Lakeside Nursing Home

Updated 10 June 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

This inspection was carried out by one inspector and one Expert by Experience. 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 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. Lakeside 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 registered with the Care Quality Commission as an individual and therefore, is not 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.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 25 January 2023 and ended on 30 January 2023. We visited the location's service on 25 January 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We also used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 10 relatives. We also spoke with 8 staff, including the manager, nominated individual, health and safety manager, nurses and care workers. The nominated individual is responsible for supervising the management of the service on behalf of the provider. At Lakeside Nursing Home the nominated individual is also the provider. The service was run by a team that included the provider, a manager, a deputy manager, a health and safety manager and administration staff, as well as nurses, care workers and domestic staff. We reviewed a range of records. This included 7 people's care records and 3 staff records. A variety of records relating to the management of the service were also reviewed.

Updated 10 June 2023

About the service

Lakeside Nursing Home is a residential care home providing personal and nursing care to up to 35 people. The service provides support to older adults living with a range of health conditions, dementia and disabilities. At the time of our inspection there were 26 people using the service.

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

People received safe care and support and were protected from avoidable harm. There were robust risk assessments and care plans in place for people and staff knew people and their needs and preferences very well.

People received their medicines safely and medicines administration followed good practice procedures.

There were systems and processes in place to safeguard people from the risk of abuse. Staff had received safeguarding training and knew how to recognise and report abuse.

The service was working within the principles of the Mental Capacity Act.

There were sufficient numbers of staff to meet people’s needs and staff recruitment followed safer recruitment best practice guidance.

Infection prevention and control also followed best practice guidance and we were assured the provider was responding effectively to risks and signs of infection and was making sure infection outbreaks could be effectively prevented or managed.

The provider had systems and processes in place that helped to ensure they learnt from best practice research in developing the service. Managers were proactive and engaged in a number of professional networks for sharing learning to improve practice. Managers incorporated research and guidance into the service to improve the care and support provided.

Managers and staff were clear about their roles, they understood regulatory requirements and duty of candour. There were effective quality assurance systems in place and action was taken to improve the service when issues were identified. Staff worked in partnership with other professionals, agencies and organisations to meet people’s needs.

There was a positive culture that was person-centred, open, inclusive, empowering and achieved good outcomes for people. People and their families had choice and could make their own decisions about things. People were supported to be as independent as possible and participate in numerous activities. The provider engaged and involved people, their relatives and staff in the development of the service and included them in making decisions about the service. There was a stable staff team which provided people with continuity of care and managers and staff used creative ways to meet people’s and their families’ needs.

Managers provided staff with a high level of support. They also provided people's families with a high level of personalised support. People, staff and management spoke very positively about each other and feedback from people’s families about the service was very complimentary.

The service had a relaxed, friendly, happy and family orientated atmosphere, and was engaged with the local community.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the services supported this practice.

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

Rating at last inspection

The last rating for this service was good (published 17 November 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained good based on the findings of this inspection.

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

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.