- Care home
Lakelands Lodge
Report from 28 March 2024 assessment
Contents
On this page
- Overview
- Shared direction and culture
- Capable, compassionate and inclusive leaders
- Freedom to speak up
- Workforce equality, diversity and inclusion
- Governance, management and sustainability
- Partnerships and communities
- Learning, improvement and innovation
Well-led
We looked at whether the service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. In the areas we looked at we found the service was consistently managed and well-led. Leaders were capable and inclusive and provided good oversight and governance. Leaders promoted an open culture.
This service scored 64 (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 Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.
Capable, compassionate and inclusive leaders
Managers were capable leaders and supported the running of the service, and staff well. Staff told us they felt supported and listened to, and could provide feedback in formal and non formal ways. Managers were able to complete further leadership training.
There were inclusive policies such as the flexible working policy. There was safe recruitment practices for leaders and staff.
Freedom to speak up
There was a whistleblowing and freedom to speak up policy so that staff felt able to raise any issues in a safe way.
Workforce equality, diversity and inclusion
We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.
Governance, management and sustainability
Leaders had a good awareness of risk and monitored outcomes. Leaders and staff were aware of their roles and were accountable. Managers provided supervision to staff and had regular meetings to discuss issues and risk.
There were effective governance processes in place. The registered manager and others completed a regular schedule of audits and addressed issues and risks timely. The provider was aware of the regulatory requirements and made statutory notifications to relevant agencies when required to do so. There was a system to manage incidents and learn from them to improve practice. This was an improvement following the previous inspection.
Partnerships and communities
We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.
Learning, improvement and innovation
Staff were asked to complete questionnaires to consider any further learning needs, concerns and areas that could be changed to improve care for people. The provider recently employed a 'care experience manager' who requests and acts on feedback from residents. The provider planned to roll out a resident and relatives survey following this.
The provider monitors outcomes to identify where action is required to improve. An example of this was making changes to improve the experience of people around the pressure relief care.