Lake View Nursing Home

Updated 8 March 2023

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 Health and Social Care Act 2008.

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

The inspection was carried out by 2 inspectors who visited the care home and an Expert by Experience who made telephone calls to relatives following the site visit. 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

Lake View Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Lake View Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and professionals who worked with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

During the inspection, we spoke with 3 people who used the service, to ask about their experience of the care provided and 11 family members. We spoke with 6 members of staff, which included the operations manager, registered manager, nurses, care staff, senior care staff and chef.

We observed staff providing support to people in the communal areas of the service. This was so we could understand people's experiences. By observing the care received, we could determine whether they were comfortable with the support they were provided with.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included 3 people’s care records and multiple medication records. We looked at 3 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 8 March 2023

About the service

Lake View Nursing Home is a nursing care home providing personal and nursing care to up to 46 people. The service provides support to younger and older adults with physical disabilities, mental health conditions, dementia and sensory impairments. At the time of our inspection there were 22 people living in the care home in 1 adapted building which was over 2 floors.

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

Some fire safety checks had not been undertaken although this was due to take place imminently. Some building and equipment safety risks had not been identified; however, this was resolved immediately by management following our feedback. Quality audits were in place and completed however, these were not always effective in identifying all issues. However, when issues were identified we saw actions to address concerns. Some risk assessments had not been put in place for specific health conditions.

People were safe from abuse. There were enough safely recruited and suitably trained staff and recruitment was on-going. Medicines were well managed, and audits were effective in identifying medicine errors which were addressed. Staff wore personal protective equipment (PPE) to prevent and control the spread of infections.

People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice. Improvements were needed to ensure consistency in quality of the Mental Capacity Act assessments. Some improvements were needed to care plans. Staff received an induction and training. The home was clean and well maintained. People were supported to have a balanced diet. Staff worked well with other professionals.

Staff were kind and caring, and respected people’s privacy and dignity. People felt valued and listened to by staff. Relatives generally felt well-informed about their family member and their care needs. People had person-centred care plans and staff knew people’s preferences. Activities took place in the home and staff supported people to engage in these or supported people individually. The registered manager wanted people to have access to more activities in the community and told us they planned to achieve this in the future. The provider dealt with complaints in line with their own procedures.

The registered manager was generally felt to be approachable to people, relatives and staff. Staff felt supported and listened to. The registered manager understood their duty of candour. Staff worked in partnership with other professionals and organisations to achieve the best outcomes for the person.

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

Rating at last inspection

This service was registered with us on 17 August 2022 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about staff training, infection prevention and control as well as the service not having been rated due to its recent registration. A decision was made for us to inspect and examine those risks.

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.

You can see what action we have asked the provider to take at the end of this full report. The management were responsive to feedback and risks were reduced while we were on-site.

Enforcement

We have identified breaches in relation to the overall governance of the service at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.