19 September 2013
During an inspection looking at part of the service
We found that whilst people's basic needs were being met, they were not provided with support to participate in activities or interests. One person told us 'I like it here. I would like to go out more.' Staff were knowledgeable about people's needs but not confident that they could always meet them.
There were arrangements in place to deal with foreseeable emergencies.
At the previous inspection we found that staff had not received training in the Mental Capacity Act 2005 and Deprivation of Liberty safeguards and we were not able to see records of staff supervision and appraisal. This time we found evidence that all staff had undergone this training and had regular supervision meetings.
There were effective recruitment and selection processes in place. Appropriate checks were undertaken before staff began work.
People's personal records including medical records were accurate.
People that used the service told us that they were happy living at Lakeside House and they liked the staff that supported them. People appeared at ease with the staff team and were seen asking for and getting their needs met. One person was seen doing their laundry whilst another made preparations to attend a party later that evening.
Care plans and risk assessments were in need of review and some showed contradictory or confusing information. Most records relevant to the management of the service were not available for inspection.
Staff were knowledgeable about their roles and the needs of the people who used the service. Staff were seen interacting respectfully and responded positively to peoples requests for support. People told us that 'Staff are alright' and 'They treat us well, I've got no complaints.'