9 July 2021
During an inspection looking at part of 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.