registered manager and were recognised by the provider for their contributions through commendations. There was a good culture within the service which had a positive impact on people. The service worked in partnership with others such as commissioners, safeguarding teams and health and social care professionals.

The provider had two systems in place to record the administration of prescribed creams which was not best practice. We have made a recommend about the provider reviewing their documentation processes regarding prescribed creams.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 12 December 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We received concerns in relation to the management of people’s care needs and staff behaviour. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Lakeside nursing and residential home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.